Freedom Fertility Pharmacy Blog

  • NIAW: Joining the Movement

    By Dan McLaughlin, R.N., Clinical Product Manager
    April 23rd, 2013
    Dan McLaughlin, R.N., Clinical Product Manager

    This week marks RESOLVE’s National Infertility Awareness Week blog challenge. Each year RESOLVE: The National Infertility Awareness Association, challenges both those who struggle with infertility and those who advocate on their behalf to follow a common theme and contribute a blog posting in honor of spreading awareness about infertility. This year’s theme, “Join The Movement” presents the question of how each of us in the infertility community, both patients and caregivers alike, have in our own way contributed to making the voice of the fertility patient heard loud and clear.

    Over the last 6 years working in this field, I have had the pleasure of interacting with countless patients from across the country, all at different stages of their fertility journey. Working at Freedom Fertility Pharmacy has given me the unique opportunity that many nurses are not afforded; that of having an impact on patients who I most likely will not meet in person. Throughout my education I learned the importance of caring for my patients in every manner, both physically and emotionally. I learned the procedures for administering injections, dressing wounds and starting IVs. More importantly though, I learned what might be the most crucial skill that any nurse can learn: listening.

    The eccentric American physician Patch Adams once said, “You treat a disease, you win, you lose. You treat a person, I guarantee you, you’ll win, no matter what the outcome.” This quote is particularly impactful when thinking in terms of those individuals struggling with the disease of infertility. As with all fields of medicine, infertility can be defined in countless numbers: affecting 1 in 8 couples, 154,412 IVF cycles completed nationwide in 2011 (Source: SART) and so on. However as my days have become dedicated with educating and advocating for those who are challenged by infertility, it has become clear to me as a nurse, as I am sure it has to patients, physicians, nurses, advocates and all others involved, that it is the individuals behind those numbers who truly make an impact. As we join our patients in fighting to treat this disease it becomes rapidly evident that as much as we hope to have a positive impact on their lives, they too often leave us a little wiser than we were before.

  • National Infertility Awareness Week at Freedom

    By Rachel Cashman, Senior Product Coordinator
    April 22nd, 2013
    Rachel Cashman, Senior Product Coordinator

    This past Sunday marked the start of RESOLVE’s  National Infertility Awareness Week. For so many of you, the reality of infertility is something you are aware of every day and here at Freedom, we work every day in hopes of making the burden of your fertility treatments a little easier to bear.

    We recently asked our employees to share their most moving patient stories in honor of NIAW, knowing that as they help to set up delivery of your medications or answer the questions that kept you up all night, you have made an impression on them. They remember the first patient they ever spoke to, the one who called with updates at every step in her cycle and the one that they spent the extra few minutes with on the phone to help calm their fears.

    We received many entries and each one told a different story about both the patient and the employee who helped them. One employee in particular sent in many stories. Her compassion for and dedication to the patients she works with was truly made evident.

    For National Infertility Awareness Week, I will be sharing her stories with you.

    __________________________________________

    One night at about 5:30, I got a call From Deana who lives out in California. This was her first time doing an IVF cycle and she really was very nervous about the whole process. We ran her insurance and found that she had some very high copays on a few of her medications.  I went over all of the copays with her and noticed that for some of the medications, our out-of-pocket price was lower. I asked her if she was working towards a deductable and she confirmed that she was not. By combining her insurance and also having her pay out-of-pocket for some of her medications, I was able to find some pretty significant savings. To say the least, she was thrilled.

    She then realized that she needed this for the next day and was began panicking as it was getting late. She was in tears as she was so sure we could not get this to California the next day for her. I told her that we would do everything we could do to make sure this got on the truck for delivery. I promised her I would watch the package and let her know what was going on.  I noticed that she had a tracking number and e-mailed her that number with her total. She emailed me back right away. I swear she was sitting by the computer waiting to hear if her meds went out. She was so happy to know that she would get this on time. I got a few emails the next day about her order and thanking me. I let her know there were lots of people working here that helped make this happen.

    The next day she sent me a great photo of her and her husband and said, “I want to you see who you have helped to start their family.”

  • Taking Your First Steps

    By Dan McLaughlin, R.N., Clinical Product Manager
    April 17th, 2013
    Dan McLaughlin, R.N., Clinical Product Manager

    For many patients the most difficult aspect of the fertility journey can be those first timid steps into the reproductive endocrinologist’s office for their initial consultation. Many have struggled to conceive on their own for the past 6-12 months and have finally made the decision to seek out a specialist to hopefully determine the cause of their fertility issues. However, even with this commitment to seeking treatment the idea of starting fresh with a new physician, especially in regards to something so private, can seem daunting. For this blog entry I want to discuss what to expect during those first visits to your new partner on your road to starting a family.

