I am just finishing my first month on Arikayce (plus Azithromycin and Nuryva). I received a notice from Express Scripts that I did not qualify because I had not had 6 months treatment, but the next day I received a call that it had been approved. Apparently my ID doctor expected that and sent the appeal. He had told me that would happen. Either the specialty pharmacy or the manufacturer told me the Express Scripts would give me a copay of $77, but they enrolled me in a plan that allows me to have a copay of $10 per month. I have been told that they are now allowing Arikayce to be used initially as it is having good results.