My insurance company is denying me using Subsys because I don't have breakthrough pain related to cancer. I have severe breakthrough pain at least 4 times a day and I have Interstitial Cystitis (Inflammation of the Bladder). I am currently on Opana 10mg 1-2 tablets every 6 hours, Baclofen 10 mg 3 times daily, Butrans patch 10mcg, xanax .25 mg and Lyrica 75 mg 3 times daily. Blue Shield says my breakthrough pain is different than the breakthrough pain related to cancer. I say Pain is Pain. I was currently on a trial study using Subsys and it works great, I was able to live a full life, unfortunately Blue Shield stopped communicating with Subsys, My doctor, and myself, so I was dropped from the vital program. Can anyone help me, I think my next choice is to hire a medical lawyer.