My Mayo neurologist recommended I try Vyvgart Hytrulo as soon as the FDA approved it last summer, however, my local health care facility did not have it “in their formulary”. That meant my local neurologist was unable to prescribe it until it went through many layers of review and was approved to be added to their formulary. It’s been 5 months & I am still waiting. So, I recommend to anyone who wants to try it, first check to see if the facility you use has it.