@JustinMcClanahan
I have worked with my rheumatologist to file a total of 4 appeals with Aetna. Each time, the answer was the same- “Evenity cannot be approved because you have not trialed and failed to respond to Prolia”. Very disappointing to say the least. I got my diagnosis on Dec 30 2024. Here I am in October without having made any progress. My rheumatologist was trained by one of the top Osteoporosis docs in the country and I place a lot of trust in her. Unfortunately, she has now left the practice. I will meet her replacement once I start the Tymlos. But who knows who will be in-network come January when my new insurance will kick in. So I might be back to the drawing board. The good news is that whatever insurance I can afford (I’m self insured) should cover Tymlos if I have already begun taking it. I just need to do the training for self-injection, so I should begin pretty soon. The last 10 months have been a roller coaster to say the least!