Once upon a time, my son was diagnosed with a neurogenic bladder. After neurosurgery at Duke and a special surgery at CHOP, his bladder still did not function properly or respond to generics. This was many years ago. He has been on the name brand for as long as I can remember. The picture below shows the cost increases from 2009 on. In 2009 and 2010, the copay for this medication was $131.75. In 2011, the year after Obamacare passed, the copay jumped to $281.47. In 2012, the copay increased to $343.35. We refill it for the first time in 2013 next week and the copay will be $495.03. I'll blog about it again once I get the invoice!