For me, CRGP blockers have been great. Triptans worked ok, but they have more side effects than CRGP blockers. Quilipta reduces the frequency of migraines for me and Nurtec is an effective acute treatment.
We've had a hard time getting Nurtec. (Is expensive, not to mention the hoops to go through to get it.) Worth the hassle then?
To follow up, your doctor needs to say other migraine treatments were tried and failed in order for insurance to cover it (and continue to do so every year). Also, they maker of it owns a pharmacy that can reliably refill it every month, so it is easiest to go with them.
Expensive as hell, but unlike triptans (most effective when you are having an aura before the headache, not very effective after), you can take it at any phase of the migraine.
Prior to Qulipta, did you get any benefits from monoclonal antibodies targeting CGRP? So far I haven't. Periactin helps.
I haven't tried the antibody injections but to some degree all CGRP blockers turn down or shut off my type of migraines. Only Rizatriptan worked for me in the triptan family of drugs without having to take multiple doses.