Good evening @txsurfer, and welcome to Connect. I don't know if I understand everything in your post. What I do understand is the formulary issue. I had the same problem with a new medication for me that was not on the Medicare formulary. All I had to do was request an "exception" and it went through. My insurance consultant told me that it is like a circle......you just keep going around and around while trying to figure out what to do next. A lot of it has to do with pharmaceutical companies attempting to control who will get their products. Evidently, there are sometimes reasons for denying access to those on Medicare.

I am facing a renewal requirement at the end of the year. Just in case I am getting all of the paperwork ready as it sounds like starting all over again.

It may be worth the struggle to get on Evenity as it is the only osteoporosis medication that not only builds bone, it also protects it without having to take a reabsorption preventive.

However, Tymlos was my choice for the initial program. I completed two years on Tymlos without any side effects and with improved Dexa scan scores. Then you would have to choose a different medication to protect the bone that has been created.

If you need further assistance, let me know.

May you have contentment and ease.
Chris