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Praise for Osteoporosis Medication

Osteoporosis & Bone Health | Last Active: Jul 24 4:43pm | Replies (26)

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Profile picture for countryliving @countryliving

Excellent question to drop here. I’d like to hear stories, also. And the struggles and successes to payments for a two year anabolic therapy.
I have Medicare Part A & B and buy the supplement Part D since I started Medicare. (I’m 75 yrs old now).
My PCP wanted me on Reclast from X-ray results in January 2026 of vertebrae compression fracture. After self reading the side effects of Reclast, I requested an Endocrinologist consult. I was able to obtain an appointment in May 2026. Endocrinologist wanted me on an anabolic therapy which I have since agreed to do as the best course of treatment for me.
But I can’t afford it right now.!!
I have to wait until the Medicare window opens in October to December 12, so I can select a NEW PartD policy, that I am hoping will cover Tymlos (my first choice) or Forteo.
*So I’m hopeful I can start my anabolic therapy in January 2027 (because of $$).
So I’d love to read other people struggles and successes with getting Coverage through Pat D. And I do understand there’s a spending limit of around $2100 then Part D coverage kicks in (?) , and how that worked out?
Thank you

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Replies to "Excellent question to drop here. I’d like to hear stories, also. And the struggles and successes..."

@countryliving

Sounds like a great plan. I'm sorry you have to wait until next year. This would also be a wonderful.... completely separate sub topic under Osteoporosis. I don't want to see the coverage/money issues get lost among the other topics. I imagine lots of others are struggling with this and need wisdom.

@countryliving The wisdom of CMS. Rather pay for fx care then prevention. Regarding DEXA and bone density. I have been reading a lot about DEXA, and its inability to measure bone quality, i.e. the architecture of bone, v/s just density. REMS, which is ultrasound is becoming more popular and among bone specialist seems to be preferred. This is also something Medicare doe snot currently cover, but if you are able to obtain and pay for out of pocket, it is not too expensive and may help guide decision making.