@beachesanddreams I had to go through this, I was able to get Tymlos through Walgreens speciality mail order, also Optum as well. You pretty much have to get it through mail order (at least for me with Part D). But it also took me a few weeks to sort out. And, I am the outlier here (though not on all patient sites) in that I am very happy with Tymlos. Makes me feel good.