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Tymlos and Medicare Part D drug coverage
Osteoporosis & Bone Health | Last Active: 3 days ago | Replies (12)Comment receiving replies
I also have WellCare Part D. I was denied Tymlos and yes it is non-formulary. My doctor's office insurance department appealed the denial and we won. So I started the injections immediately. What did help my case was the fact that I had failed two previous treatments, Boniva and Evenity.
Replies to "I also have WellCare Part D. I was denied Tymlos and yes it is non-formulary. My..."
@cathyf31 that is helpful. My current part D plan is also Wellcare and generic Forteo is on their formulary and was approved (so there goes 2400 and hoping they don't increase the cap again as they did from last year to next year)---I am starting in January because I am damned if I am going to give the drug companies an extra 2400 by starting it now. They already get wealthy off the backs of most of us, however I have never done well with any daily medicine and I also have Long Covid for 5.5 years which has affected reactions for me, so if I don't tolerate it well or we end up with so many power outages as we have where I live, I don't want to wait another year to try something like Tymlos that is non formulary. My only two options right now (for medical reasons) and the first drugs for me for osteoporosis I have been on so if these fail there is nothing. Not looking forward to any of it. Feel like I am between a rock and a hard place.
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@cathyf31 That is great! Sometimes you can fight the system.