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@stoltzks1956 If the medication is covered by your Part D plan, then the most you will pay in 2026 is $2100 for the year. If it's teriparatide (Forteo generic) or Tymlos (no generic), you'll definitely reach that cap.

If you have having monthly Evenity injections at the doctor's office, that will likely be a Part B medical claim, not a Part D prescription cost.

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Replies to "@stoltzks1956 If the medication is covered by your Part D plan, then the most you will..."

@njx58
Yes, if you get a Medicare Part D drug plan that includes the medication, your out-of-pocket cost for your drugs is limited to $2100 for the calendar year. But the cost of Part D plans that include Tymlos is considerably higher than other plans. For example in my area (central Ohio), there was only one plan this year that included Tymlos, and it was $123/month (this as compared to $7/month for a plan that included all my other drugs but not Tymlos). So the $2100 cap helps but doesn't necessarily tell your total cost.