I have been taking Aciphex for about 8 years to treat GERD. My employer health insurance has paid for it with preauthorization required. My current insurance won't pay for it, and I requested preauthorization from TRICARE - but was rejected. I have tried the alternatives, with bad results - reflux symtoms returned and very upset stomach - prevented me from going to work. I don't want to get sick again, so if TRICARE won't cover it, will explore getting it from Canada as some reviewers have done.