Rod, if I'm not mistaken one of the posters from the USA says he is now receiving IPLEX off label at $72 per dose from Insmed. He says he is injecting one dose per day, but plans to up that to two doses per day soon, and eventually will go to four doses per day (the maximum recommended)... if his physician sees no adverse effects. He also sets out the procedure to obtain IPLEX, but cautions it is too early for him to assess its effectiveness.