It seems everyone these days is on Ocrevus I’d like to try it but my HMO insurance doesn’t cover it (in the US). The closest my plan gets is Rutiximab. Not sure why other than cost (currently I’m on a generic version of Tecfidera) doing okay but fear it’s not “highly effective”. My HMO is convenient but I’m considering leaving and I can only switch during open enrollment. I wonder if anyone else has this problem or knows a work around?