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tangydog is correct, anyone on Medicare will only pay 2000.00 for the year 2025 for all their medication. There is one catch, if a medication you are on is not in your insurers prescription drug formulary and they do not approve it I am told by my insurer, WellCare Value Script that it does not fall under the annual 2000.00-dollar cap, so you may end paying for other medications you are on above the 2000.00 cap. Also, it is my understanding the Medicare 2000.00 cap may adjust annually meaning it may go up or down for 2026.
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Thankyou for clarifying medsjl2025. Yes when I selected my D coverage I looked for ones with Tymlos on the formulary. I have Cigna. Let's hope the cap doesn't go up too much in 2026. My Dr changed his mind and wanted to put me on Evenity but too late I already had Cigna and Evenity is not on their formulary. I've been on about 2 weeks now. Will say, my only issue is that I am getting up many times per night to use the restroom. I need to take at night due to other meds.
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yes, I used Wellcare last year, but dropped them when I discovered they dropped support for Tymlos for 2025.