| A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | |
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1 | Timestamp | Medication | Units | Quantity | Cost per Unit | Currency | Cash Price or Insurance | Pharmacy | Pharmacy Details | Notes or Comments | ||||||||||||||||
2 | 8/8/2019 18:31:27 | Estradiol | patches | 64 | 10.61 | SMP | 855-255-5005 | No | ||||||||||||||||||
3 | 8/8/2019 18:33:33 | Endometrin | inserts | 63 | 6.51 | SMP | 855-255-5005 | No | ||||||||||||||||||
4 | 8/8/2019 18:35:58 | Gonal-F or Follistim | 5ml | 4 | 80 | Costco | ||||||||||||||||||||
5 | 8/8/2019 18:36:05 | Gonal-F or Follistim | 5ml | 4 | 80 | Costco | ||||||||||||||||||||
6 | 8/8/2019 18:39:32 | PIO | 50 mL vial | 2 | 49.89 | SMP | 855-255-5005 | No | ||||||||||||||||||
7 | 8/8/2019 18:59:58 | Letrozole | 2.5mg tablet | 10 | 87 | Walgreens (WINFertility) | Used good RX to drop it from $120. Also this is the cost without insurance. North Carolina. | |||||||||||||||||||
8 | 8/8/2019 19:03:20 | Menopur | 75 iu | 25 | 87 | Freedom | Total $2174.75 for all 25 vials, included syringes. Cost without insurance. | |||||||||||||||||||
9 | 8/8/2019 19:05:28 | Estrace | 2mg tablets | 90 | 2.68 | Walgreens (WINFertility) | $2.68 cost for all 90 tablets with insurance. Insurance was billed $39.31. | |||||||||||||||||||
10 | 8/8/2019 19:07:11 | PIO | 10ml vial at 50mg | 2 | 52 | Freedom | Total cost for 2 vials was $104, no insurance. | |||||||||||||||||||
11 | 8/8/2019 19:11:28 | Pregnyl or Novarel | 10,000iu vial | 1 | 125 | Freedom | Cost without insurance. | |||||||||||||||||||
12 | 8/8/2019 20:03:15 | Ganirelix or Cetrotide | .25mg vials | 5 | 56 | Freedom | $280 for 5 vials, no insurance. | |||||||||||||||||||
13 | 8/8/2019 20:04:01 | Lupron | 4mg vial | 1 | 175 | Freedom | Without insurance. | |||||||||||||||||||
14 | 8/8/2019 21:32:57 | Clomid | 50mg tablet | 5 | 1.95 | Hospital pharmacy, UC Health (Colorado) | Pharmacy quoted $35 for script and found/applied two discount codes on my behalf. Seems to be a common practice for many of their cash pay scripts! | |||||||||||||||||||
15 | 8/9/2019 5:18:46 | Cetrotide | IU | 0.25 | 112 | Freedom | Cetrotide | |||||||||||||||||||
16 | 8/9/2019 5:19:42 | Ganirelix | IU | 0.25 | 84.95 | Freedom | Ganrilex | |||||||||||||||||||
17 | 8/9/2019 5:20:46 | Gonal-F or Follistim | IU | 900 | 840 | Fertility Pharmacy of America | ||||||||||||||||||||
18 | 8/9/2019 5:22:54 | Menopur | IU | 75 | 86.99 | Fertility Pharmacy of America | ||||||||||||||||||||
19 | 8/9/2019 5:24:18 | Ovidrel | syringe | 1 | 107 | Fertility Pharmacy of America | ||||||||||||||||||||
20 | 8/9/2019 5:30:25 | Follistim | IU | 900 | 2721.6 | Freedom | Follistim - freedom has a relationship with Gonal, so Follistim is ungodly expensive | |||||||||||||||||||
21 | 8/9/2019 8:36:38 | Cetrotide | 0.25 mg syringes | 13 | 56 | SMP | US | Cash Price | ||||||||||||||||||
22 | 8/9/2019 8:37:24 | Novarel | 5000 | 2 | 0.18 | SMP | US | Cash Price | ||||||||||||||||||
23 | 8/9/2019 8:40:27 | Gonal-F | 1050 IU | 2 | 1.13 | SMP | US | Cash Price | ||||||||||||||||||
24 | 8/9/2019 8:41:21 | Gonal-F | 450 IU | 2 | 0.84 | SMP | US | Cash Price | ||||||||||||||||||
25 | 8/9/2019 8:45:28 | Menopur | 75 unit | 20 | 1.11 | SMP | US | Cash Price | ||||||||||||||||||
