@jeffmarc thank you! Yes, it came up in the visit yesterday with the Urology PA. She was surprised that the Prior Authorization department at Mayo hasn’t responded to Express Scripts. I furnished a phone number for them to contact Express Scripts, but no action yet. I have downloaded the specific form that Express Scripts requires them to fill out , and furnished that. Fingers crossed, but for now I self paid $200 for a 30 day supply. Expensive medication! Obviously works for you?