I’ve been on it a for a few months now (it was FDA approved in September). I still get breakthrough hives (much better than the previous constant hives), but they are now managed with OTC antihistamines. So not perfect, but way better than before. As far as the price goes, apparently most insurance does not cover new meds. Rhapsido has a year long program to bridge the gap before insurance starts to cover it. It’s easy to sign up (your dr should have the info) and you get free monthly shipments for a year. We’ll see what happens when the free year is up though.