TNX for your comment. I used to buy some drugs from Canada, and they were cheaper. But that was before I came down with the Cancer. Vonjo's current full retail price is $35,000 for a one month supply. BCBS was paying just under $25,000 per month. It is a specialty drug. I made contact again with the Prior Approval department at BCBS today and told them I wanted to appeal their decision. The lady I spoke with told me that I didn't need a prior approval for the drug because it is now listed. I will have my Dr. write a prescription for it and see if they will fill it. This is all new. If it is true, then it is part of the "Game" they are playing to shift the cost over to Medicare. A month ago BCBS Federal Employees added Medicare part "D" to their Basic Medical Plan. In the past my Medicare, who is my Primary, didn't cover any of the drug cost. It was all covered by my Secondary, BCBS Federal Employees plan. I sure hope she is correct! I should find out in about a week when I see the Dr. Keep fingers crossed.