Hello I agree if you write the Pharmaceutical company for Topomax , many times they will help you if your insurance will not cover the medication. you will have to find out the drug manufacturer for Topomax, on the internet and find out who to contact to get the Topomax. You will need to tell the company director your mental health diagnosis, and what the Topomax is for, and you feel that it is imperitive that you use the Topomax because of your disorder. You will really have to be concerned that these people know that it is imperitive that you have this medication for your disorder, and that you feel that part of your recovery is based on getting the right medications. Yoou may also have to enclose a letter from you Dr as well regarding your diagnosis, a lot of the medication gets sent to the Dr, and the Dr in turn gives you the medication. I hope the best for you take care sincerely Soidhonia.