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DiscussionEvenity and Medicare - What do plans cover and how much?
Osteoporosis & Bone Health | Last Active: Dec 4 8:56am | Replies (129)Comment receiving replies
Replies to "@berniebrooks3, As someone else mentioned, you have to get the injections in an infusion center. Before..."
My personal experience . . .
Tymlos is administered personally at home, partially covered with a Part D co-pay. Evenity is administered in a doc’s office, again with a co-pay. Reclast is administered in an infusion center and, as I remember, there was no co-pay.
I’m glad to hear some of us are receiving these treatments with zero out-of-pocket dollars as the costs can really add up. At least with Tymlos, once the Part D coverage reaches the “donut hole” the price goes wayyyy down. For Evenity, the monthly co-pay was not horrible and remained steady throughout the treatment.
I don’t know the criteria as far as previous frax, etc for whether or not that affects the costs. I questioned the insurance company about the validity of Evenity being a “medical service” and not a script and was told I was billed correctly.
Cheers, all!