Hello All asking about Xopenex/levalbuterol - Yes, the generic is much more reasonable than the name brand. The nebuliser solution comes from a company called Rite Dose. According to my insurance documents, the cost is $14.00 for 25 vials before adjustment for your coverage. I am on Medicare, it is covered under Part B (medical) as are all the inhaled meds, not Part D (Rx plan.) The inhaler is from Actavis (sp?) and costs $165 for 3 inhalers before insurance. My copays are less - I think my inhalers are $30 for 3 (same as generic albuterol) and my solution is $8 (albuterol is free). Because these are generic, they are on the formulary for my insurance plan, while the name brand is specifically on the list of excluded drugs. For those of you suffering tremors and shakes from abuterol, it is worth checking with your insurance company to see if you are covered.