My insurance company cut my pharmacy benefit this year to much less than it was last year. Among other things, I take Opana ER 30 2x/day. This medication is the only thing that allows me to get out of bed, and do somewhat normal things, like work. It is also very expensive and has no generic. If I continue to take it, I will only have enough prescription benefit to make it through July. Then I will be completely out of prescription benefit money. This means I, and my PM doctor, must come up with an alternative and fast. The only thing that I have found that has a generic, and may be even close to the effectiveness of Opana ER, is Fentanyl patches. Is there anything else out there as effective as Opana ER, but has a generic form? I take a total of 5 meds for chronic pain, so I have to have benefit for my other meds, too (percocet, neurontin, amrix, etc) I asked my PM doc to write me a script for generic oxymorphone ER, and she won't, because it does not have the "tamper proof" coating. HELP!