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Tymlos cost

Osteoporosis & Bone Health | Last Active: 6 days ago | Replies (28)

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@kh58

Hello, just saw this and new to this site. I have the same issue. I have Wellcare with approved exception for Tymlos that started August 2023 and expires August 2025. I was on the phone with them this week trying to determine if the exception on file will allow it to be covered until expiration. I was told, after being put on hold twice, that it was covered. However, I did not feel very confident with the customer service rep. I asked for something to confirm and they are sending a coverage determination via mail. I have my doubts and have selected another plan to enroll in that does cover Tymlos if the letter is not what I expect.

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Replies to "Hello, just saw this and new to this site. I have the same issue. I have..."

I have Wellcare this year (Medicare Part D), and they dropped Tymlos from the formulary for 2025. I signed up for a new plan effective January.

@kh58 and @ecu123 Wellcare - or any ins company - telling you they cover a medication means that they'll pay for some of it. But it's probably a Tier 4 or Tier 5 drug and what they cover may still leave you with a high copay. Their pharmacy, or whoever is actually supplying the drug to you, should be able to quote you the price.