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.

06111945cc | @06111945cc | Nov 13, 2023
In reply to @gently "This link presents the coupon. Good a Rite Aid. Show this coupon to your pharmacist Print..." + (show)
@gently

This link presents the coupon. Good a Rite Aid.

Show this coupon to your pharmacist
Print or send this coupon to yourself.
Free GoodRx coupon
$
765.85
Free to use. No insurance required.
$3,26877% off retail price
BIN 015995
PCN GDC
Group DR33
Member ID EHN947338

Jump to this post

Is this the card that works to discount Forteo $3,26877% off retail price?
REPLY
1 reply
lkel | @lkel | Nov 13, 2023

Did you apply to LillyCares? My income is much higher that 78K and LillyCares fully covered all 24 months of my treatment (I just finished in September). I didn't think they would cover anything but my doctors office kept encouraging my to apply.

It is something like a Tier 3/4(?) drug so the max income is quite a bit higher.

REPLY
2 replies
gently | @gently | Nov 13, 2023
In reply to @06111945cc "Is this the card that works to discount Forteo $3,26877% off retail price?" + (show)
@06111945cc

Is this the card that works to discount Forteo $3,26877% off retail price?

Jump to this post

https://www.goodrx.com/teriparatide
0611945, if you tap this link it will bring up the GoldRX coupon. It is
for generic teriparatide brand Alvogen.
I've never seen the card you successfully sent.
The Lilly card is interesting, especially since you've just received it.
RXAdvocates is paid by Lilly to handle the savings for lower income
individuals that can be used by medicare patients, but they charge $70 a
month. They send four pens and no needles.

REPLY
1 reply
06111945cc | @06111945cc | Nov 14, 2023
In reply to @lkel "Did you apply to LillyCares? My income is much higher that 78K and LillyCares fully covered..." + (show)
@lkel

Did you apply to LillyCares? My income is much higher that 78K and LillyCares fully covered all 24 months of my treatment (I just finished in September). I didn't think they would cover anything but my doctors office kept encouraging my to apply.

It is something like a Tier 3/4(?) drug so the max income is quite a bit higher.

Jump to this post

Thank you. I will try to contact Lily cares.

I understand
from Wellcare that ForTeo is a tier 5 drug.

REPLY
06111945cc | @06111945cc | Nov 14, 2023
In reply to @lkel "Did you apply to LillyCares? My income is much higher that 78K and LillyCares fully covered..." + (show)
@lkel

Did you apply to LillyCares? My income is much higher that 78K and LillyCares fully covered all 24 months of my treatment (I just finished in September). I didn't think they would cover anything but my doctors office kept encouraging my to apply.

It is something like a Tier 3/4(?) drug so the max income is quite a bit higher.

Jump to this post

I went to Lillycares. I spoke with their representative who told me Forteo was a group one medication.
As you can see on the application, the maximum income is $43,740.

REPLY
3 replies
06111945cc | @06111945cc | Nov 14, 2023
In reply to @06111945cc "I went to Lillycares. I spoke with their representative who told me Forteo was a group..." + (show)
@06111945cc

I went to Lillycares. I spoke with their representative who told me Forteo was a group one medication.
As you can see on the application, the maximum income is $43,740.

Jump to this post

Lily cared will not work for me.

REPLY
lkel | @lkel | Nov 14, 2023
In reply to @06111945cc "I went to Lillycares. I spoke with their representative who told me Forteo was a group..." + (show)
@06111945cc

I went to Lillycares. I spoke with their representative who told me Forteo was a group one medication.
As you can see on the application, the maximum income is $43,740.

Jump to this post

I applied through my Dr.'s office. It has been just over 24 months. The income level was $178K. I renewed last year with no problems. (And just got a renewal application but do not need it.)

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06111945cc | @06111945cc | Nov 14, 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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Does RXAdvocates supply needles?

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1 reply
me75 | @me75 | Nov 14, 2023
In reply to @gently "https://www.goodrx.com/teriparatide 0611945, if you tap this link it will bring up the GoldRX coupon. It is..." + (show)
@gently

https://www.goodrx.com/teriparatide
0611945, if you tap this link it will bring up the GoldRX coupon. It is
for generic teriparatide brand Alvogen.
I've never seen the card you successfully sent.
The Lilly card is interesting, especially since you've just received it.
RXAdvocates is paid by Lilly to handle the savings for lower income
individuals that can be used by medicare patients, but they charge $70 a
month. They send four pens and no needles.

Jump to this post

That is correct ,I do get it for 70.00 but four month supply but it doesn't include needles .

REPLY
me75 | @me75 | Nov 14, 2023
In reply to @06111945cc "Does RXAdvocates supply needles?" + (show)
@06111945cc

Does RXAdvocates supply needles?

Jump to this post

Update , you do not get free needles though RX advocate but you can though Lilly Cares

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