I was initially hesitant to purchase the premium package because I wasn't sure if it would be worth the price. I mostly used the product for the question bank and the live case-based reviews. I answered every question in the question bank and attended every review. I found the questions extremely helpful and similar to the questions on the actual exam. The live reviews were engaging and helped to solidify knowledge and learn how to apply that knowledge to a real patient. I did not use the lectures so I cannot speak to their usefulness, but I feel the product was worth the cost for the question bank and live reviews alone. I feel that they instrumental in helping me to pass my exam on my first try. Highly recommended!