My Dr. wants to try Butrans, from what I have read so far on here that it works pretty well. My concern is the cost, I have good insurance but they may not cover it unless they have tried others like MS Contin, Vicodin etc. and most other Narcotic analgesics. Which seems crazy as this is suppose to have less side effects. I have been on Ultram for 16 years and it has work, but as time goes by it is seeming to work less and less, I don't think because of being on it so long but my symptoms are increasing and other pain such as Osteoarthritis and cervical stenosis. I am thinking this will help and use the Ultram for breakthrough pain. If it works I'll pay for it out of pocket but of course would rather not....I just wonder what others who may have taking it what they experienced with their insurance company.