We've been having a similarly difficult time getting the oral radicava. First jumping through the hoops of getting the insurance to approve (Express Scripts), not understanding how JourneyMate is meant to help (they haven't really, except getting the $7500 co pay assistance), and now, trying to understand what the cost per month is going to be. We've been quoted $45, $11,000, with the latest estimate being $3900 per month. We've definitely hit our out-of-pocket maximum, but no one at Express Scripts seems to be able to confirm that we won't be on the hook for $3900. Maddening!