If you go to the Cf Patient Assistance program you can get this with close to or zero copays!..i recently just been aproved and my hypertonic saline,creon,cayston,pulmozyme, and albuterol is free!They go off of your income!..I also have as my primary insurance Cigna and my secondary is Medicare And I have the Part B and D <img src="i/expressions/face-icon-small-smile.gif" border="0"> ...its definently something to look at