We also have a high deductible, $11,000. I am trying to stay off insulin because of the price. I find with the maximum amount of metformin and a very low carb diet it is possible. When I have to go on Insulin I will either use the NPH at Walmart or get it in Canada. We now buy a lot of our expensive meds in Canada through an online pharmacy. Just google Northwest Pharmacy in British Columbia. We just fax them the Rx and pay online. The insulin prices look very competitive.