Comet has been going to the Veterinary Hospital (Virginia Tech) which is a teaching hospital. His initial visit over three days for all the tests which were many many many, including a retinal aspiration, bladder aspiration, liver aspiration, ultra sounds of internal organs, chest and lung xrays, optic ultrasounds (many), blood tests, urine tests, rickettsia (tick) tests, heartworm test, lyme test and probably more ...was $1100. His enucleation surgery to remove his right eye was $962. The Sporonox (Itra) capsules run about $400/month, and we are three weeks into treatment. We feel we have been so fortunate to have a teaching hospital nearby (relatively). The tests are more extensive and faster, the equipment is better, and the bills are much much much lower. We believe these tests (including an overnight stay in ICU) would have been in the area of $8000 or more at our local vet clinic. Is it possible that such a vet teaching hospital is within driving distance from you? Even if you have to drive quite a distance and obtain a referal to go there, you might consider it for all those expensive tests. If it is just about the meds now, I did find that Walmart was much less expensive than CVS Pharmacy -- several hundred per month less. I have not used the formulary drugs sold by Roadrunner or Pet Pharmacies in Arizona, but I have been told they are $80 for a two month supply of Itra. Some folks have flown to Mexico ...it is EXACTLY the same Itra (Sporonox), and you can take y our prescription and get it filled for a number of months, I hear, for just a few dollars! I guess it's any pharmacy over the border. Obviously, you need a prescription from your vet.