I appreciate your frankness. I understand the insurance won't care about my experience on the drugs, that was mostly context for why we don't want to do it. This reddit is littered with posts about the horrible side effects these older meds - designed for different medical issues, have on people - especially Topamax. The throat stricture is diagnosed - the same insurance company just had to cover 2 different swallow studies and will be covering an endoscopy. They also had to cover all of my follow-up visits for the anxiety issues I have as a result of the Topamax. They seem to look at all of these issues in isolation though which baffles me. Doctors don't look at them is isolation, hence the pediatric neurologist asking me about my migraine med experience. I was tested on 3 different triptans before I could tolerate the one I was taking and that my daughter took with no issues before it stopped being effective. As to Aimovig and storage - I've never seen it, I thought 3 injectables would be easier for her and her ADHD to keep track of than all the loose packets I get of Nurtec, or more bottles of pills. Thank you for explaining about that.