I use a Trelogy Elipta inhaler for my asthma. I refill monthly since last June. My original co-pay was $149 which went up to $175 in October. I went to pick up my refill today and pharmacy said my co-pay went up to $559!! I called SilverScript, my Part D Medicare insurance company and they said Astra Zeneca raised the price. I told the pharmacy no thanks and notified my pulmonologist to call the insurance co. to remove it so I can drop back down to tier one. I researched for a generic but there is none and Trelogy is the ONLY inhaler available with the three ingredients which includes a steroid. I will choke before I will pay that! Only the poor on medical assistance will get it at OUR expense. Thanks for the vent….I feel better.