My Rheumatologist wrote a request to Medicare . Surgical menopause at 26 is the likely reason for my osteoporosis. My monthly co-pay is $1000. Terrible, I know. We couldn’t do if my husband wasn’t still working. Lily Cares has a program to help pay for their very expensive drug, I didn’t qualify because my husband’s salary. I think you can get an application off the Lily website. There are also some changes coming to Medicare to limit huge copays. I’m starting my second month and as of now I’m pleased with how it is going.