Makena progesterone shots too. Progesterone is a natural hormone produced by the body. It's been used to prevent preterm labor for half a century. You could get it at any pharmacy for $20 a shot. After this policy change Makena adapted the formula, patented it, and now charges $1,500 PER SHOT. I know this because yesterday I was on the phone with them and my insurance procuring a four month supply. My insurance covered most of it, but I was still on the hook for $679 a month in copay. Luckily the nice people at Makena put together a lovely program were if you call and beg them, they will give you "co-pay assistance". They are so gosh darn generous they got my copay down to $140 a month! Isn't that nice of them? Cunts. http://www.nbcnews.com/id/41994697/ns/health-pregnancy/t/premature-labor-drug-spikes/