My husband has been on Tymlos for about a year. We have commercial insurance and his copay was $150.00/month. Last month he received a notice that his copay would increase to $350.00/month. He called our insurance, customer service confirmed the increase. He asked about the Tymlos assistance program and was transferred immediately to another rep who signed him up in about a minute. His new copay: $0. What surprised me about that (I went through a similar issue with Evenity) was how our insurance was willing and able to sign him up and how easily they did it. There were no barriers or questions about eligibility, no income question, only the fact that it's commercial insurance.

As to who is responsible for this pretty outrageous increase? I can't find the current wholesale cost of Tymlos. In 2017 when it was approved, it was $19,500 annually, or $1,625 a month, wholesale. GoodRx discounted insurance costs start at $2,577 and upwards per month. I suspect this increase is entirely due to the insurance companies who are exploiting efforts to lower costs for Medicare by increasing them for everyone else. The manufacturing company was bought in 2022 so the new owners may also have increased the wholesale cost.

Anyway, I hope this helps. The Tymlos site says it's available for Medicare Part D patients and 90% of commercial insurance patients.