IVF Medication Costs: 2026 Price Guide
Let’s be blunt for a second. When you first start researching fertility treatments, the procedural costs already feel like a lot to absorb. You look at the price of an IVF cycle, you map out your savings, and you think, “Okay, I have a clear baseline.”
Then someone mentions the medication costs.
Suddenly, you realize there is an entire secondary budget you need to account for, one that isn’t typically wrapped into the standard clinic service fees. For most patients, fertility drugs represent the single largest variable expense in an IVF or IUI journey. Depending on your personal protocol, your medical history, and how your body responds, that number can swing by thousands of dollars.
That variability creates unnecessary stress. We believe transparency is the best cure for treatment anxiety. Below is a clear, straightforward breakdown of our current IVF medication price list, what you can expect to pay for specific drugs like Gonal-F and Menopur, and how to plan your budget without unwanted surprises.
What Factors Actually Determine Your Total IVF Medication Cost?
No two fertility protocols are identical. That isn’t just a friendly medical cliché; it is a financial reality. When your physician designs your treatment plan, they are looking at specific biological markers that dictate how much medication you will actually need.
Here are the primary factors driving your final bill:
- Ovarian Reserve and Age: Key metrics like your Anti-Müllerian Hormone (AMH) level and antral follicle count tell us how your ovaries are likely to respond. If you have a lower ovarian reserve, your body may require higher daily doses of stimulation hormones to produce an optimal number of eggs. Higher doses mean buying more units.
- Protocol Length and Response: An average stimulation phase lasts between 8 and 12 days. However, your physician monitors your follicular growth in real time using bloodwork and ultrasound imaging. If your eggs mature a few days slower than expected, your cycle might run slightly longer, requiring an extra day or two of injections.
- OHIP vs. Out-of-Pocket Expenses: In Ontario, the Ontario Fertility Program (OFP) provides government funding for the clinical steps of one standard IVF cycle for eligible patients. However, medications are not covered by provincial funding. Whether you are accessing a funded IVF spot or paying for a private cycle, your medication remains an out-of-pocket expense or one covered through private health insurance.
Markham Fertility Centre 2026 IVF Medication Price List
To keep things completely clear, the table below outlines our standard dispensary pricing effective April 1, 2026. You can also view or print the official 2026 IVF Medication Price Sheet to keep on hand during your planning phase.
| Medication Name | DIN | Format / Dosage | Price (CAD) |
| Gonal F 300 IU | 02270404 | Pre-filled Pen | $394.08 |
| Gonal F 450 IU | 02270390 | Pre-filled Pen | $591.07 |
| Gonal F 900 IU | 02270382 | Pre-filled Pen | $1,182.13 |
| Puregon 300 IU | 02243948 | Cartridge | $350.20 |
| Puregon 900 IU | 02243948 | Cartridge | $1,050.60 |
| Menopur 75 IU | 02283093 | One Vial | $103.95 |
| Pergoveris 300 IU | 02470640 | Pre-filled Pen | $480.39 |
| Pergoveris 450 IU | 02470659 | Pre-filled Pen | $720.49 |
| Pergoveris 900 IU | 02470667 | Pre-filled Pen | $1,441.07 |
| Luveris 75 IU | 02269066 | One Vial | $37.08 |
| Rekovelle 12 mcg | 02487462 | Cartridge | $295.00 |
| Rekovelle 36 mcg | 02487470 | Cartridge | $885.10 |
| Rekovelle 72 mcg | 02487489 | Cartridge | $1,770.14 |
| Cetrotide 0.25 mg | 02247766 | One Injection | $138.00 |
| Orgalutran | 02245641 | One Injection | $118.45 |
| Decapeptyl 0.1 mg | 02389282 | Pre-filled Syringe | $20.60 |
| Suprefact | 00727695 | Multi-dose Vial / 1 Dose Syringe | $114.00 / $22.70 |
| Ovidrel Pen 250 | 02371588 | Pre-filled Pen | $95.28 |
| Ovidrel | 02262088 | Pre-filled Syringe | $95.28 |
| HCG 5,000 IU | 02247459 | One Vial | $90.30 |
| HCG 10,000 IU | 02247459 | One Vial | $133.55 |
