Check out the generic (Pyridostigmine Bromide) at Sam's Club. I shopped numerous places and they had the best price (about $27 and change / 90 pills). If not a Sam's Club member, check out Walmart (they own Sam's Club).

Alot of folks here have said they think the generic may not be as strong as brand name. I can't comment - have only ever taken the generic.

Sue