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Insurance has denied Evenity

Osteoporosis & Bone Health | Last Active: Jan 30, 2024 | Replies (28)

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@windyshores

I am on an Advantage plan but Medicare Part B pays for Evenity because it is given in the doctor's office. However I paid $427.60. We'll see what it costs in a new year if I do it again.

I just rewatched Ben Leder MD's video and he says that after a bisphosphonate, Evenity is 1/3 less effective in the spine and 1/2 less effective in the hip.

It is frustrating to see so many studies and provider opinions that all differ somewhat.

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Replies to "I am on an Advantage plan but Medicare Part B pays for Evenity because it is..."

docs say i have less than 10 years of independent living left if i don't get evenity. i'll take 2/3 and 1/2 effective, y'know?

If there is a “big gap”, meaning, say, 10 yrs, between taking bisphosphonates and Evenity (ex. last zoledronic acid infusion in 2020, plan to take Evenity in 2030) if the bisphosphonates still reduce the effectiveness of the Evenity, or will enough time have passed so the bisphosphonates are “out of your system”?