I had excellent insurance which paid 100% for my xifaxan for 3 years. I take it twice a day. If I don't, it comes back. Now I'm on Medicare. I did get a plan that "covers" it although I have to meet the deductible and catastrophic out of pocket max. The first few months of the year are going to be $$$ but then it goes down to about 100.00/ month which is doable. I really wish we had a cheaper alternative.