First Name *
Last Name *
Email *
Phone *
Follistim
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Follistim 300IU Cartridge
Follistim 600IU Cartridge
Follistim 900IU Cartridge
Gonal-f
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Gonal-f 300IU RFF Pen
Gonal-f 450IU RFF Pen
Gonal-f 900IU RFF Pen
Gonal-f 450IU MDV
Gonal-f 1050IU MDV
Gonal-f 75IU Vial
Menopur
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Menopur 75IU
Leuprolide
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Lupron 2 week kit
Microdose
Ganirelix / Cetrotide
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Either Ganirelix or Cetrotide
Ganirelix 250mcg pre-filled syringes
Cetrotide 0.25mg Vial
Trigger Options
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Either hCG or Ovidrel
Novarel 10,000IU
Pregnyl 10,000IU
Either Novarel or Pregnyl
Ovidrel 250mcg prefilled syringe
Leuprolide Trigger 1mg or 20 units
Leuprolide Trigger 2mg or 40 units
Leuprolide Trigger 4mg or 80 units
Luteal Support
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PIO Sesame Oil 50mg/mL
PIO Ethyl Oleate Oil 50mg/mL
PIO Olive Oil 50mg/ml
Crinone 8% gel suppository
Endometrin 100mg suppository
Ship to (state)*
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
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Iowa
Kansas
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Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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