I WISH I only paid $50 per 30 days. With my previous employer's insurance plan (Anthem BC) I paid $530/90 days - that was MY out-of-pocket cost. With my current employer's plan (Cigna), the cost is $670 per 90 days (again - that's MY cost). Needless to say, I am looking for alternatives until this thing goes generic. I have LIVED on Nexium for years under better insurance plans. It is a life saver for me. Nothing else works. I titrated up to Nexium when I was in my early 20s, over 15 years ago. My GI doc recently had me try Dexilant, as a cost-effective alternative, and it completely ravaged my stomach - i.e., it changed my "upper GI" problem into a "lower GI" problem, if you know what I mean. It caused violent stomach cramps/pains, and I was literally planning my activities around my proximity to a toilet. I thought I had food poisoning until it turned into a week later and beyond. Once i finally realized what I had recently changed (the Dexilant vs. Nexium), I stopped the Dexilant and it took another 2-3 days to leave my system. It may work for some people, but for me it was as horrible as Nexium is great. Bottom line - for severe GERD sufferers, there is absolutely NOTHING like Nexium. I am thrilled to see that I only need hold out for less than a year before it becomes considerably more affordable!