[WBrentWilliams]

My sympathies and commiseration. I am on a different infused medication and survived a couple of years of CVS Caremark acting as a Pharmacy Benefits Manager for "specialty drugs" before my insurance and the hospital system I work with negotiated a different delivery and fee structure. Not before, of course, my own higher-than-expected bill.

I am on an HDHP and arrange my finances and budget with the expectation that I will reach my out-of-pocket maximum. I am thankful that I am in a position to do that. The backside being that I am under enormous constraint in terms of my employer. They literally own my health, as while I am skilled and valued, I doubt that I am skilled and valued enough for another employer to keep me after poaching me away. I would expect something in the off-the-record review comments of "...health care costs are how much!?!?" followed by quiet PIP-and-dismissal or dismissal outright under the laws of my state-of-residence in the United States. Yes, I live in a right-to-work state, meaning that my employment can be terminated at any time, by either party, for any reason, or no reason given at all.