Gonal-F vs. Follistim

(6 posts)(5 voices)
  1. My RE included Follistim in my protocol. Gonal-F is preferred by my insurance and is somewhat cheaper but Follistim is covered as well. Does it matter which medication I use? (I have a call into my RE about this, but wanted to see if anyone has experience with this.)

  2. Most of the time they are used interchangeably but check with your doc.

    I have noticed that Gonal-F had (maybe still has?) promotions where if you end up needing to do multiple cycles, they cut you a discount/rebate of some sort. So you could save money that way if you end up needing multiple cycles.

    Also, both Follistim and Gonal-F are VERY expensive......So, if you *choose* follistim when your insurance will only pay for Gonal-F be prepared for a hefty bill. That's why I say first check with your doc and then verify *in writing* from your insurance if they say they will cover the follistim, too.

    I have only used follistim (wish I would've used Gonal for the $ savings as I'm OOP) and I can say that it's super easy to use. The needles are very fine and it travels well.

    Also with follistim, the ampules come with a signifigant overfill. For example, on a 900 ampule, the overfill is approx 150 (1050 total, approx). This can save you some big bucks if you have to pay for some/all of your meds and plan it out right.

    I don't know about overfill, etc, with Gonal as I haven't used it.

    Good luck with yor meds. I know it can be confusing.

  3. IF you have coverage for both of them I would pick Follistim. My nurse told me that the Follistim pen is easier to use and you don't need to keep track of how much you have left or something like that. I have only used Follistim and I like it.

  4. Thanks for your responses! I heard back from my RE's office, and they say it doesn't matter. It was helpful to hear other people's experiences too.

  5. My insurance used to switch me from gonal to follistim every cycle...not sure why but I never noticed a difference between the two. Gl.

  6. Gonal-f has about 150 overage per pen, so order multiple smaller pens, not one big one. E.g.,

    3 300-unit pens = 450 extra overage units.

    1 900-unit pen = 150 extra overage units.

    The Gonal-f pen is very easy to use.

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