OK thanks for the clarification. And while you are not obligated to pay for over the counter meds that are covered with a prescription by Medicare/Medicaid, you are nevertheless free to do so if you choose. I understand that buying a quantity sufficient to take 6-8 per day isn't inexpensive. It's also a large quantity and way more than what I could tolerate. It makes me wonder if your Doc's concern was really that you have built up a resistance to the drug such that it's not effective except at much higher dosages bordering on what is considered unsafe. I don't know if that's the concern but your dosage seems very high. If I took even 3 in a day I would be massively constipated for a week. Apart from that if you need the drug and need to take that dosage maybe another GI Doc should be engaged at this point for another opinion.