Yes, Tymlos is definitely worth the fight for insurance approval. My doctor has a full Department that works on appeal letters. Due to failing to previous medications, I was approved on the appeal.

BTW - I also had a severe case of CRPS, following a botched total hip replacement & lumbar block, that transitioned into Central Sensitization Syndrome. I have been very sensitive and prone to side effects with these osteoporosis medications. The flexibility of Tymlos' adjustable dosing (off-label) is worth its weight in gold to mitigate side effects. My doctor, as well as some that are carrying on some research videos, clearly prefer the Tymlos as the drug of choice. Anyways, have your doc fight the fight and hopefully you will win the appeal. Good luck!! And yes, it sucks that you have to go through this and do this.