@juliasbeach I don't know if this will help----per google :
Alternative Assistance for Medicare Patients
While the savings card is not an option, other programs are specifically designed for Medicare beneficiaries to help with the cost of TYMLOS:
1. Radius Assist Patient Assistance Program
This program provides TYMLOS at no cost to qualified patients in need, including those who are Medicare beneficiaries.
Eligibility: Based on household income (typically less than 300% of the Federal Poverty Level) and lack of other coverage options.
Duration: Can provide up to 18 to 24 months of therapy.
Contact: Patients can call 1-866-896-5674 for an eligibility prescreening.
tymlos.com

2. Independent Foundations
Non-profit organizations provide grants specifically for Medicare patients with postmenopausal osteoporosis:
PAN Foundation: Offers support for biologically female Medicare patients, including coverage for TYMLOS.
HealthWell Foundation: Provides financial assistance to Medicare patients for postmenopausal osteoporosis medications.

3. Medicare Part D 2026 Caps
Starting in 2026, all Medicare Part D plans have a $2,100 annual out-of-pocket cap for covered medications. Once you spend $2,100 on covered drugs in a calendar year, your plan covers 100% of the remaining costs for the rest of that yearer

@juliasbeach - my understanding is that teriparatide (generic Forteo) is similar to Tymlos (but not exactly the same, it's an older drug). I have Medicare Part D with a plan from Wellcare Value Script in PA. When I signed up for this year's plan, I noticed that very few plans covered Tymlos but pretty much everyone covered the generic teriparatide. Wellcare approved me for 2 years of use. Yes, I have to pay that $2,100 deductible at the beginning of each year, but after that there is no cost to me. Just wanted to share in case you wanted to consider switching drugs.

@juliasbeach
Last Dec I found only 1 medicare D in my zip code (Los Angeles) that supplied Tymlos in its formulary. my 2024 plan eliminated it for 2025 in its formulary. I'm now on AARP UHC. However the premium is high at $160/month. As others noted, you need to get an authorization from your MD as well. I will be going off tymlos at the end of the year and will switch D plans based on which ever medication I will be going on to follow tymlos. I meet with my endocrinologist in November to have that discussion.