26 | 8/9/2019 8:51:15 | HGH | 5.8 mg vials - per mg | 17.4 | 61.2 | SMP | US | Cash Price | I ordered 3 5.8 mg vials for a total of $1065 - so this is $61.2 per mg. | |||||||||||||||||
27 | 8/9/2019 18:42:15 | PIO | 500mg/mL in 10 mL | 2 | 1.38 | CVS | US | Cash Price | Goodrx has PIO for $27 for 2 vials, or $36 for 3 vials at CVS (regular CVS) | |||||||||||||||||
28 | 8/9/2019 18:44:22 | Lupron | 2 week kit (1mg/0.2mL) | 1 | 96 | CVS | US | Cash Price | rxsaver.retailmenot.com has the best price for the 2 week lupron kit at CVS for $96. CVS CAN order it (so push back if they say they can't... mine did). | |||||||||||||||||
29 | 8/9/2019 18:46:30 | HGH | 5.8mg | 1 | 0 | Integrity | US | Cash Price | Omnitrope.com fill out form for savings card (select approved use, it doesn't specify). Then submit prescription to Integrity WITH an IVF calendar to document this is for fertility use. You can get a free vial every 30 days (225ish for an additional vial). | |||||||||||||||||
30 | 8/11/2019 10:22:56 | HGH | 5.8 mg | 1 | 340 | Alto Pharmacy Culver City | US | Cash Price | ||||||||||||||||||
31 | 8/11/2019 13:43:56 | Sildenafil | .25mg suppository | 62 | 4.9 | MDR | US | Cash Price | ||||||||||||||||||
32 | 8/15/2019 8:47:36 | Gonal-F | Units | 1500 | 0.84 | SMP | US | Cash Price | ||||||||||||||||||
33 | 8/15/2019 8:49:14 | Menopur | Vial | 20 | 82.95 | SMP | US | Cash Price | Clinic negotiated price | |||||||||||||||||
34 | 8/15/2019 8:49:56 | Lupron | Syringe | 2 | 119 | SMP | US | Cash Price | ||||||||||||||||||
35 | 8/15/2019 8:50:48 | Cetrotide | Syringe | 13 | 56.77 | SMP | US | Cash Price | ||||||||||||||||||
36 | 8/15/2019 8:51:30 | Pregnyl | 10,000iu vial | 1 | 170 | SMP | US | Cash Price | ||||||||||||||||||
37 | 8/15/2019 8:52:16 | Lupron | 2 week kit | 1 | 575 | SMP | US | Cash Price | ||||||||||||||||||
38 | 8/15/2019 8:52:41 | Novarel | 10,000iu vial | 1 | 154.89 | SMP | US | Cash Price | ||||||||||||||||||
39 | 8/15/2019 8:53:47 | PIO | 50mg/mL in 1 mL | 1 | 49.89 | SMP | US | Cash Price | ||||||||||||||||||
40 | 8/16/2019 0:07:05 | Novarel | 5000 IU vial | 1 | 84 | Rancho Santa Fe | 858-756-3096 | US | Cash Price | |||||||||||||||||
41 | 8/16/2019 0:10:14 | Gonal-F | 450 IU | 6 | 84 | Rancho Santa Fe | 858-756-3096 | US | Cash Price | |||||||||||||||||
42 | 8/16/2019 0:12:07 | Menopur | 75 IU | 22 | 1.12 | Rancho Santa Fe | 858-756-3096 | US | Cash Price | |||||||||||||||||
43 | 8/16/2019 0:15:32 | Lupron | 40 mcg | 1 | 199 | Rancho Santa Fe | 858-756-3096 | US | Cash Price | |||||||||||||||||
44 | 8/16/2019 0:17:14 | Lupron | 40 mcg | 1 | 199 | Rancho Santa Fe | 858-756-3096 | US | Cash Price | |||||||||||||||||
45 | 10/15/2019 9:53:06 | Endometrin | 100mg vaginal insert | 21 | 5.87 | Alto | US | Cash Price | Price of $123.30 per box (21 inserts) reflects Manufacturer's $30 instant rebate (applied automatically by Alto Pharmacy). Rebate may only be used every 14 days. | |||||||||||||||||
46 | 10/15/2019 15:00:16 | HGH | Vial | 1 | 352 | Avella | US | Cash Price | They automatically applied the coupon to bring my cost down to $359 per vial. No additional info needed or salary requirements. | |||||||||||||||||
47 | 10/19/2019 13:49:35 | Cetrotide | .25 mg | 1 | 97 | Freedom | US | Cash Price | ||||||||||||||||||
48 | 10/19/2019 13:50:55 | Ganirelix | 250 mcg | 1 | 84.9 | Freedom | Freedom | US | Cash Price | |||||||||||||||||
