Not to worry, Ellen. I am fortunate enough that $200 is well worth it so I'm good! I have an excellent pulmonologist! My new Dr seems good but I only have a few visits under my belt with him We'll see. My old Dr had 30 Years with me but I felt unlistened to so bye, bye! I told this new doc - you want me to comply? Then tell me what's going on! Just handing me a prescription doesn't cut it! I respect your opinion but it's my body - my LIFE!