comments re: the compounding pharmacy, she's absolutely right the gel requires a prescription and most compounding pharmacies do not take insurance. They require payment up front, then you submit on your own, at leas tthat's bene my experience. The advantage to the compounded gels is that the drugs are absorbed locally and not taken systemically so much of the side affect profile can be reduced but you'd realy need an in depth discussion w/ your PCP to konw if this is reasonable for Alan. I was told the gels generally weren't prescribed for use between the toes because of the possibility of providing an environment for a fngal growth like athlete's foot.