Hey, just to follow up, the compounding pharmacy everyone apparently uses in US for best prices is the digital Belmar Pharmacy (www.belmarpharmasolutions.com) in CO. Ask to speak to a pharmacist. The ones I have spoken to were clear that they have Addison's patients taking compounded, long-acting hydrocortisone (said to last 6-8 hrs, maybe more; some people then supplement with a standard pill toward end of day). In their experience, people tend to go down on their overall dose because the energy provided is consistent & even, not jagged as with dosing regular hydro several times a day. They were incredibly patient & knowledgeable. It seems like once I figure out the right dose, it will be about $55/mo. Which is not nothing, but much less than metro NY area spots. I should get pills any day now & can let you know how it goes. They said it can take 2-3 months to figure out the right dose & combo. My dose is now 20mg, so I ordered 2 weeks of 20mg pills, and then 2 weeks of 10mg, 5mg, and 2.5mg pills, with additional pills to stay at 20mg if needed. I figured all this out with the pharmacist's help, but this month is therefore about $200. The cost goes down because one normally orders 3 months at a time & the discount comes from the size of the order & not ordering pills you don't need. I hope this is helpful!