ReUnite Assist Program

Save up to 75% on Your Fertility Medications

ReUnite Assist offers discounts of up to 75% off select fertility medications based on your level of financial need. In addition, ReUnite Assist will match Compassionate Care Program discounts of up to 50%!

Eligible Medications

• Follistim AQ Cartridge (follitropin beta injection)
• Ganirelix Acetate Injection (brand name)
• Pregnyl (chorionic gonadotropin for injection, USP)

Eligibility Requirements

• Cash-pay prescriptions (100% uninsured)
• Current proof of income (IRS 1040 tax form)
• Discount expires one year from the date issued
• Cannot be combined with other ReUnite program discounts
• Copy of Compassionate Care approval letter is required to obtain discount match

Application Instructions

1. Apply Online for ReUnite Assist.

2. Complete your personal information.

3. Upload your IRS 1040 tax form.

4. Submit your application. You will receive an email notification within 24-48 hours regarding your application status.

5. If approved, provide MDR with the Member ID number contained in the email and we will apply the discount to your prescription.

Instructions for Discount Match

1. Apply Online for ReUnite Assist.

2. If you have been approved for a greater discount through the Compassionate Care Program, email the approval letter to your MDR Care Coordinator.  For a money savings tip, Click Here.

3. MDR will secure a discount match from ReUnite Assist (up to 50%), and apply the discount to your prescription.

For more information about this program, call 1-800-515-3784 or email [email protected].

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