These medications can be super tough when you on Medicare because the typical copay cards don't work. It sounds like from the cost, that your insurance doesn't cover it at all? You can appeal the denial (make sure your doctor filled out the Prior Authorization correctly). You can find out which medication they prefer (they usually have one they get a better deal on and so they will offer it at lower costs). Also, every medication has something different than the copay card - it's referred to as Patient Assistance. They are kinda buried and you find it on the manufacturer's page. So in the case of Aimovig you'd want the Amgen Safety Net Foundation. If you qualify, then your medication is free. Well worth looking into. Nurtec's program is different, IF your insurance approves the medication (but maybe at the highest tier so that there's very little discount) their program won't work for you. So since you are AImovig, I'd check out their program first and go from there. Anna (Migraine.com Team Member)