| Crinone Progesterone | 02241013 | 18 Applicators | $300.00 |
| Prometrium 100 mg | 02166704 | 30 Capsules | $81.00 |
| Progesterone in Oil | Compounded | 50 mg/ml x 10 ml Vial | $50.00 |
| Progesterone Suppositories 100 mg | Compounded | 14 / 18 per pkg | $29.00 / $36.00 |
| Progesterone Suppositories 200 mg | Compounded | 14 / 18 per pkg | $33.00 / $37.00 |
| Estrace 2 mg | 2449064 | 30 Tablets | $24.72 |
| Estradot 100 mcg | 02244002 | 8 Patches per box | $74.16 |
| Letrozole 2.5 mg | 02338459 | Per Tablet | $2.15 |
| Misoprostol 100 mcg | 02244022 | Two Tabs (One Dose) | $2.40 |
| Saizen 5 mg | 02237971 | One Vial | $290.77 |
| Fertil Pro MTL | NPN 80031912 | Supplement | $75.65 |
| Fertil Pro UBIQ | NPN 80042494 | Supplement | $110.57 |
| Ovulation Kit | N/A | Testing Kit | $17.00 |
Disclaimer: The prices listed above reflect the official Markham Fertility Centre Dispensary pricing effective April 1, 2026, and are subject to change without notice. Always verify current pricing directly with Markham Fertility Centre or your designated pharmacy prior to starting your treatment cycle.
Common IVF Medications & Pricing Breakdown
Understanding the names on a price sheet is one thing. Knowing what those drugs actually do, and why they cost what they do, helps make sense of your treatment plan.
1. Follicle-Stimulating Hormones (FSH): Gonal-F & Puregon
FSH is the heavy lifter of an IVF stimulation cycle. In a natural monthly cycle, your body produces just enough FSH to mature a single egg. During IVF, the goal is to safely encourage multiple follicles to grow simultaneously.
When patients evaluate the total Gonal f cost, the most critical factor to remember is that pricing is tied directly to total International Units (IU).
- How it is packaged: At our dispensary, Gonal-F is available in three pre-filled pen sizes: 300 IU ($394.08),450IU($591.07), and 900 IU ($1,182.13).
- The math behind the Gonal f cost: If your daily prescribed dose is 225 IU, a 900 IU pen will last precisely four days. Over a typical 10-day stimulation phase requiring 2,250 IU total, you would need two 900 IU pens plus one 450 IU pen, bringing your Gonal-F baseline expense to approximately $2,955.33.
- Cost reality: Because recombinant FSH technology involves precise biological manufacturing, these medications represent the largest single item on your total prescription bill.
2. Human Menopausal Gonadotropin (hMG): Menopur
While Gonal-F provides pure FSH, Menopur delivers a balanced combination of both FSH and Luteinizing Hormone (LH).
- Why physicians use it: LH helps support overall egg quality and assists the developing follicles in producing estrogen. Physicians frequently pair Menopur alongside Gonal-F to create a customized hybrid protocol.
- Pricing dynamics: Menopur costs $103.95 per 75 IU vial. If your daily dose is 150 IU, you use two vials a day ($207.9/day). Over a 10-day cycle, your Menopur subtotal comes to $2,079.00.
3. Trigger Injections: Ovidrel & hCG
Timing is everything in reproductive medicine. Once your monitoring ultrasounds show that your primary group of follicles has reached mature sizing (usually around 18–20 mm), it is time for the “trigger shot.”
- What it does: The trigger shot mimics a natural LH surge, signaling the eggs inside the follicles to complete their final maturation phase and detach from the follicle wall so they can be retrieved.
- Predictable pricing: Unlike daily stimulation drugs, you generally only need a single dose per cycle. Options at our dispensary include the Ovidrel pre-filled pen or syringe at $95.28, or HCG (5,000 IU at $90.30 / 10,000 IU at $133.55). This makes it one of the most predictable, fixed costs on your medication schedule.
4. Ovulation Suppressants & Luteal Support (Cetrotide & Progesterone)
During stimulation, your estrogen levels will climb significantly. Naturally, high estrogen signals your brain to release LH and trigger premature ovulation. But during an IVF cycle, ovulating early, before your scheduled retrieval procedure, would cause the eggs to be lost.
