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Infertility Support and Discussion
Reply to "Where to purchase meds out of pocket"
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[quote=Anonymous][quote=Anonymous]I think that, unfortunately, insurance coverage means that everyone (from your clinic to your pharmacy) jacks up their prices. My billing coordinator told me that for most people who have insurance, it’s mainly the drugs that will cause their lifetime max to be reached, rather than treatments. Since I had no coverage and paid out of pocket, there is no way I could verify that.[/quote] This is very true. My health insurance outsourced pharmacy function to CVS and annual max for medication is $5,000. CVS pricing for infertility med was on average 200%-300% more expensive than OOP price. What I could get with the $5k was maybe $2k worth of med if I were to pay myself without insurance. For example, Gonal-F 450 was over $1,000 from CVS if I were to go through insurance.[/quote]
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