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Does Medicare part D cover Tymlos?

Osteoporosis & Bone Health | Last Active: Nov 11 10:38am | Replies (26)

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@njx58

I started on Tymlos in March. My Part D prescription plan is Wellcare Value Script, and I use CVS Specialty pharmacy to have the pens delivered to my local CVS every month. For the first six months, I paid a grand total of $3321 for Tymlos. Beginning last month, it's been free.

I've been told by a little birdie that CVS will remain one of the preferred pharmacies for Wellcare, and Wellcare has already announced that the premium in my state will go from zero to $2.30/month next year.

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Replies to "I started on Tymlos in March. My Part D prescription plan is Wellcare Value Script, and..."

Thank you

My Medicare part D plan is ASRP/United Healthcare which has Walgreens as the preferred provider. However, when I initially started on Tymlos in June of 2023 my doctor only worked with CVS specialty pharmacy. In January of 2024 I believe that I paid around $1,000/mo for the Tymlos. Since meeting my catastrophic amount in March it has been free of charge (I am taking some expensive meds). In 2025 with the change for max OOP decreasing to $2,000 it should be more affordable for everyone.

As per a recent post, it looks like Wellcare won't be covering Tymlos in 2025. I see a Blue Cross plan that should work for me, though.