    During the initial office visit, the usual “housekeeping” will occur: collection of demographic information, copies of your insurance information, etc. Be sure to bring the most current insurance cards you have to ensure that the financial department at your physician’s office is able to give you a complete picture of the types of fertility benefits you may have available. This information will also be crucial to determining the course of treatment that you and your physician decide upon. In addition to your insurance information, be sure to bring any recent medical records related to both your own and your partner’s fertility. This should include test results, lists of current medications, prior ultrasounds or x-ray films as well as any pertinent medical notes provided from your ob-gyn related to your fertility. In addition, many practices will have you and your partner fill out a questionnaire prior to your initial consult that the physician will use as a frame-work for your meeting.

    The physician meeting will be consultative, unless there is a specific physical symptom that warrants immediate examination. During this time, the physician will take a detailed history of your attempts to conceive as well as discuss lifestyle concerns that may be contributing to impaired fertility. Most often, the first step they will discuss will be a series of blood tests/ultrasounds that will look at not only what is occurring hormonally, but also physically within the reproductive organs. If you are seeking treatment with a male partner they will also most likely undergo a semen analysis to look for any male factors that may be contributing. Often times the reproductive specialist will discuss potential treatment plans; however a final course of treatment will most likely not be determined until the results of the laboratory studies to ensure an optimal choice is made. Finally, a fertility nurse will go over what was discussed in the visit and give instructions for when to schedule testing and/or treatment timelines.

    The initial fertility specialist visit can be overwhelming, with a large amount of information being delivered at once. It is important to not only take notes, but feel confident and comfortable to ask the physician/nurse to clarify any aspects that you may not understand.

  • Focus On: Ask A Nurse

    By Dan McLaughlin, R.N., Clinical Product Manager
    March 18th, 2013
    Dan McLaughlin, R.N., Clinical Product Manager

    Of the many support services that Freedom has developed over the years, one which I have been particularly proud to watch grow has been the Ask A Nurse feature on both our website and mobile app. The main reason behind this is that it allows not only current patients to inquire about specific aspects of the treatment they are undergoing, but also allows for those who may be taking their first steps into understanding their own fertility and possible challenges they may be facing to speak to a knowledgeable and caring professional.

    Even more important, for many this initial interaction can be a favorable first step given the anonymity involved with communicating via email. While the subject of infertility has become much more widely discussed thanks to the efforts of many advocacy and awareness groups, there can still be an understandable level of apprehension with posing questions around one’s own body, specifically when it comes to reproductive health. This innovative feature helps to cushion that anxiety by providing a completely anonymous exchange between patient and fertility nurse.

    The Ask a Nurse feature has also given us the unique opportunity to establish long-lasting and meaningful relationships with several patients as they have navigated the ups and downs that can come with infertility treatment. One such patient went through multiple rounds of treatment, changed physicians and attempted new protocols during her cycles. Throughout these changes she kept in constant contact via Ask A Nurse; posing questions around test results, medication orders and expressing her own feelings as she navigated her journey to parenthood. After more than a year of treatment we were greeted with a picture of her baby daughter and a heartfelt email expressing how much support she had felt from people she had never even met.

    While this service was designed to address the needs of the patient “on the go” who may not always have time for a phone call, it has quickly blossomed into yet another way that Freedom has innovated the way in which we support our patients at all points on their road to starting a family.

    *Ask a Nurse is an email application allowing patients to ask fertility related questions to a Freedom fertility nurse. Inquiries are responded to within 24 business hours. In all instances please defer to the information given to you by the physician or nurse who is directly treating you.

  • Medical Authorization vs. Prescription Authorization

    By Kimberly Dow, Senior Pharmacy Technician, CPhT, Insurance Specialist
    March 11th, 2013
    Kimberly Dow, Senior Pharmacy Technician, CPhT, Insurance Specialist

    An important detail in going through infertility treatment is to understand one’s insurance coverage. Additionally, due to the special nature of fertility treatments it may also be necessary to understand the types of authorizations that your insurance may require; both in your medical and pharmacy plans.

    Many times a person’s medical plan will request authorization on the fertility services that may be performed.  This means that they may require additional information in order to pay for treatment. This includes a request for detailed medical history that your office will need to provide. Once the insurance plan reviews all the information provided by the Doctor’s office, a decision is made on coverage of the services being rendered.

    Similarly, a prescription prior authorization will review the specific medications you may use during your treatment. Once the Doctor’s office submits all information needed to the insurance company a decision is made on the coverage of the medications.

    Should your insurance not authorize prescription coverage, you may qualify for an array of manufacturer sponsored discount programs administered through Freedom Fertility Pharmacy. The members of the Freedom insurance team and I are always available to help you better understand your benefits and ensure you are obtaining the best coverage possible.