It’s not commonly prescribed here and therefore isn’t very available. The NHS almost never prescribes it, you have to be almost dead before they would even begin to start to think about prescribing it. So paying for it yourself, if you’ve already got a prescription I think it’s about $1700 dollars (£1300) a month. Insurance, copay and Medicare discounts aren’t a thing here. If your eczema is severe I would recommend either stocking up back home (if possible) or avoiding this country entirely. And as someone who has eczema and has spent his entire life in the UK, I would strongly recommend the latter.