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DiscussionStruggling with making an osteoporosis treatment decision
Osteoporosis & Bone Health | Last Active: Jun 4 11:43pm | Replies (661)Comment receiving replies
Replies to "I am on Evenity and seem to have no side effects. I have traditional Medicare and..."
I have traditional Medicare with a Part D drug plan.
The Part D drug plan denied Evenity coverage. I appealed the decision twice and it was still denied. Can you explain if your doctor orders the Evenity and bills it as part of the treatment plan to Medicare Part B?
I am currently on Forteo with some positive results but have been on it over two years. It was authorized for a third year for some people. I have no side effects. The Part D drug plan picks up most of the costs after the deductible is met which still leaves me with covering alot of the costs. Was on Bisphosphates for 15 years with increasingly worse bone density.
Any advice re getting Evenity covered would be much appreciated.
Nancy
Thank you Susan
I had not thought about calling Medicare directly.