I accidentally hit send before I explained what I meant by "getting better," From what I have been told, in 2024 I will no longer have to pay the 5% catastrophic copay after getting out of the donut hole (which in effect caps my payments at something like $8000 in 2024?). And supposedly there will be a cap on Part D out of pocket cost in 2025. Caveat: I may not be right, and even if I am (1) the rules could change, and (2) insurance companies may react by dropping some of the more expensive drugs from their formulates. (I saw that with Stelara when Medicare stopped covering under Part D - based on the criteria that you COULD inject at home so no longer provided coverage if you chose to use an infusion center.)

I was looking at 2024 Medicare Part D plans today (available for those with original Medicare). Attached is info (including Tymlos costs) on a Wellcare Value plan available in AZ ($0 premium, $400 deductible): yearly costs and cost for drug by stage.

The relatively low yearly drug costs reflect the fact that (1) in 2024 the copay is $0 after you leave the donut hole (i.e, no longer pay catastrophic coverage), and (2) you get out of the donut hole faster because of the 70% brand name credit for drugs like Tymlos while in the donut hole.