Fair Square Medicare Wordmark

Does Medicare Cover Tymlos?

Leg bones and knees, 3d rendering. stock photo
By Daniel Petkevich
Dec 5, 2022

Most plans have coverage; does yours?

As you get older, your risk for Osteoporosis increases. For those with Osteoporosis related to menopause, Tymlos could be the right medication to help prevent bone degradation. About 72% of Medicare Part D plans cover Tymlos. How do you know if your plan covers it? Let's talk it through.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

What is Tymlos?

Tymlos is a medication that helps reduce the rate of bone degradation in women with postmenopausal Osteoporosis. It contains abaloparatide, which is a synthetic version of a hormone naturally found in your body that helps build and maintain strong bones by increasing the development of new bone cells. Taking Tymlos can help to strengthen bones and reduce the risk of fractures, making it a great option for those looking to prevent the effects of Osteoporosis.

How do you know if your Medicare Part D plan covers Tymlos?

You should check your Medicare Part D prescription drug plan's formulary for a list of drugs that are covered under your specific plan. For additional questions, you can contact your plan provider to find out if Tymlos is covered under your plan. Your provider may also provide information about potential out-of-pocket costs associated with the medication. Additionally, some plans may require prior authorization before they will cover the cost of Tymlos.

What should you do if your plan does not cover Tymlos?

If your plan does not cover Tymlos, you may still be able to get it. You can contact the manufacturer of Tymlos directly and see if they offer any assistance programs that could help reduce the cost of the medication. Additionally, your doctor might be able to help direct you to local assistance programs.

How much does Tymlos cost, and will you have to pay out-of-pocket for it?

The cost of Tymlos varies depending on your plan provider. If you are covered by Medicare Part D, you may have to pay a copayment or coinsurance for the medication. Generally, Tymlos is found in Tier 5, which is the highest in most Part D plans. Additionally, if your plan does not cover Tymlos, you may have to pay out-of-pocket for it. Tymlos could cost thousands of dollars out-of-pocket.

Are there any side effects associated with taking Tymlos?

Tymlos has been known to cause a variety of side effects, including nausea, diarrhea, dizziness and headaches. Additionally, some people have experienced bone or muscle pain with Tymlos use. If you experience any side effects while taking Tymlos, contact your doctor immediately. Your doctor will be able to help you determine whether or not you should continue taking the medication.

How long will you have to take Tymlos for the best results?

The length of time that you need to take Tymlos depends on your individual circumstances. However, it is generally recommended that you take the medication for at least 18 months to get the most benefit from the treatment. Your doctor will be able to provide more specifics about how long you should take Tymlos based on your individual situation.

If you are interested in trying Tymlos, what is the process for getting started?

If you are interested in trying Tymlos, the first step is to talk to your doctor. They can help determine if it's a good option for you and can provide instructions on how to get started with the medication. Depending on your insurance coverage, there may also be additional steps necessary for getting approved for coverage. If you don't have insurance coverage, you can contact the manufacturer of Tymlos directly to see if they offer any assistance programs that could help reduce the cost of the medication.

Takeaway

Overall, if you are eligible for Medicare Part D and have been diagnosed with Osteoporosis related to menopause, Tymlos could be a good option for you. Make sure to check with your plan provider to find out if your plan covers it and what it costs you. And always talk with your doctor before starting or stopping any medication. This content is for informational purposes only. If you have any questions about your Medicare, give Fair Square Medicare a call.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Recommended Articles

woman in a hospital wearing a bandana being shown information by her doctor stock photo
Medicare Advantage Plans for Disabled People Under 65
Mar 24, 2023
Rattlesnake biting on a hiker's boot stock image
Does Medicare Pay for Antivenom?
Dec 6, 2022
Cover image
The Fair Square Bulletin: February 2024
Feb 15, 2024
wart on the sole of a white man's foot stock photo
Does Medicare Cover Wart Removal?
Jan 17, 2023
Cover image
2024 Cost of Living Adjustment
Nov 13, 2023
doctor examining a patient's varicose veins stock photo
Does Medicare Pay for Varicose Vein Treatment?
Nov 18, 2022
Medicare at 62 stock image
Does Retiring at Age 62 Make Me Eligible for Medicare?
Jun 16, 2022
Philadelphia skyline at sunset stock image
13 Best Ways for Seniors to Stay Active in Philadelphia
Mar 7, 2023
senior couple doing yoga stock image
13 Best Ways for Seniors to Stay Active in Columbus
Mar 8, 2023
male driver taking notes from behind the wheel stock image
Does Medicare Cover Driving Evaluations?
Dec 1, 2022
Leg bones and knees, 3d rendering. stock photo
Does Medicare Cover Fosamax?
Nov 30, 2022
Union Station in Denver stock image
15 Best Ways for Seniors to Stay Active in Denver
Mar 9, 2023
Cover image
Does Medicare cover Hyoscyamine?
Nov 30, 2022
senior man pondering "which medigap plan should i choose" stock photo
Comparing All Medigap Plans | Chart Updated for 2023
Aug 1, 2022
Diagnosis overactive bladder stock image
Does Medicare Cover PTNS?
Dec 9, 2022
COVID-19 at home test stock image
Does Medicare Cover COVID Tests?
Dec 21, 2022
Health insurance form on a table with pen, calculator and glasses stock image
What You Need to Know About Creditable Coverage
Jan 18, 2023
Washington DC stock image
14 Best Ways for Seniors to Stay Active in Washington, D.C.
Mar 11, 2023

