husband has been on lexapro for a couple of years. when our ins went up for rx's a year ago I asked him to ask the doctor if there was a less expensive alternative. He takes it for anxiety and depression, but the family practice doctor rx's it - she is great and knows when to refer you on. Until this last refill husband would have nothing to do with the mail order pharmacy stuff. Would not open a box even if his medications were in there and he was a week late on them. THIS time he opened the box. And hit the roof because his lexapro was so expensive! He rarely yells even near me. Used to be I would have torn his head off simply because I am a much better yeller. He yelled, but it was more out of being shocked, kind of an "AAAH!" and then he asked me why it was so expensive. I told him that it was the price of the medications. So yesterday husband had to have a punch biopsy of a potential skin cancer on his shoulder. In talking with the doctor after it was done he reminded her we needed a 3 mo rx for his blood pressure medication. Having misplaced one lexapro scrip and sent in an older one, I asked for another - and told her that it was my mistake. As she gets ready to write it, husband asks if there is another choice! For such a long time he insisted that I not ask, that he wasn't going to change. All of a sudden, there it was! She is a great doctor, gave him a medication on the $4 list at walmart!!! that is less than 10% of what lexapro is!!! She fully expects the skin thingy to be no big deal. If it IS a problem it will be easy to cut out - she will even be able to do it in the office. More likely is that it is nothing to worry about and they will freeze it off so it stays that way. It sure is worth it to check that $4 list against your own medication list. We even have one groc store with $3 medications, most of the same medications as the $4 list! So look around if you can.