I'm so glad that you posted this. As I posted before, I have been taking Premarin or its equivalent since 1988 and am now 81. After Express Scripts (Blue Cross Blue Shiedl) suddenly stopped covering Premarin. I found a new gynecologist who says he believes that women should be in control of their health care decisions and that while the only concern is blood clots, stopping Premarin, would trigger menopause and could result in very adverse health risks for me. Based on his factual information, he prescribed Premarin at a slightly lower dose 0.3. I am paying $202 every month and waiting for my Canadian online pharmacy to delivery Premarin at a much more reasonable rate of $87 for a three month supply. I am absolutely terrified that I will be cut off and plunged into the unknowns of menopause in my 80's. Express Scripts sent a form asking me to show reasons why they should cover my prescription of Premarin. I think I will forward these excellent posts.