Forteo Costs
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.
I’m embarrassed to say I can’t find it for some reason. The way it works is you call your insurance company and ask them for the number of the company to get the prescription discount. I don’t know if different insurance companies have different numbers to call so try that. My apologies.
I just found one of my notes. Go to this link, scroll down and hit download:
https://www.forteo.com/
Then give that information to your pharmacist. They will want the RxBIN#, PCN#, Group# and Identification.
My copay went from $777.76/month to $4.00/month.
It’s possible this will depend on what insurance you have but it or your pharmacist will tell you if you are ineligible for some reason.
$4 thats wonderful. I do so hope it is as good for you as it has been for me. Thanks
How long have you been on it? Any side effects? Do you take the full dose or do you do the clicks that people have been mentioning?
It looks like my specialty pharmacy used 'Save-on-SP' 1-800-683-1074 for copay assistance. My cost is zero. They also supplied needles, alcohol pads and bandages for free. Everything is streamlined very smooth. Hope this helps someone.
vkmov, with Forteo it's only one click. It is possible to take it every other day to test your reaction. Tymlos is the eight click pen.
I haven't had side effects. My blood pressure drops minutes after the injection. I don't sense it. but was testing it by the cuff.
Be sure to be hydrated before injecting. I take calcium two hours before and k2 four hours before. And then I have something salty. You might be cautious about activities until you know what your reaction might be.
Some bodies can't tolerate Forteo. So don't torture yourself. There are other medications.
I as well have Blue Shield commercial insurance.In my phone call last year I was also told about the $4 per month , but the catch was it would only be usable till you hit the $9,000 mark , which only brought me to 4 ish months , after that would have to pay full amount on my own that insurance charged for it which came out to about 18,000 for the rest of the year … however could do the same thing the second year.
BUT now that I’m getting close to maybe pulling the trigger on actually taking Forteo I called my ins guy last week and he was very helpful and talked with Blue Shield and though I have about a 500 per month charge he said when I meet my deductible that then it would be essentially free. Your plan is probably different than mine, and he also said to know the real figures your authorization first needs to go through - that’s when the real numbers you’re dealing with are revealed. GOOD LUCK TO YOU AND ALL OTHERS MUDDLING THROUGH THIS!!!
Good grief. Thanks for the heads up. I will call my insurance.
Hello @vkmov, I moved your discussion on Forteo costs and combined it with an existing discussion of the same title, https://connect.mayoclinic.org/discussion/forteo-costs/, so that members already discussing the price of this prescription would also see your inquiry on how to shop for potential discounts.
I also see that you mentioned your insurance was able to get the cost down to almost nothing to you, which is great to hear. Some members find themselves in different situations and may still find your question valuable.
Thank you so much! I knew there had been a discussion but I couldn’t find it. I have some new information to add as well. So I’ll find those posts and follow up there.