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