My insurance company refused to continue to cover my testosterone replacement, contrary to my test results and doctor recommendation. He then wrote a prescription for the troche. The cost of it is equal to what I paid out-of-pocket for the cream through the insurance. My doctor periodically checks my testosterone levels, and can easily adjust the levels in the troche to match my needs. This results in a far more even effect on me. It has eliminated the irritability that I experienced with the creams I was required to use from my insurance company.