Yes. The coupons only work if you already have good insurance. Mylan pays your $30 and still gets $600 or whatever from your insurance.

That’s pretty standard unfortunately. Coupons tend to be for straight commercial patients - private pay individual plans or employer plans. Anyone with Medical Assistance or VA benefits is ineligible but, usually, those co-pays aren’t sky high. The fun starts when you have Medicare Part D coverage or a commercial plan…