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Tymlos cost

Osteoporosis & Bone Health | Last Active: 2 days ago | Replies (41)

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@babbsjoy

@oopsiedaisy
Our insurance company changed in the new year and it looks like our new company is declining my prescription for Tymlos ( they say I don’t need it and should use fosomax….still think it’s crazy these companies can dictate over docs!). I’ve been on Tymlos for about five months, and recently started to experience the same pains you described (which I would enthusiastically ignore if I could continue with Tymlos). How are you doing on forteo? Since I might have to self pay I am looking at generic forteo with Goodrx…….just wondering what your experience has been switching….thx for any insights!

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Replies to "@oopsiedaisy Our insurance company changed in the new year and it looks like our new company..."

I went through this when I had to switch plans. I got my doctor to send a letter of necessity to the insurance company. Since I was already on Tymlos, interrrupting the treatment was reason enough to appeal the decision not to cover it.

I was cut off Tymlos after four months. I am starting on generic Forteo (teriparatide) now which they will cover.

Not to open a can of worms, babbsjoy, but you may be able to change plans again. If you have a Medicare Advantage plan you can switch plans from 1/1 to 3/31. If you have some other kind of plan there may be an 'escape clause' that allows you to drop your new plan for a new new plan, and what njx58 described about you already being on the Tymlos might qualify you to do so. A lot of hassle, yes, but there are a lot of plans out there and there's probably one to suit you better.