Tymlos (Abaloparatide) Medicare Coverage

Tymlos is a medication that contains the active ingredient Abaloparatide. It is used to treat osteoporosis in post-menopausal women who are at high risk for bone fractures or who have failed other available osteoporosis therapy.

Tymlos stimulates cells called osteoblasts that help re-build your bones and prevent them from degrading further. It is typically injected once daily.

Common side effects of Tymlos include dizziness, upset stomach, headache, fatigue and irritation where you give the injection.

How much does Tymlos cost with Medicare?

Tymlos coverage and costs may vary based on the specific plan you have, as well as what coverage stage you're in.

Contact your plan carrier or consult your plan formulary for more cost information.

Does Medicare cover Tymlos?

According to GoodRx, 71% of Medicare Advantage plans and Medicare Part D plans covered Tymlos in 2023.¹

• Medicare Advantage plans or Part D plans that cover Tymlos include copay amounts that can range widely from one plan to another. Plan members may also be responsible for meeting a deductible before the plan’s drug coverage kicks in.
  
  
• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). 89% of 2024 Medicare Advantage plans include prescription drug coverage.²
  
  
• Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Tymlos. We represent carriers such as Humana, UnitedHealthcare^®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Additional information

Tymlos is given as an injection. It should be given into the fatty part of the skin in the stomach area. Move the site where you give the shot every day.

Do not give the shot into skin within 2 inches around the belly button. Do not reuse needles, and dispose of used needles in a safe place, such as a sharps container.

Use for over 2 years is not recommended. Avoid taking this medication if you have a history of Paget’s disease. Let your doctor know if you feel bone pain, pain that does not go away, unusual lumps or swelling under the skin that is tender.

Let your doctor know if you experience signs of high calcium levels such as weakness, confusion, fatigue, headache, upset stomach, constipation or bone pain.

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

Written by Hayden Gharibyar, Pharm.D.