1. < Osteoporosis & Bone Health

Forteo Costs

Posted by leeosteo @leeosteo, Aug 16, 2023

I will be starting Forteo soon. My medicare plan D covers both Forteo brand and Teriparatide generic. My monthly cost is roughly $1500/mos. Is anyone aware of additional programs to cover the cost? I'm not eligible for the Forteo Savings card as I'm on medicare. Nor am I eligible for the Lilly Foundation program as my income is over $78k.

Second question. From what I've read so far it looks like the cost of needles is not covered in the plan costs, rather an additional cost outside the plan. If this is correct, where are you purchasing these needles and what is the ball park cost?

I'm hoping my questions will help others as well.

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

me75 | @me75 | Aug 31, 2023
In reply to @leeosteo "ymv, thanks for the quick response. I've been on Medicare one year. I just picked a..." + (show)
@leeosteo

ymv, thanks for the quick response. I've been on Medicare one year. I just picked a Plan D that my husband was already on and didn't really look at osteoporosis drugs in the formulary.

So your out of network cost is really all your out-of-pocket costs? Meaning, does UHC/Walgreens Plan D have out of network costs for drugs (they cover some costs for out-of-network)? Or are you just paying the full $700 out of your pocket? Not sure I'm making sense.

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You can get it through R X Advocates. Even though Lilly doesn't give it to people with Medicare, RX Advocates can get it for you for 70.00 a month. The price will depend on your yearly income. Their phone number is 1-844-559-8332, and the website is RX Advocates.com. I hope this helps.

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4 replies
me75 | @me75 | Aug 31, 2023

Go through RX Advocates; they help you get it with the Lilly program even though they don't have Medicare. I got it for 70.00 a month based on my yearly income, I have to go through some paperwork, but well worth it. I hope this information helps. I forgot to mention this includes pens, needles, and alcohol pads

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leeosteo | @leeosteo | Aug 31, 2023
In reply to @me75 "You can get it through R X Advocates. Even though Lilly doesn't give it to people..." + (show)
@me75

You can get it through R X Advocates. Even though Lilly doesn't give it to people with Medicare, RX Advocates can get it for you for 70.00 a month. The price will depend on your yearly income. Their phone number is 1-844-559-8332, and the website is RX Advocates.com. I hope this helps.

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me75, thanks for RX Advocates info. I'll look into it.

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cat714 | @cat714 | Sep 1, 2023
In reply to @me75 "You can get it through R X Advocates. Even though Lilly doesn't give it to people..." + (show)
@me75

You can get it through R X Advocates. Even though Lilly doesn't give it to people with Medicare, RX Advocates can get it for you for 70.00 a month. The price will depend on your yearly income. Their phone number is 1-844-559-8332, and the website is RX Advocates.com. I hope this helps.

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Do they do the same for tylmos? I'm on Medicare, aetna health and silver script for meds

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gently | @gently | Sep 1, 2023
In reply to @leeosteo "gently, thanks for the information. Sounds like Forteo Brand and Teriparatide Generic are identical. Is that..." + (show)
@leeosteo

gently, thanks for the information. Sounds like Forteo Brand and Teriparatide Generic are identical. Is that your assumption?

You might want to follow up on Medicare Part D. From Medicare & You 2023 Handbook, "Even if you don't take prescription drugs now, consider getting Medicare drug coverage. If you decide not to get it when your first eligible, and you don't have other creditable prescription drug coverage (like drug coverage from an employer or union) or get Extra Help, you'll likely pay a late enrollment penalty if you join a plan later. Generally, you'll pay this penalty for as long as you have Medicare drug coverage."

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leeosteo, thanks for the advice on the late enrollment penalty. I was told my penalty would be 5$ a month. But I've already saved 9$ a month ( the cheapest plan) for 7 years. Now the democrats have begun the process of opening negotations for pricing by Medicare. In ten years or so their might be fair pricing on these drugs.
The Forteo pens are $300 in Colombia. I've never been to Bogota.
Has anything worked out for you? I'm hoping.

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1 reply
leeosteo | @leeosteo | Sep 2, 2023
In reply to @gently "leeosteo, thanks for the advice on the late enrollment penalty. I was told my penalty would..." + (show)
@gently

leeosteo, thanks for the advice on the late enrollment penalty. I was told my penalty would be 5$ a month. But I've already saved 9$ a month ( the cheapest plan) for 7 years. Now the democrats have begun the process of opening negotations for pricing by Medicare. In ten years or so their might be fair pricing on these drugs.
The Forteo pens are $300 in Colombia. I've never been to Bogota.
Has anything worked out for you? I'm hoping.

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I'm looking into RX Advocates. This was suggested by me75.

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1 reply
gently | @gently | Sep 2, 2023
In reply to @leeosteo "I'm looking into RX Advocates. This was suggested by me75." + (show)
@leeosteo

I'm looking into RX Advocates. This was suggested by me75.

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They are closed until Tuesday. I'm just telling you because the music will make you feel crazy AND they haven't left a recording. I think you make toooo much money, like me. I have my fingers crossed for you.

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me75 | @me75 | Sep 4, 2023
In reply to @sessioja "what is rxadvocates?" + (show)
@sessioja

what is rxadvocates?

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RX Advocates works with Lilly programs to help you get it even though you have Medicare. without RX Advocates you can't get the price down low enough cause Lilly only .accepts commercial insurance

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