Also, I thought I'd mention a recent discussion in the Pregnant Again forum that led me to have a discussion with my MFM and peri. A generic for lovenox was released at the end of July. According to both my pharmacist and MFM, the efficacy is the exact same and replicated in the generic form, but the makers of Lovenox aren't too happy about the patent running out. Long story short, I started the generic last week. If you pay a set amount for generic drugs (ours is $10), then your savings should be substantial, but if your plan requires you to pay a percentage of the drug cost, the savings aren't there yet. The pharmacist said it's only slightly cheaper than lovenox to the insurance providers, but the savings is significant to the consumer if your plan has set costs rather than percentages. My MFM was actually really pleased to see the patent expire and encouraged me to fill the generic.