Was it not on the formulary at all or was it just in a Tier that meant you paid the whole cost yourself? My insurance used to cover Latuda but not Saphris for some years but then they switched last year to covering Saphris but not Latuda (the Tiers changed--they were still both listed on the formulary). They make a deal with the drug companies each year and apparently Saphris people offered them a better price. My doctor was willing to write a letter but the union through which I get my insurance argued with them and now they cover it for me at $25.

The funny thing, I thought, is they weren't considering just any antipsychotic to be equivalent, but that they had decided that specifically Saphris and Latuda were interchangeable.