Just getting started…
Good morning. I was just diagnosed with osteoporosis so I’m a bit overwhelmed. My endocrinologist suggested a few medication treatments for me based on my overall medical situation.
One medication that was covered by my Medicare Part D prescription insurer is Tymlos – tier 5 in my plan (never heard of tier 5!). I got a script for this and cost is $584 a month – which I really cannot afford. Manuf drug coupon says doesn’t cover Medicare due to gov’t regulations. Anyone else dealing with this? Any suggestions?
The other possible medications doctor suggested were Evenity or Forteo. Neither are covered currently in my plan however doctor could request a prior authorization to be added to my formulary list. But even if she got one approved, don’t you think these will be even more expensive?? Should I try getting a script for one of these – assuming I could get PA approved?
I don’t want to get on a soapbox here but why are seniors on Medicare penalized by drug companies or why do govt regulations not allow Medicare use these coupons. I probably won’t qualify for “help” but doesn’t mean I can afford. Thanks so much listening. Just looking for any advice.