Has anyone had an increase in the cost of Tymlos in 2026?
My Endo is scaling back and now I am seeing a PA in his office. She renewed my Tymlos and the cost now (2026) is $225 a month which is a 225% increase for me. Wondering if this increase is mandated from the government, from Aetna, or ?
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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.
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1 Reaction@gowalking, medicare patients are no longer precluded from participating in the discount program as we formerly were by law.
Roisin11's post encourages us to look for the best pricing.
Zygote, the US government doesn't mandate pharmaceutical prices, unlike most other countries.
@roisin11
The cost (retail) on my statement for TYMLOS says $2,883.00 per pen.
Medicare pays a portion and our insurance picks up the remainder.
As to who is responsible for these increases.....I think you are right and pharmaceutical companies make a fortune. However, it also costs for research and development for new medications....but when they are cost prohibitive to the average income, many of us have to decide to go broke or buy meds. Sad, for one of the wealthiest nations in the world.