49 | 10/19/2019 13:51:56 | Menopur | 75 unit vial | 1 | 77 | Freedom | US | Cash Price | ||||||||||||||||||
50 | 10/19/2019 13:53:10 | Novarel | 5000 | 2 | 80 | Freedom | US | Cash Price | ||||||||||||||||||
51 | 10/19/2019 13:54:48 | Pregnyl | 10,000 | 1 | 250 | Freedom | US | Cash Price | ||||||||||||||||||
52 | 10/19/2019 13:55:45 | Gonal-F | 300 | 1 | 267 | Freedom | US | Cash Price | ||||||||||||||||||
53 | 10/19/2019 14:03:35 | Ganirelix | syringe | 1 | 76 | Metro | US | Cash Price | ||||||||||||||||||
54 | 10/19/2019 14:05:17 | Pregnyl | IU | 10000 | 100 | Metro | US | Cash Price | ||||||||||||||||||
55 | 10/19/2019 14:06:39 | HGH | mg | 5.8 | 390 | Metro | US | Cash Price | They no longer accept Omnitrope coupons for IVF patients | |||||||||||||||||
56 | 10/19/2019 14:07:55 | Menopur | IU | 75 | 84 | Alto | US | Cash Price | ||||||||||||||||||
57 | 10/19/2019 14:08:39 | Gonal-F | IU | 300 | 280 | Alto | US | Cash Price | ||||||||||||||||||
58 | 10/19/2019 14:10:01 | Pregnyl | IU | 10000 | 120 | Alto | US | Cash Price | ||||||||||||||||||
59 | 10/19/2019 14:11:43 | HGH | mg | 5.8 | 340 | Alto | US | Cash Price | If this is your first time ordering Omnitrope, they price match. They do not accept Omnitrope coupon for IVF because it is not approved for use by the FDA. | |||||||||||||||||
60 | 11/14/2019 13:29:29 | Menopur | 75 | 1 | 74.99 | Encompass | US | Cash Price | Ask for cash price discount | |||||||||||||||||
61 | 1/12/2020 15:33:45 | Follistim | 300 | 6 | 0.78 | Metro | US | Cash Price | 25% military discount | |||||||||||||||||
62 | 1/12/2020 15:38:17 | Menopur | 75 iu | 11 | 1.17 | Metro | US | Cash Price | No discount | |||||||||||||||||
63 | 1/12/2020 15:40:53 | Ganirelix | 250mcg/0.5mL | 5 | 0.026 | Metro | US | Cash Price | ||||||||||||||||||
64 | 1/29/2020 12:58:50 | Menopur | IU | 1500 | 1.172 | Walgreens (Community Pharmacy) | US | Cash Price | ||||||||||||||||||
65 | 1/29/2020 12:59:48 | Follistim | IU | 1800 | 1.026 | Walgreens (Community Pharmacy) | US | Cash Price | ||||||||||||||||||
66 | 1/29/2020 13:01:17 | Ganirelix | mcg | 1250 | 0.3656 | Walgreens (Community Pharmacy) | US | Cash Price | ||||||||||||||||||
67 | 1/29/2020 13:02:59 | Lupron | ml | 2 | 102.3 | Walgreens (Community Pharmacy) | US | Cash Price | ||||||||||||||||||
68 | 1/29/2020 20:56:42 | Follistim | IU | 1800 | 2.51 | Alto | US | Cash Price | ||||||||||||||||||
69 | 1/30/2020 17:20:37 | Letrozole | 2.5mg tablet | 10 | 0.4 | Walgreens (WINFertility) | US | Insured Price | ||||||||||||||||||
70 | 1/30/2020 17:22:19 | Ovidrel | 250 mcg .05ml | 1 | 182 | CVS | US | Cash Price | ||||||||||||||||||
71 | 1/30/2020 17:23:55 | Ovidrel | 250 mcg / .05ml | 1 | 53 | Alto | https://alto.com/ | US | Insured Price | Free home delivery | ||||||||||||||||
72 | 2/15/2020 20:33:34 | Follistim | 300 | 1 | 0.924 | Kohll's Pharmacy | 866-500-7800 https://kohllsrx.com/ | US | Cash Price | 10% Reunite Discount | ||||||||||||||||
73 | 2/15/2020 20:34:42 | Ganirelix | 1 shot/250 | 1 | 0.32 | Kohll's Pharmacy | 866-500-7800 https://kohllsrx.com/ | US | Cash Price | 10% Reunite Discount | ||||||||||||||||
74 | 2/15/2020 20:36:07 | Pregnyl | 1 shot | 1 | 91.34 | Kohll's Pharmacy | 866-500-7800 https://kohllsrx.com/ | US | Cash Price | 10% Reunite Discount | ||||||||||||||||
75 | 2/15/2020 20:37:03 | Menopur | 75 | 1 | 1.06 | Kohll's Pharmacy | 866-500-7800 https://kohllsrx.com/ | US | Cash Price | 10% Reunite Discount | ||||||||||||||||
