I don't know if someone has already posted about this same sort of situation, but I wanted to let people know that even if Express Scripts says you can't have coverage for Apidra, you may still be able to get approval for it. Here's what I did: -I called Express Scripts and asked for a Benefit Coverage Request Form, which they snail-mailed to me. -I asked my doctor to mail me a statement of medical necessity. (He stated that I had tried Humalog and that it was too slow to act on my high's and had too long of a "tail", causing lows hours after a bolus.) -I filled out the form and mailed it to Express Scripts along with my doctor's statement. -I received a call from Express Scripts less than a week later approving my request. -Today I filled an Apidra prescription to verify that the coverage was working, and it was approved! So appealing is really worth a try! I am SO glad because I really do better with Apidra and did not want to switch.