Anyone who knows Xolair knows that we lose a ton of patients for - their IgE level being out of range, mo presence on allergen, malignancy warning and black box, and cost to Medicare patients. Other biologics sadly have better resources for Medicare patients when it comes to their free drug program if they need it. Just lost a patient today because they have no Medicare secondary insurance, our asthma foundations are closed and they don’t qualify for the genentech free drug program. Their out of pocket would be 350 a month if they get Xolair so guess what, they are getting another biologic that has a better free drug program. Just one example why we are losing