76 | 2/23/2020 5:57:41 | Ovidrel | 250mcg/0.5ml | 1 | 53 | RARx | US | Cash Price | Negotiated price for Shady Grove patients | |||||||||||||||||
77 | 2/23/2020 5:58:14 | Ovidrel | 250mcg/0.5ml | 1 | 185 | CVS | US | Insured Price | ||||||||||||||||||
78 | 2/23/2020 5:58:36 | Ovidrel | 250mcg/0.5ml | 1 | 108 | CVS | US | Cash Price | ||||||||||||||||||
79 | 2/23/2020 6:55:33 | Progesterone | 200mg | 40 | 1.14 | RARx | US | Insured Price | ||||||||||||||||||
80 | 2/23/2020 6:57:13 | Progesterone | 200mg | 40 | 1.13 | CVS | US | Insured Price | ||||||||||||||||||
81 | 2/23/2020 6:58:22 | Letrozole | 2.5mg | 5 | 0.56 | Costco | US | Insured Price | ||||||||||||||||||
82 | 2/23/2020 6:59:06 | Letrozole | 2.5mg | 10 | 0.56 | Safeway | US | Insured Price | ||||||||||||||||||
83 | 5/29/2020 7:52:29 | Gonal-F | 450 iu multidosevial | 4 | 373 | Freedom | US | Cash Price | 25 percent discount via compassionate care progrM | |||||||||||||||||
84 | 5/29/2020 7:53:20 | Menopur | 75iu | 7 | 76 | Freedom | US | Cash Price | ||||||||||||||||||
85 | 6/5/2020 15:27:57 | Follistim | IU | 900 | 1.0356 | Braun Pharmacare | www.braunrx.com | US | Cash Price | Was for 3 cartridges of 300, same price as 1 900 but with more overfill | ||||||||||||||||
86 | 6/5/2020 15:28:58 | Ganirelix | Vials | 6 | 82 | Braun Pharmacare | www.braunrx.com | US | Cash Price | |||||||||||||||||
87 | 6/5/2020 15:30:26 | Lupron | IU | 80 | 5 | Braun Pharmacare | www.braunrx.com | US | Cash Price | For 2 40IU injections of leuprolide trigger | ||||||||||||||||
88 | 6/5/2020 15:32:19 | Menopur | IU | 2250 | 1.1467 | Braun Pharmacare | www.braunrx.com | US | Cash Price | This was 30 vials of 75IU, sold in packs of 5. | ||||||||||||||||
89 | 6/5/2020 15:33:37 | Pregnyl | IU | 10000 | 0.0119 | Braun Pharmacare | www.braunrx.com | US | Cash Price | 1 kit | ||||||||||||||||
90 | 6/9/2020 16:06:00 | Cetrotide | 0.25 MG | 5 | 279.57 | Freedom | US | Insured Price | the allowable charge (in-network pharmacy): $229.08 per unit | |||||||||||||||||
91 | 6/9/2020 16:09:27 | Gonal-F | IU | 4500 | 3.15 | Freedom | US | Insured Price | the allowable charge (in-network pharmacy): $2.55 | |||||||||||||||||
92 | 6/9/2020 16:12:12 | Ovidrel | 250 MCG | 1 | 209.74 | Freedom | US | Insured Price | the allowable charge (in-network pharmacy): $173.59 | |||||||||||||||||
93 | 6/9/2020 16:13:47 | Estradiol | 0.1 MG patch | 8 | 10.95 | Freedom | US | Insured Price | the allowable charge (in-network pharmacy): $8.36 | |||||||||||||||||
94 | 6/9/2020 16:16:30 | Menopur | IU | 1500 | 3.35 | Freedom | US | Insured Price | the allowable charge (in-network pharmacy): $2.68 | |||||||||||||||||
95 | 6/9/2020 16:19:21 | Crinone | 90 MG | 30 | 35.75 | Freedom | US | Insured Price | the allowable charge (in-network pharmacy): $24.02 | |||||||||||||||||
96 | 6/12/2020 8:08:33 | Menopur | 1 IU | 75 | 1 | Encompass | US | Cash Price | ||||||||||||||||||
97 | 6/12/2020 8:09:44 | Ganirelix | 1 mu g | 250 | 0.32 | Encompass | US | Cash Price | ||||||||||||||||||
98 | 6/12/2020 8:10:23 | HCG | 1 IU | 10000 | 0.016 | Encompass | US | Cash Price | ||||||||||||||||||
99 | 6/12/2020 8:11:03 | Lupron | 1 mg | 4 | 50 | Encompass | US | Cash Price | ||||||||||||||||||
100 | 6/12/2020 8:11:49 | PIO | 1 mg | 50 | 1.1 | Encompass | US | Cash Price | sesame oil |