My employer switched insurance effective in January 2010 from United Healthcare to Cigna. We are on the copay plan, basically kept the exact same policy, just being provided by a new company. At open enrolment time, at the open forum question/answer session we were told that the pharmacy benefits (provided thru Medco still) would be transparent, and luckily, so far, that seemed to be true. UNTIL YESTERDAY when I logged on to order Jordan's 90 day supply of Novolog. The price for his Rx went from $118 to $207 That's a pretty significant increase. So, rather than ordering it, I wanted to double check my previous receipt and make sure I wasn't thinkign incorrectly. So, last night I check when I get home, and I was right, so I call Medco to inquire. Bottom line is that United healthcare treats insulin as a Tier 1 medication and Cigna is Tier 2. So, copays are more, plus Medco did raise the price of the insulin a bit this year as well. So, my question for you is this: Can you tell me what insurance you have, and what tier your insurance covers it as? The reason I ask is because I plan on filing an appeal with Cigna, and also sending the appeal to my benefits department as we were mis-informed, because this is definitely NOT a transparent pharmacy benefit. And I would like to have some info on other insurances. If you use Aplus or any of those programs, I can't use them, I've already tried. They won't bill Medco. Thanks for your assistnace.