Good morning @amli65, I am happy to meet you on Connect. Thanks for the introduction @colleenyoung. This is a tough issue, particularly because Evenity is a relatively new product. You may need to do the following:
1. Make sure a pre-approval request has been made by your doctor
2. Find out if Amgen, the company that produces the product, has a preferred "specialty pharmacy."
Here is the phone # for Amgen 800-772-6436. Ask to speak to someone in the patient support group....they are medical professionals, mostly RNs who can
help you.
3. Make sure that Evenity is on the Medicare formulary. If not, ask for a formulary exception.
4. Ask if there is any program or organization that will help you with the copay.
5. If you are on Social Security (SS), you may have to apply for low-income assistance from SS. If you qualify for assistance then that is helpful. If you are denied
by SS then that information can be used to support your application for other assistance from Amgen or a recommended assistance program.
6. Be patient, and follow up frequently. Your doctor may also be asked to submit approval documents clarifying your need for the medication.
7. Make sure the renewal date requirement covers your one year of Evenity. If not, then find out how and when to renew.

Good luck to you. Evenity appears to be a good choice because it both builds and protects the new bone.
I am not an expert at this process. My daughter actually took over for me since she works in a dental surgery environment and knows how to handle insurance situations. However, I am here to help wherever I can.

May you have happiness and the causes of happiness.
Chris