Matthew are you on private insurance? I know when I was working, I had employer insurance and was able to take advantage of pharmaceutical company rebates for my very expensive RA biologics. When I went on Medicare I was no longer elegible for that. Fortunately, I needed to change biologic anyway so was able to start one that was administered in a doctor’s office and covered by part B. That all goes back to a legislative block on Medicare negotiating with Pharmaceutical companies.