You can appeal it through your insurance. I believe Scott appealed it and got it covered. It's probably a bit of a process. Also go on the VSL-3 DS site. They have programs set up to offer financial assistance and in some situations will pay for it entirely based on income. My sister gets it for free. Unfortunately, I am not eligible. I am in the middle of appealing my insurance for a different medication and it has taken quite a few months so far, and no approval yet. Good luck!