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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

There are two Wellcare plans on my list for Tymlos, but it's tricky because they display the plan in the list even if the drug is not covered. You'll see a crazy cost like $33K. I see I will have to select a new plan for 2025 for Tymlos.

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Replies to "There are two Wellcare plans on my list for Tymlos, but it's tricky because they display..."

Correct. They used to have an option to select only plans that cover the selected drugs, but I couldn't find that filter here.

So it displays all plans available to you, and then when you look at the details it will say how many of your selected drugs are covered, and the details for a drug show that it is not covered and includes a street price for that drug That is why I did a search on Rymlos alone (since my prior searches included another drug that was also not covered, which also contributed to a very high price).

I used to get one of the 2 Cigna plans. Their formulary had most of the expensive ulcerative colitis drugs I took over the years and they were great on prior authorizations (unlike Wellcare). However Cigna dropped Safeway as network pharmacy from their plans so I wouldn't have been able to use the Safeway that is less than 2 miles down the road.