Hello All, I have a few questions I would love to ask the Community on Xyrem Availability in the U.S. It appears that many CFS docs (Peterson? Klimas? and others) may be prescribing Xyrem to some of their patients with success. My questions are: How easy is it for a Dr. to prescribe this medication when it is only FDA approved for Narcolepsy and only distributed by one Pharmaceutical Company (Jazz Pharmaceuticals)? Are some CFS docs able to prescribe this medicine easily for an off label diagnosis (if not diagnosed with Narcolepsy) such as CFS/ME, Fibromyalgia, or Insomnia? Is anyone having success getting it prescribed through their CFS docs or even PCP's or other specialists? It appears as if, if you can get a prescription written and successfully filled, and if your insurance covers it the co pay is only $35.00 or so . How many insurance companies are covering Xyrem and are they covering it only for a diagnosis of Narcolepsy? Is Medicare covering it and again only for a Narcolepsy diagnosis? It sounds as if you either get it covered and then can try it or you cant try it seeing as the cost of the drug is so exorbitant (which is of course ridiculous knowing that it could be purchased over the counter so many years ago for pennies on the dollar). If anyone can provide insight on these questions Id be grateful. Thank you.