1. < Osteoporosis & Bone Health

Tymlos - how does ANYONE on Medicare pay for this drug?

Posted by jclang @jclang, Sep 14, 2022

I have been 'beating the bushes' to find help. I make just over the financial cut-off line for Forteo and Tymlos is worse. Their financial 'cutoff' is 13,000 and change (you can't make more than that per year!!!)

I am disgusted. I have reached out to every possible financial support organization and nothing works. I am not rich but if I pay what they want me to pay I will lose my condo!

I've tried the PAN foundation and all others like it. Social Security's rule is that you not make more than 20k a year to get help.

I have severe osteoporosis. I can't take bisphosenates. I am really angry at these greedy drug companies.

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pamgiblon | @pamgiblon | Jul 3 11:18am
In reply to @rajmayo22 "I have been using Tymlos since 9/2022. I did not have any co-pay. Radius Labs paid..." + (show)
@rajmayo22

I have been using Tymlos since 9/2022. I did not have any co-pay. Radius Labs paid my copay. I was told that that monthly copay was #350.00 However, 1/2024, my meds were subjected to Medicare Part D and I have a monthly copay of $150.00. I was able to switch back to my old insurance for meds and keeping my fingers crossed where Radius Lab would cover my copay next month and beyond.

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What is Radius and how do you get them to help? Qualifications to receive help?

REPLY
rajmayo22 | @rajmayo22 | Jul 3 12:23pm

Radius Labs manufactures Tymlos. It pays for a copay about #350.00/mo for those who are not insured under medicare. If you are insured under medicare part B your out-of-pocket co-pay cost is $150.00/mo.

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katwhisperer | @katwhisperer | Jul 5 5:16pm
In reply to @fili123 "I’m also ineligible for Tymolos assistance. I changed Part D insurers and am awaiting approval and..." + (show)
@fili123

I’m also ineligible for Tymolos assistance. I changed Part D insurers and am awaiting approval and cost for this drug.
It is so unfair that both Tymolos and Forteo offer discount cards to those with commercial insurance but not to those with govt insurance. We also pay for our insurance even though it’s thru the govt.

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I believe that restriction actually comes from Medicare. They're the ones prohibiting any savings card/partnerships with pharma companies. I believe there's been some talk in the legislature about changing that, but nothing yet.

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