Save up to $200* per prescription

We care about saving patients money.

Eligible patients with private insurance can save up to $200* on out-of-pocket costs per prescription every 21 days with the Gonal-f® Co-Pay Savings Card.

Start saving now. Ask your healthcare provider about the Gonal-f® Co-Pay Card. Download the

and bring it to your next appointment.

*Program Details


  • Patients must have a prescription drug benefit that covers Gonal-f® and a valid Gonal-f® prescription
  • Patients cannot combine this card with any other rebate, coupon, free trial, or similar offer
  • Save up to $200 per prescription every 21 days
  • Patient should keep card for repeated use
  • Program expires December 31, 2011, unless earlier terminated by EMD Serono
  • EMD Serono reserves the right to rescind, revoke, terminate, or amend the Gonal-f® Co-Pay Savings Card at any time without notice
  • Covers the following products:
    • Gonal-f® RFF Pen 300 IU (follitropin alfa injection)
    • Gonal-f® RFF Pen 450 IU (follitropin alfa injection)
    • Gonal-f® RFF Pen 900 IU (follitropin alfa injection)
    • Gonal-f® Multi-Dose 450 IU (follitropin alfa for injection)
    • Gonal-f® Multi-Dose 1050 IU (follitropin alfa for injection)
    • Gonal-f® RFF 75 IU, single vial pack (follitropin alfa for injection)
    • Gonal-f® RFF 75 IU, 10 vial pack (follitropin alfa for injection)
  • Not valid for cash paying patients
  • Offer not valid for prescriptions that may be reimbursed under federal or state healthcare programs, including Medicaid, Medicare, or any other similar programs, including any state medical pharmaceutical assistance program
  • Void in Massachusetts and other states where rebates are prohibited

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FIND A FERTILITY SPECIALIST

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FIND A UROLOGIST

The Society for the Study of Male Reproduction (SSMR) can help you locate a urologist in your area.

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Indication:
For women, Gonal-f® (follitropin alfa for injection), Gonal-f® RFF (follitropin alfa injection) and Gonal-f® RFF Pen (follitropin alfa injection) are indicated for 1) the induction of ovulation and pregnancy in the anovulatory infertile patient in whom the cause of infertility is functional and not due to primary ovarian failure and 2) for the development of multiple follicles in the ovulatory patient participating in an ART program.

Gonal-f® is also indicated to increase sperm production in men with a rare condition called hypogonadotropic hypogonadism.

Important Safety Information:
These products should only be prescribed by physicians specializing in fertility or reproductive health. Use of Gonal-f® or Gonal-f® RFF by women can result in multiple births. Patients should let their doctor know of any allergic reactions to recombinant FSH preparations or other product ingredients. Patients should also inform their doctor of a history of cancer of the sex organs or brain and uncontrolled thyroid or adrenal disease before starting or continuing treatment. Women with a history of abnormal bleeding from the uterus or vagina, swollen, enlarged, or painful ovaries should speak to their doctor before starting treatment. Gonal-f® and Gonal-f® RFF are potent gonadotropic substances capable of severe adverse reactions, including Ovarian Hyperstimulation Syndrome (OHSS) in women, which can result in hospitalization. Women should inform their doctor if they experience severe stomach pain, vomiting, bloating, or weight gain while taking Gonal-f® or Gonal-f RFF®. The most common side effects are headache, ovarian cysts, upset stomach, and sinus infections in women taking Gonal-f® or Gonal-f® RFF. The most common side effects in men taking Gonal-f® are skin acne, breast pain and growth, and tiredness. Needle injections may cause some discomfort.

For more information, refer to the prescribing and patient information offered below and talk to your doctor.

*RFF Revised Formulation Female


© 2011 EMD Serono, Inc. and its affiliates.
This site contains medical information that is intended for residents of the United States only and is not meant to substitute for the advice provided by a medical professional. Always consult a physician if you have health concerns. Use and access of this site is subject to the terms and conditions as set out in our Legal Statement and Privacy Policy.

This site contains information that is intended for US residents only. Canadian residents should consult the EMD Serono Canada Inc. Web site at www.emdserono.ca for information on products and services approved in Canada.

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