Good evening @sheriv, I understand why the costs are frightening. Tymlos was the most reasonable copay for me. There are usually support options explained on the website. Recently, I have had to seek help from the manufacturer of my itch control injections. There was a staff of medical professionals who helped my daughter find some help for me. I am not good at following processes because of my cognitive issues. My daughter has 30 years of experience with insurance. On my current medication, I pay nothing at this time. My co-pay would have been $1547 per month. Don't give up. There is help ....you just have to apply and be approved.

Clue #1....make sure your medication is on the Medicare formulary. Sometimes, and for some reason, a medication is left off. You can ask for an exception.

Good luck to you.
Chris