Progyny Rx (Medication) Frequently Asked Questions 

Progyny Rx offers several advantages over typical medication providers:

• Progyny Rx works seamlessly with your fertility benefit, requiring a single authorization for both your fertility treatment and your related medications.
• Next day medication delivery ensures that you receive your medication when you need it. Same day medication delivery is available, if necessary.
• A pharmacy clinician is available 24/7 to review your medication and administration as well as offer training and support for every medication delivery.
• Information about medications and your fertility treatment plan are seamlessly coordinated between Progyny Rx and your PCA.

The Progyny Rx network includes fertility specialty pharmacies throughout the United States that provide mail order services to anywhere in the U.S. with dedicated support 24/7. Your Progyny Rx in-network pharmacy will be indicated on the bottom left-hand corner of the Confirmation Statement that authorizes your treatment.

Refer to the medications covered under Progyny Rx in the Progyny Rx Formulary section.

Note: While ancillary medications (such as antibiotics) may be included in your fertility medication shipment, ancillary medications are not covered by Progyny Rx. Coverage for these medications may fall under your pharmacy benefit manager (PBM). If covered, you will pay any applicable copayment, coinsurance, and/or deductible directly to the pharmacy during your consultation call.

Prescriptions for your fertility treatment must be sent by your provider to the pharmacy indicated on your Confirmation Statement. Once the prescription is received by our pharmacy partner, a Progyny Rx specialist will reach out to you to schedule the delivery. Medications are sent overnight.

Progyny Rx will provide the quantity of fertility medication that is required for your treatment. However, your combination and dosage of medications may change throughout the course of your treatment. To minimize waste and ensure that you are only paying for the medication you need, Progyny Rx will deliver your medication in multiple shipments. The Progyny Rx in-network pharmacy will schedule a follow up call with you prior to your last day of fertility medication supply to check-in and determine if a refill is required. If your dosage increases mid-cycle, your provider should inform Progyny of this change, but just to ensure we are aware, please contact your Progyny Rx in-network pharmacy immediately. The Progyny Rx in-network pharmacy can provide next day delivery, same day delivery, or local pharmacy pick up when necessary to ensure you receive your medication when you need it for treatment.

Some fertility medications require refrigeration. Medication(s) that require refrigeration will be marked with a blue border and snowflake icon on your Progyny Rx placemat. Other medications may have additional storage requirements. After your package arrives, please call the Progyny Rx in-network pharmacy listed on your Progyny Rx placemat to have your Unpack It Call. A pharmacy clinician will walk you through your shipment and explain how to properly administer and store the medication. The UnPack It Call is available 7 days a week. 

You will have a call with a Progyny Rx specialist after you receive your medication shipment. Together, you will review each medication’s usage and dosage. You also have access to a pharmacy clinician for any questions you may have after your call. Additionally, you can view Progyny Rx video tutorials on medication administration at progyny.com/rx.  

It is important to notify your dedicated PCA about a cancelled treatment to ensure additional medication is not shipped to you. However, if medication has already been dispensed it is not returnable, and you will still be billed by Progyny for any financial responsibility as determined by your plan.  

Progyny only covers specialty fertility medications that are on the Progyny Rx Formulary. Any prescribed medication that is not on the Progyny Rx formulary will be substituted for the alternative medication covered by Progyny. Compounds that consist of the medication on the Progyny Rx formulary are covered by Progyny. Ancillary medications, such as antibiotics, are not covered by Progyny but may be covered by your pharmacy benefit manager (PBM). These are subject to financial responsibility, which may include deductible, coinsurance, copayment, and/or out-of-pocket maximum as determined by your medical insurance plan.

Once medications are dispensed by Progyny Rx, unused medications cannot be returned or refunded. Members will be responsible for any associated financial responsibility as determined by their plan for all medications dispensed, regardless of use.