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Does Medicare part D cover Tymlos?
Osteoporosis & Bone Health | Last Active: Nov 11 10:38am | Replies (26)Comment receiving replies
When available, be sure to check your plan's formulary for next year to confirm it still includes Tymlos. I was talking to the agent we used and she agreed that with the $2000 cap some plans are going to drop more expensive drugs
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The health insurance companies are sure to restructure their 2025 plans to adapt to the new caps.
Possible strategies = increased premiums; tiered premium structures with lower premiums offering fewer drug options; restricting drug coverage; coinsurance adjustments; more drug tiers; ramping up prior authorizations and step therapy protocols.
I've been so relieved to get the Tymlos approval and to also have the 2025 cap, I hadn't thought about the insurance companies 2025 response. So thanks for alerting us. Insurance companies will restructure plans so they don't lose profits. So we all need to allot enough time so that we can analyze the new scenario and choose wisely.