I am on Tibsovo and have had really good results with my numbers. I have been able to get it covered at ko cost through Servier. If approved for their program, you get approved for the calendar year so you have to get reapproved every year. My doctor’s office actually handled the process for me. They needed my tax forms and proof that my insurance company wouldn’t cover the cost. Once approved they mail the medication to your house once a month. Super easy. And the side effects have been minimal for me. My insurance is still not covering it because it was only approved for relapsed or refractory MDS (neither of which I have). I have low risk MDS with IDH1 and dntm3a mutations. Definitely check into it. I will have been on it for 2 years in April. Good luck!