Express Scripts (Gonal-F)
Phone (877) 503-4073
Fax (800) 636-9494
Cigna (Follistim)
Phone (800) 244-6224
Fax (800) 244-6224
Walgreens Specialty Pharmacy
Phone (800) 424-9002
Fax (800) 874-9179
Mandel’s Pharmacy
Phone (877) 252-0553
Fax (877) 252-0450
Medco (Follistim)
Use specialty form and fax only
Fax (800) 837-0959
MDRx Pharmacy
Phone (800) 515-3784
Fax (888) 939-2020
Aetna Specialty Pharm (Gonal-F)
Phone (866) 782-2779
Fax (860) 907-3874 or (888) 267-3277
Pre Cert Phone (866) 503-0857
BofA Pre Cert Phone (800) 575-5999
Civic Center Pharmacy
Phone (480) 945-9519
Fax (480) 945-9854
Apothecary by Design
Phone (877) 814-8447
Fax (207) 899-0968
CVS Caremark (Follistim)
Phone (800) 237-2767
Fax (800) 323-2445
Avella Pharmacy
www.avella.com
See website for locations and specific contact info