I'm so sorry. The pain patch situation sounds utterly inhumane.

Provigil is $$$. Will your doctor not even try Ritalin? Its in Schedule II, but its milder and not as addictive as adderall and the other amphetamines. Back in the day, it was used in psychotic disorders and depression a good bit.

Do you think maybe the doc could get you on 1 antipsychotic at a higher dose? That'd cut costs for you. Or a different 2nd drug? I take Abilify every day, and when I'm extra crazed I take a low dose of generic risperidone. When I shopped around, I was able to get the risperidone for cheap(ish) at Wal-Mart, since the medical coverage will only pay for 1 antipsychotic.

Have you ever tried Wellbutrin? Its mildly stimulating. I take it for both depression and
to counter the sedation from my other prescribed medications. It works well on both ends, at least at a high dose.

Other than that, have you ever tried Trileptal? Its one of the things that I take. Its Tegretol-ish, but cleaned up and you don't need regular blood work. Its generic, 2x daily. I think there are also fewer drug-drug interactions.

Hope this helps. :-)