At Florida Surgical Clinic we try to prescribe medications that are not only efficacious but also cost effective. There are numerous insurance plans and each plan has different rules for which medications are covered and how much of a copay is expected. Sometimes these copays are more than what a patient can afford. If this is the case you should call the prescribing physician immediately to determine if another medication or generic brand can be substituted that is less expensive. Sometimes, there are drug companies programs where medications will be subsidized to decrease the cost. Your physician may be able to help arrange contact with these programs.