← Return to Evenity….stopped after the first set of injections…

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@leeosteo

Thanks Helen.

From my research & for those on Original Medicare (not Medicare Advantage):
Fosamax (or generic Alendronate) is covered by Part D drug plan
Forteo, Teriparatide, Tymlos, Prolia are covered by Part D
Evenity, Reclast are covered by Part B

For all meds, you need to verify cost with your insurance carrier. Your out-of-pocket costs can be very different from carrier to carrier.

Best place to start is Medicare.gov.

There are places to seek financial assistance:
LillyCares for Forteo
Radius Assist for Tymlos
RX Advocate for overall
GoodRx (mentioned above)
Also, some states offer plans for state residents e.g., ArrayRXcard.com for CT
Some of these plans do not cover government funded plans e.g., Medicare. Some of these plans have income limits. Unfortunately, you really need to do the research for your circumstances.

I hope this helps everyone.

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Replies to "Thanks Helen. From my research & for those on Original Medicare (not Medicare Advantage): Fosamax (or..."

This is interesting, as my endo recently started pushing me to start Evenity for one year, then Reclast thereafter... and I just got Medicare Part B. I have been wondering why she suddenly got pushy about meds (she knows I'm medication averse); I thought it was because she's now in a practice with other endocrinologists, whereas before, she was in a practice with dermatologists who didn't have anything useful to share over the lunch table. I imagine that her new group are Evenity acolytes, and she drank the Kool-aid.

In two weeks, I'm getting a second opinion from a rheumatologist who started his own osteoporosis clinic years ago, and who is now a professor at a highly respected medical university. I'm excited to hear what he has to say. My spine is -3.4, which my endo says is "scary," but I'm a follower of McCormick's concept that "bone density by itself is not a reliable indicator for fracture risk." So far, so good, that has held up for me (knock on wood).