For those of you who don't have insurance or have insurance that doesn't pay for Cymbalta, a generic version is available online from Pharmacy Geoff, a reliable online pharmacy. You can get (10) 40 mg. capsules for $14. It is not really that bad a price. I get (30) 60 mg. for $50 co-payment with my insurance (BCBS). 40 mg. is a good daily starting dose. It could possibly be all that is needed. When you get to Pharmacy Geoff, click on "generics" to the left of page. You will find generic Cymbalta (Symbal) there.