Hi my cream is a bit different it contains:

4 % ketamine
6 % gabapentin
10 % ketoprofen
.2 % clonidine
3 % amitriptyline

Medicare did not cover this for me. I was told they don't cover compound meds. I don't know if that is true for all compound meds though. I paid $ 60 something for 60 gms which is a small tube. It may have helped with sensitivity a bit, but did not help me with the pain or spasms. I have RSD in my left hand, arm, shoulder and neck. I suspect it has caused other health conditions I have as well.