https://boards.hellobee.com/ Pregnancy, Baby and Parenting blog, by Hellobee en Mon, 06 Apr 2026 11:26:34 +0000 https://boards.hellobee.com/topic/progesterone-injections#post-1871070 Sat, 20 Sep 2014 06:50:34 +0000 Mrs. Lion 1871070@https://boards.hellobee.com/ <p>Ya know, I thought it was pretty odd that I got a phone call from a person at Makena yesterday, whose job it was to make sure insurance covers patients. I guess that's a pretty important job if they are charging that much for the medication. Insane! </p> https://boards.hellobee.com/topic/progesterone-injections#post-1871047 Sat, 20 Sep 2014 06:22:19 +0000 BandDmommy 1871047@https://boards.hellobee.com/ <p>@AprilK: same here! That's why my doc did suppositories over shot. </p> https://boards.hellobee.com/topic/progesterone-injections#post-1871046 Sat, 20 Sep 2014 06:21:05 +0000 AprilK 1871046@https://boards.hellobee.com/ <p>@pinkb: forgot to tag you! </p> https://boards.hellobee.com/topic/progesterone-injections#post-1871045 Sat, 20 Sep 2014 06:20:35 +0000 AprilK 1871045@https://boards.hellobee.com/ <p>My doctor actually ordered them from a compounding pharmacy. I paid for them bc it wasn't on the approved list but it was $12 a shot- like $60 for a vial that did 5 shots. My do thought it was criminal that it would be like 800-1000 per shot and constantly complained about ridiculous healthcare costs so he did his bests to keep costs down where he could. </p> https://boards.hellobee.com/topic/progesterone-injections#post-1870859 Fri, 19 Sep 2014 20:26:00 +0000 bunnylovesbear 1870859@https://boards.hellobee.com/ <p>@pinkb: I've been taking daily progesterone suppositories since the end of June, and all I had to pay was my prescription copay. Not sure if it would've been different had I needed the shots, but I was under the impression that my insurance would cover all treatments that were recommended by my doctor. Good Luck! </p> https://boards.hellobee.com/topic/progesterone-injections#post-1870761 Fri, 19 Sep 2014 18:46:34 +0000 pinkb 1870761@https://boards.hellobee.com/ <p>@sarahbee: Thanks, that makes me feel better that there are other options available :) Everyone I talked to today made it seem like it was this or nothing. I even had an appointment today, but forgot to ask the Dr :( </p> https://boards.hellobee.com/topic/progesterone-injections#post-1870745 Fri, 19 Sep 2014 18:34:19 +0000 sarahbee 1870745@https://boards.hellobee.com/ <p>I'm on Makena (and my insurance practically begged me to go on it) but when my OB first discussed it with me she said all of her patients who want it but get denied just go through a compounding pharmacy, any of which, presumably, could ship to you. After all, my insurance ships Makena to me. I'd be surprised if your location really mattered. </p> https://boards.hellobee.com/topic/progesterone-injections#post-1870705 Fri, 19 Sep 2014 17:45:06 +0000 pinkb 1870705@https://boards.hellobee.com/ <p>@Mrs. Lion: I am in Florida. I read that online about the compounding pharmacy, I wasn't able to find one near me, but I would be willing to drive to get it cheaper! I am definitely going to look into any option available if they get denied again! Yes $80 is way better :) </p> https://boards.hellobee.com/topic/progesterone-injections#post-1870696 Fri, 19 Sep 2014 17:33:56 +0000 Mrs. Lion 1870696@https://boards.hellobee.com/ <p>@pinkb: where do you live? I just thought about it and my out of pocket may have been cheaper because my first 4 weeks are actually not makena. My ob sent me to a compounding pharmacy close by who apparantly makes the meds in house. Maybe thats why mine was cheaper? Maybe you could check and see if you have one of those near you? If you have to pay out of pocket 80/month is a whole lot more reasonable. </p> https://boards.hellobee.com/topic/progesterone-injections#post-1870691 Fri, 19 Sep 2014 17:21:51 +0000 pinkb 1870691@https://boards.hellobee.com/ <p>@MarieJ: That is what DH said today when we found out, way cheaper than NICU time. I would think it would even be cheaper than the 4 day hospital stay I had for preterm labor.</p> <p>My Dr. office made it sound like they are having a really hard time with the appeal so I am just worried about the outcome. I had preterm labor at 32 weeks, no known cause. I was able to keep her in until 36 weeks with bedrest and medication. I just don't see that there is any other option for injectable progesterone so it has me worried. I called Makena Care Connection today and they offered the first dose for free so we have more time work with UNC. I am suppose to start them on the 1st.<br /> @Mrs. Lion: everything I read online seemed affordable, but I guess it was outdated. I found information that since they made this synthetic progesterone an "orphan drug" this company kind of has a monopoly on the market. </p> https://boards.hellobee.com/topic/progesterone-injections#post-1870683 Fri, 19 Sep 2014 17:09:27 +0000 Mrs. Lion 1870683@https://boards.hellobee.com/ <p>That is insane! I just got a call from someone at makena and mine should hopefully be covered 100%, but there was a mix up yesterday when i got my first one and i had to pay out of pocket with no insurance...and it was only $80 for 4 weeks worth! I dont understand why yours was so expensive! </p> https://boards.hellobee.com/topic/progesterone-injections#post-1870681 Fri, 19 Sep 2014 17:07:29 +0000 BandDmommy 1870681@https://boards.hellobee.com/ <p>@pinkb: I have united healthcare and I'm on suppositories. My OB said something about my insurance disallowing the shot and that's why I use suppositories. I have similar situation to @MarieJ, my son was born at 34 weeks. I currently have no issues with cervix or preterm labor. </p> https://boards.hellobee.com/topic/progesterone-injections#post-1870669 Fri, 19 Sep 2014 16:57:29 +0000 MarieJ 1870669@https://boards.hellobee.com/ <p>I get them due to my water breaking with LO#1 @ 34w3d. I've been receiving them weekly since 19 weeks of this pregnancy. My insurance didn't make a fuss &amp; covered them. I am on a 90/10 plan so I pay 10% which equals out to about $400 for the entire course of shots. My insurance rep says they barely get denied because they would rather pay for the injections rather than a NICU stay. I hope they accept your claim. </p> https://boards.hellobee.com/topic/progesterone-injections#post-1870667 Fri, 19 Sep 2014 16:55:13 +0000 Dandelion 1870667@https://boards.hellobee.com/ <p>That's insane! Mine were covered, but I had state insurance. </p> https://boards.hellobee.com/topic/progesterone-injections#post-1870665 Fri, 19 Sep 2014 16:52:31 +0000 pinkb 1870665@https://boards.hellobee.com/ <p>If you had to have them later in pregnancy to help prevent preterm labor, did your insurance cover them? Was it denied at first? If they were not covered what was the cost?</p> <p>I was prescribed Makena and so far United Healthcare has denied them. My Dr. office is appealing it and we are hoping to get an approval next week. But in the mean time I have called UHC and the cost to me would be $4000 per month! That is not even an option for us to be able to afford. I read online why it is so expensive and it is infuriating. </p>