- Preventing premature ovulation: Drugs like Cetrotide 0.25 mg ($138.00 per dose) or Orgalutran ($118.45 per dose) act as immediate brakes. You typically start taking these injections around day 5 or 6 of your cycle to keep the eggs safely inside the ovaries until retrieval day.
- Preparing the lining: After egg retrieval or during a frozen embryo transfer (FET) cycle, your body needs progesterone to prepare the uterine lining for implantation. Options vary based on preference and medical protocol, ranging from compounded Progesterone in Oil (50.00fora10mlvial)tooralPrometrium(81.00 for 30 capsules) or Crinone 8% vaginal gel ($300.00 for 18 applicators).
How to Pay for Fertility Medications: Coverage, Tax Credits & Financing
Seeing a $4,000 medication estimate can feel overwhelming. However, very few patients end up paying for every dollar completely unassisted out of pocket. Here are three primary avenues to explore before your cycle begins:
1. Private Extended Health Insurance
Even if your employer’s health insurance plan does not cover procedural IVF costs, many private plans do cover prescription fertility drugs under standard drug benefit limits.
- Pro-tip when calling your insurer: Provide the exact DIN numbers from our price list above. Do not simply ask, “Do you cover IVF?” Instead, ask specifically: “Are DIN 02270382 (Gonal-F) or DIN 02283093 (Menopur) covered under my prescription plan, and is there a lifetime maximum?”
- Watch out for drug caps: Some insurance plans feature a $2,500 or $5,000 lifetime limit for fertility drugs. Knowing this cap in advance allows your clinical care team to optimize how your prescriptions are filled and billed.
2. Medical Expense Tax Credit (METC)
In Canada, out-of-pocket fertility treatment costs, including prescription medications, clinical fees, and diagnostic testing, are eligible expenses under the federal Medical Expense Tax Credit (METC).
- How it helps: Keep every single pharmacy receipt from your cycle. When you file your annual tax return, non-reimbursed medical expenses that exceed a specific percentage of your net income can provide a meaningful tax credit, effectively returning a portion of your medication spend.
3. Strategic Payment and Financial Support
Managing treatment costs is about pacing your cash flow. You do not need to buy your entire cycle’s supply of medications on day one.
Because protocols can adjust dynamically based on your response, our team often recommends purchasing your initial baseline medications first, then adding additional doses as your cycle monitoring progresses. This prevents you from over-purchasing expensive, non-refundable medications you might not end up needing.
Next Steps in Your Planning
Budgeting for a fertility journey is about getting clear, factual numbers as early as possible so you can move forward with confidence.
If you are preparing for an upcoming cycle or want to discuss your funding options, reach out to our team at Markham Fertility Centre. Our financial coordinators are available to walk through your benefit plan, review protocol estimates, and help you map out a clear path forward
Frequently Asked Questions
Are IVF medications covered by OHIP in Ontario?
No. While the Ontario Fertility Program (OFP) provides funding for eligible clinical procedures, OHIP does not pay for fertility medications. These must be funded through private extended health benefits, health spending accounts, or paid out of pocket.
Why does my friend’s IVF medication cost different from mine?
Medication costs are driven entirely by your individualized dosage and protocol length. Factors like age, AMH levels, baseline follicular count, and how quickly your body responds to stimulation vary significantly from person to person. Two patients at the same clinic can easily have a $2,000 difference in their drug bills.
Can I use unused medication for a future cycle?
If you have unopened, unexpired pens or vials that have been stored strictly according to pharmacy temperature guidelines (such as refrigeration for Gonal-F), they can generally be used for a subsequent cycle. However, once a multi-dose pen is opened or punctured, it must be used within its specified shelf-life window (typically 28 days) or discarded.
Where do I purchase my prescribed fertility medications?
Fertility medications are specialized pharmaceuticals. While standard retail pharmacies can order them, specialized fertility pharmacies stock them consistently and understand cold-chain shipping requirements. Markham Fertility Centre offers an on-site dispensary to ensure your medications are ready precisely when your cycle begins.