@rudysmom You can also ask your doctor to appeal the BCBS denial for Evenity. Sometimes these appeals work. In your place if my doctor felt that Evenity is the preferred treatment especially since you had intolerable side effects with Fosamax then I'd ask for the appeal.

By the way, I did have a fracture and my endocrinologist prescribed Evenity. Medicare Traditional plus my Medicare supplement covered all of the cost. I had no side effects.

I wish you success with this appeal.

@rudysmom Sequencing of a PTH such as teriparatide (Forteo) before Evenity is supposed to be one of the most successful approaches. In your place I would try for teriparatide now in the hopes of following with Evenity in 2 years.

There are quite a few doctor & researcher videos on YouTube who talk about the order or sequencing of OP meds. Dr. Doug Lucas has a recent one for example. That I just linked on another discussion thread. If you search on "Osteoporosis Treatment: Best Order for Medications Explained" you should also find it.