HCG Price?

[SPE]

So it looks as though my insurance doesn't cover HCG. I just picked some up at Target pharmacy(Novarel) and it was $52 for 10,000 iu's. I've heard of folks getting it cheaper, anyone know where?

 

[jwtex]

I get mine from Drugstore.com, $35.99 for 10,000 IU's.

 

[SPE]

Talked to Walgreens...

Looks like they carry 5000iu Profasi, which is generic for 31.99. I think I'll do that next time.

 

[DavidZ]

So it looks as though my insurance doesn't cover HCG. I just picked some up at Target pharmacy(Novarel) and it was $52 for 10,000 iu's. I've heard of folks getting it cheaper, anyone know where?

Generally, insurance companies will cover HCG if your doctor writes them a letter saying that it's for hypogonadism (i.e., not fertility treatment). Have you tried that approach?

Most insurance companies will not cover fertility treatments, so that's why they reject HCG at first. But if it's for hypogonadism, the vast majority will pay for it.

 

[SPE]

I see...

No, it's not really for hypo(that's kinda what the androgel is for), but I guess more for a mix of fertility/aesthetic/T support/well being.

 

[HeadDoc]

Generally, insurance companies will cover HCG if your doctor writes them a letter saying that it's for hypogonadism (i.e., not fertility treatment). Have you tried that approach?

Most insurance companies will not cover fertility treatments, so that's why they reject HCG at first. But if it's for hypogonadism, the vast majority will pay for it.

good point. My insurance co. is not paying for the hcg and now that you mention it every conversation I have with them, they keep referring to fertility. They do pay for the test cyp and arimidex. I get reimbursement for the hgh, hcg. Oh well, time to give them one more call!

 

[TWMac]

I almost feel guilty for telling what I pay for my HCG....

I pay $5 from my local Walgreens....obviously, I have some kick-ass BCBS insurance through my employer and I get my prescriptions for a fraction of retail list price. And, they asked me no questions about it's use.

 

[cpeil2]

My doc was ordering hCG for me from Cenegenics' pharmacy. They really gouge if they can get away with it, but they have a price-match arrangement. If you can find the product at a cheaper price, they will match it. They tried to charge $85.00 for 10K IU of generic hCG!!! I found it offered at $35.88 for 10K IU at fertilitymeds.com, so Cenegenics matched their price. They actually expected me to believe that the $85.00 was their cost.

 

[pmgamer18]

I almost feel guilty for telling what I pay for my HCG....

I pay $5 from my local Walgreens....obviously, I have some kick-ass BCBS insurance through my employer and I get my prescriptions for a fraction of retail list price. And, they asked me no questions about it's use.

Me to $5 but I can only get 3 refills then I need to go to Medcohealth and get it by mail. I hate this but I can get 90 days of meds for $5 doing this.
Phil

 

[mranak]

Generally, insurance companies will cover HCG if your doctor writes them a letter saying that it's for hypogonadism (i.e., not fertility treatment). Have you tried that approach?

Most insurance companies will not cover fertility treatments, so that's why they reject HCG at first. But if it's for hypogonadism, the vast majority will pay for it.

I just got my rejection letter from my first-level appeal on Wednesday. I had sent a letter explaining the use of hCG for hypogonadism rather than fertility and I explained that hCG is accepted and appropriate treatment for hypogonadism. But they claimed it wasn't an FDA approved indication. I'm going to push back on this one, however, because the policy states an exception when a medication isn't FDA approved for a particular use, but its use is nevertheless accepted in the medical community. A prime example of this is Adderall. Adderall (the non-XR version, anyway) isn't approved for adults, but its application to adults with ADHD is obvious, standard, and accepted practice.