Barrows in Phoenix is world-class. My NP and my neuro will not touch an alternate drug. The neuro says he has no knowledge of clippers or the alternate drugs which he is wary of, due to their cancer-related tendencies. And my NP is just plain skittish. Mayo Scottsdale dropped me due to new billing policies (no Medicare retiree medical plans, only pure Medicare). Which is no big deal, because the neuro there had zero interest in clippers, and gave me a base medical exam and re-prescribed pred. He saw me twice a year. So, cannot demand any alternate drug, not going to happen in AZ, especially Tucson. Will see what happens with Barrows. Yikes. liz