I remain the renegade in the world of contracts, insurances, and formularies. I always write generically, and choose the cheapest drug when appropriate. The Wal-mart $10/90 day list is my friend. Having said that, when I can't go that route or there is a conflict with insurances, I remind them and myself that the insurance company is about money, and I am about best care. If they have chosen insurance that does not reimburse properly, it is no different from car insurance that will not pay for a repair. Yell at the insurance, or cough up the money.
