Menopur in 2026: What's the Current Situation?

If you've been trying to fill a Menopur prescription recently, you already know the frustration. Supply of this critical fertility medication has been inconsistent for over two years now, and patients keep asking the same question: Is Menopur still in shortage?

In this update, we'll give you the straight facts on where things stand in 2026, what's driving the supply issues, how much Menopur costs right now, and what your options are if you can't find it.

Is Menopur Still in Shortage?

The short answer: supply remains tight but not entirely unavailable. Menopur (Menotropins) has been experiencing intermittent supply disruptions since late 2023, when Ferring Pharmaceuticals reported that demand was outpacing production capacity. Through 2024 and 2025, supply improved in waves, only to tighten again during peak IVF seasons.

As of early 2026, the situation is similar: Menopur is available at many specialty fertility pharmacies, but retail chains frequently report being out of stock. Availability varies significantly by region, with major metro areas generally having better access through fertility pharmacy networks.

The FDA's drug shortage database has included menotropins periodically, though it's not always listed as "currently in shortage" since supply fluctuates. The key takeaway: don't assume your pharmacy has it in stock — always check ahead of time.

Why Is Menopur Hard to Find?

Several factors continue to drive the supply crunch:

• Rising IVF demand: More patients are seeking fertility treatment as insurance coverage expands and people start families later. The number of IVF cycles in the U.S. grows 5-10% each year.
• Biological manufacturing: Menopur is derived from the urine of postmenopausal women, making production harder to scale than lab-made (recombinant) alternatives.
• No generic competition: With Repronex and Bravelle discontinued, Menopur is the sole hMG product in the U.S. There are no generics or biosimilars.
• Seasonal peaks: IVF cycles tend to cluster in spring and early summer, creating predictable demand spikes that stress the supply chain.

For a deeper dive into these factors, read our post on why Menopur is so hard to find.

How Much Does Menopur Cost in 2026?

Menopur pricing has remained relatively stable, but it's still a significant expense:

• Per vial (75 IU): approximately $90 to $130 at most pharmacies
• Typical IVF cycle (20-40 vials): $1,800 to $5,200 for Menopur alone
• Total fertility medication cost per cycle: $3,000 to $7,000+ including all injectables

There is no generic version of Menopur, so pricing stays at brand-name levels. However, there are ways to reduce costs — see our detailed guide on how to save money on Menopur.

Are There New Options in 2026?

While no new menotropins products have entered the U.S. market, patients and doctors have more flexibility with existing alternatives:

• Gonal-F (follitropin alfa): Recombinant FSH, widely available, pen delivery
• Follistim AQ (follitropin beta): Another recombinant FSH option with good availability
• Pergoveris: Recombinant FSH + LH combination — the closest match to Menopur's dual-hormone profile
• FSH + low-dose hCG combinations: Many clinics successfully use Gonal-F or Follistim plus low-dose hCG to replicate Menopur's effects

Your reproductive endocrinologist can help determine the best alternative if Menopur isn't available. Read more in our post on alternatives to Menopur.

How to Find Menopur in Stock Right Now

If your doctor has prescribed Menopur and you want to stick with it, here's how to find it:

1. Use Medfinder to search real-time pharmacy availability in your area
2. Contact specialty fertility pharmacies (Freedom Fertility, Encompass, MDR Pharmacy, Village Fertility) — they're far more likely to have stock than retail chains
3. Ask your fertility clinic — nurses and coordinators often know which pharmacies have current supply
4. Plan ahead — submit your prescription 7-14 days before your cycle start date
5. Consider out-of-state pharmacies — many ship overnight with cold-chain packaging

For more strategies, read our full guide on how to find Menopur in stock near you.

Final Thoughts

The Menopur supply situation in 2026 is challenging but manageable. Supply disruptions are intermittent rather than total, and specialty pharmacies remain the most reliable source. The key is planning ahead, staying in close contact with your fertility clinic, and knowing your alternatives just in case.

If you're looking for Menopur right now, start with Medfinder. And if you're a provider looking for clinical guidance on managing this shortage, check out our provider shortage briefing.