← Return to Any leads on Rx payment assistance for under 65's?

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@katwhisperer

I'll briefly summarize what I posted elsewhere re: Radius Patient Savings Card (for Tymlos), in case it helps anyone. This is based only upon my personal experience using the program in 2023. (Program eligibility and rules often change, so hopefully others chime in w/their updated experiences at some point.)

1. They offer a set $ per year, loaded to your Patient Savings Card.

2. You must have commercial insurance to qualify, (like through your job or insurance you buy yourself.) Govt funded insurance (medicare, Tricare, VA not eligible.)

3. It won't cover 100% for everyone: once you deplete card's set amount, you then pay out of pocket.

4. WHEN you hit that out-of-pocket scenario depends upon your own insurance. Some get through most or all of the year free. Others are out of funds midway.

(As an example, I am billed $2600/month retail for Tymlos until I meet my 3k deductible. Then my insurance pays a portion and I pay $700/month (yes - that's the discounted rate through insurance, lol.) My Radius funds were depleted in Aug. Paying out of pocket for rest of 2023.

5. Radius only approves 1 card for you. You have to wait until the end of the calendar year to find out if they are offering the program again next year and if you can get another card. They won't say in advance.

6. If it does continue and you are approved for a 2nd card, you get another 6 months only: the "lifetime" maximum is 18 months TOTAL.

So realize you may need a "Plan B": $ from other patient support programs or paying out of pocket for what Radius and your insurance won't cover.

I don't earn a lot, but had zero luck finding other funding. Patient programs require very low income to qualify, unless one has kids/dependents living at home or already on other govt support like food stamps.

My doc won't like it, but I'll have to switch from Tymlos to a maintenance drug next yr if I can't get a 2nd card.

Good luck to everyone. It sure is a costly drug!

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Replies to "I'll briefly summarize what I posted elsewhere re: Radius Patient Savings Card (for Tymlos), in case..."

That's not cool that you can't finish your treatment. Sadly, this sort of dilemma happens all the time. Hopefully, the treatment you did receive proves to have been worth the high cost.
I'm in the process of finding assistance and can only share what I learn as I go along. Whereas, details of your first-hand experience are invaluable. As you said, "...realize you may need a "Plan B".
Thank you!