Emgality hasn't been around that long. I'd need to look it up, but I think maybe about 4 years. There is no generic version. It's expensive and sometimes hard to get covered by insurance. The other meds similar to it are named Aimovig and Ajovy. I've never taken them, but I've read they have similar effectiveness. I'm not a biology expert, but I hear the meds are special proteins that somehow bind to stuff that cause inflammation and prevent that inflammation. If I understand it right, anyway. So far this thing is a God-send for my sister and I. It doesn't work for everyone. It didn't work for a coworker of mine. His migraines are caused by a head injury he got while serving his country in Iraq. I think it works for my sister and I because we've essentially inherited migraines. I think the binding to that stuff that causes inflammation helps us whereas my coworker's headaches have an injury cause and so it doesn't work. If I understand all this correctly. Like I say, I'm not a biologist or a medical professional.