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12-24-2012 at 12:06 PM
MrsChopp
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Joined on 08-07-2012
541 Posts
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MrsChopp is not online. Last active: 05-21-2013, 9:02 PMBronze

Medco question

Does anyone else on here have Medco for their Rx coverage? I was looking on their website for med prices on some of my IVF meds and a lot of them said "requires review." I'm just wondering what all this consists of and how long it takes.

We are supposed to be starting our 1st IVF cycle as soon as AF shows up any day now and I'm worried this is going to delay things. 
Married 8/14/10 * TTC since Aug 2010 * Met with RE in Feb 2012 * DH: low motility, low sperm count, elevated FSH * Me: Stage 4 Endometriosis * Laparotomy to remove endo in May 2012 * June 2012 - DH on Rx to hopefully increase count/quality * Re-tested sperm 10/22/12, count/quality have both dropped * IVF #1 w/ICSI * Transferred 2 beautiful embryos on 2/18/13 * Beta #1 3/1/13 - 636!!! Beta #2 3/3/13 - 1796!!! First ultrasound 3/18/13 - We're having TWINS!! Image and video hosting by TinyPic birthday2012_small Anniversary Lilypie Pregnancy tickers 
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12-24-2012 at 12:09 PM
dimples128
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Joined on 05-04-2008
Rogers, AR
1,247 Posts
8,307 Points
dimples128 is not online. Last active: 05-20-2013, 12:38 PMBronze
It really depends on your insurance. For some, a lot is covered. For us, injects were not covered. You should talk with your RE or the nurse about processing your Meds now. With the holidays, it could delay it a bit. 
TTC #1 - June '10 dx - LPD,2% Morph
Los Angeles, CA
IUI #1 BFN
IUI #2 Ectopic. 2 MTX dosages = left tube blocked.
IVF #1 11/17: Long Lupron 12/6: started stims. ER: 12/19 half ICSI ET: 12/24
12 retrieved, 6 fertilized, 2 transferred, 3 frozen
It worked! 1/2 Beta #1: 151 Beta #2: 354
One little bean EDD: 9/9/13
SAIF/PAIFW
BabyFruit Ticker 
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12-24-2012 at 4:23 PM
jadwedd
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Joined on 04-29-2003
1,461 Posts
21,407 Points
jadwedd is not online. Last active: 05-22-2013, 6:08 AMBronze
My re's office ordered everything for us and we just paid the bill.  Nothing was covered so they tried to give us some free samples whenever possible.  You should talk to them about it.
Married 12-12-04
TTC since 07
me-36 PCOS, Tubal Problems, and polyps removed 7-12
DH - 36 extremely handsome and no fertility problems
IUI 8-12 and 9-12 failed
IVF 12-21-2012 - 2 I think perfect no matter what the dr graded them (2B)embryos transferred Beta on 12-31-12 Positve - Beta is 21
Beta 2 1-2-13 - 31
Beta 3 1-4-13 - 53
Beta 4 1/9 - 212!
Ultrasound 1/10 - Nothing completely empty uterus Beta 1/14 - 743; Beta 1/17 - 1704 ultrasound shows nothing. Officially a miscarriage. 1/21 Beta 3900 Dr. says it ectopic. Ultrasound shows a miracle heartbeat right in the uterus where it belongs! Dr. says I can be cautiously optomistic!!! Hang in there baby!

 
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12-25-2012 at 3:55 AM
kseav
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Joined on 12-26-2007
Ma
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kseav is not online. Last active: 05-22-2013, 3:13 AMBronze
In my experience everything processed pretty quickly but that was bc DH company was fast to respond to requests for approval from Medco. Our nurse called it in and within a couple days most things were ordered. I did have a hard time with a couple things here and there but overall it wasn't too bad. Good luck
 
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12-26-2012 at 9:50 AM
Trippleb
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Joined on 11-20-2007
South Central PA
1,555 Posts
8,275 Points
Trippleb is not online. Last active: 05-21-2013, 10:06 PMBronze
I was told that any meds over $200 needed to be reviewed.  Fertility meds are not covered in my plan but some questionable meds like Lupron which could be used for things other then ART, needs a Dr's statement and go through a review process.
TTC #1 since 9/07
Dx MFI, AMA, Endo, AMH .16
Lap 10/09 Removed endometrioma, stage IV endo and adhesions
Lap 2/10 Endometrioma cysts & adhesions returned.
Ivf #1 4/10 Antagonist, ET Cancelled.
IVF #2 2/11 A/ACP+E2V C/P
IVF #3 6/11 Letrozole/Antagonist BFN
IVF #4 11/11 Low stim Antagonist BFN
Lap 3/12 Lap & Selective HSG
Many cycles of Letrozole and LP HCG w/TI and LDN
IVF #5 8/12 Low stim BFN
IUI #1 10/12 BFN
IVF #6 3/13 EPP low stim w/HGH
S&PAIFW
 
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