Avella to Provide Infertility Medication

As of March 1, 2020, Avella Specialty Pharmacy will be the designated pharmacy for infertility medications for OptumRx,® UnitedHealthcare Community Plan and commercial members.*

What This Means for You

  • Send infertility prescriptions for OptumRx and UnitedHealthcare members to Avella Specialty Pharmacy.*
  • For new treatments, providers should reference preferred medication options to identify opportunities to reduce patient cost share.
  • Visit Avella.com/fertility to submit your referral form.

Coverage Details

  • This change only affects plans that include fertility medications within their benefit coverage.
  • All members still receiving medications through Freedom Fertility Pharmacy will need to fill through Avella Specialty Pharmacies.
  • Preferred medications were changed on Jan. 1, 2020.
  • Based on plan design, prior authorization and/or step therapy may be needed for alternative treatment option(s). Patients may have a higher cost-share for the alternative treatment option(s).

Preferred Medications

Follistim® AQ 

Ganirelix® Acetate (Merck/Organon)

Pregnyl®, Novarel®

Alternative Treatment Option(s)

Gonal-F®, Gonal-F RFF

Ganirelix Acetate (Ferring), Cetrotide®

Ovidrel®, Chorionic Gonadotropin

Since prescription drug lists and benefit variations may occur, you should refer to patient-specific information received through e-prescribing or the PreCheck MyScript® tool on Link.

Questions? 

Email fertility@avella.com

*May vary based on state law and plan design