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Infertility Support and Discussion
Reply to "MDIPA coverage for IVF meds"
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[quote=Anonymous]Thanks! For anyone else who has this problem, I did get a solution this morning: After spending 5 hours on the phone I contacted the following people: OptumRx - Medical Benefit Only, 888-739-5820. It's a different number than what was posted April 1st on this string. The people at this phone number explained that OptumRx Pharmacy coverage has changed the eligible medications and both Cetrotide and Ganirelix are no longer eligible through Freedom, so I expect others will experience this problem. You need to create an account with OptumRx. The help center at the 5820 number will set your account up. Then either Freedom, or your RE needs to fax or call in a copy of the prescription. The meds will be paid for through your medical plan, not your pharmacy (though I know on our 2013 brochure that it says all meds are paid through the pharmacy plan). You'll be responsible for 50% of the med costs. [/quote]
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