Is there a "true cost savings coupon" available from the mfg. that would greatly reduce the cost? I have searched on-line but nothing more than $20 tops. The cost of this medication is sooooo costly. ($273 for 30 days). We have had great success with this medications, however, we may have to find something else if it is going to be at this price. It doesn't matter if a medication works if you are unable to afford it. Thank you.