More of our articles

13 Best Ways for Seniors to Stay Active in Indianapolis

13 Best Ways for Seniors to Stay Active in Jacksonville

14 Best Ways to Stay Active in Charlotte

20 Questions to Ask Your Medicare Agent

2023 Medicare Annual Election Period (AEP)

2024 Medicare Price Changes

Are Medicare Advantage Plans Bad?

Building the Future of Senior Healthcare

Can Doctors Choose Not to Accept Medicare?

Can I Change Medicare Advantage Plans Any Time? | Medicare Plans

Can I Have Two Primary Care Physicians?

Can I Laminate My Medicare Card?

Can I switch From Medicare Advantage to Medigap?

Can Medicare Advantage Plans be Used Out of State?

Do I Need Medicare If My Spouse Has Insurance?

Do Medicare Supplement Plans Cover Dental and Vision?

Does Medicare Cover Cala Trio?

Does Medicare Cover Cervical Disc Replacement?

Does Medicare Cover Cosmetic Surgery?

Does Medicare Cover Geri Chairs?

Does Medicare Cover Hepatitis C Treatment?

Does Medicare Cover Home Heart Monitors?

Does Medicare Cover Incontinence Supplies?

Does Medicare Cover Inqovi?

Does Medicare Cover Jakafi?

Does Medicare Cover Krystexxa?

Does Medicare Cover Light Therapy for Psoriasis?

Does Medicare Cover Lipoma Removal?

Does Medicare Cover Mental Health?

Does Medicare Cover Nexavar?

Does Medicare Cover Physicals & Blood Work?

Does Medicare Cover RSV Vaccines?

Does Medicare Cover Scleral Lenses?

Does Medicare Cover Shock Wave Therapy for Plantar Fasciitis?

Does Medicare Cover TENS Units?

Does Medicare Cover the WATCHMAN Procedure?

Does Medicare Cover Tymlos?

Does Medicare Cover Vitamins?

Does Medicare Cover Xiafaxan?

Does Medicare Have Limitations on Hospital Stays?

Does Medicare Pay for Funeral Expenses?

Does Medicare pay for Opdivo?

Does Medicare Require a Referral for Audiology Exams?

Estimating Prescription Drug Costs

Everything About Your Medicare Card + Medicare Number

Explaining IRMAA on Medicare

How Can I Get a Replacement Medicare Card?

How Do Medicare Agents Get Paid?

How Does Medicare Cover Colonoscopies?

How Does Medicare Pay for Emergency Room Visits?

How Does the End of the COVID-19 Public Health Emergency Affect Your Medicare?

How Much Does a Medicare Coach Cost?

How Much Does Open Heart Surgery Cost with Medicare?

How Much Does Xeljanz Cost with Medicare?

How to Choose a Medigap Plan

How Your Employer Insurance and Medicare Work Together

Is Balloon Sinuplasty Covered by Medicare?

Is Botox Covered by Medicare?

Is HIFU Covered by Medicare?

Is Vitrectomy Surgery Covered by Medicare?

Medicare 101

Medigap vs. Medicare Advantage

Saving Money with Alternative Pharmacies & Discount Programs

Should You Work With A Remote Medicare Agent?

The Fair Square Bulletin: July 2023

The Fair Square Bulletin: June 2023

What Is a Medicare Supplement SELECT Plan?

What is the 8-Minute Rule on Medicare?

What is the Medicare ICEP?

What People Don't Realize About Medicare

What To Do If Your Medicare Advantage Plan Is Discontinued

What's the Deal with Flex Cards?

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.
Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2024

Terms of Use
Notice of Privacy Practices

Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2024 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

MULTIPLAN_FairSquareMedicare_01062022_M