Many of these treatments are very expensive. Do you have insurance (private, Medicare, Medicaid, VA/TRICARE)? Does your insurer put any roadblocks in the way of your obtaining the treatment your physician has prescribed? (This is sometimes called “step therapy” or “fail-first”?) Have you looked into programs available to help commercially-insured people to reduce out of pocket costs, or programs to help uninsured individuals access these treatments? Doctors are very aware of the need for patients to be mindful of costs and they will work with you to find the best treatment that works within your cost constraints. The key: do not be shy about raising cost issues.