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If insurance isn't a factor you're likely to find it pretty expensive. Perhaps it's worth comparing prices at different pharmacies, though I don't know if they will differ. I'd also recommend comparing to the single strength (non-prescription) price, which is half as much probiotic (per packet) of exactly the same stuff.
Oh Poo...why has your doctor asked you take VSL? My surgeon, who is quite well known, has told me multiple times that in his experience VSL does nothing to prevent pouchitis. He has more than 20 years of experience with j-pouches. I still take it because my insurance pays for them but if I had to shell out a significant amount to get them I would be more skeptical of their effectiveness. He told that when VSL came out there was a lot of excitement and hope about it preventing pouchitis but it is essentially useless. And, it's inventor has just done a very good PR job in pushing it.

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