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.

Speak with a Medicare Advocate

Talk to one of our Licensed Medicare Agents today to find the right plans for you.

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.

Speak with a Medicare Advocate

Talk to one of our Licensed Medicare Agents today to find the right plans for you.

Recommended Articles

Close up top view of a woman showing a round-shaped Lipoma fatty tumor on an open palm stock photo

Does Medicare Cover Lipoma Removal?

Dec 8, 2022

All Book Retention Data

2024 Fair Square Client Retention and Satisfaction Report

Mar 4, 2025

senior african american man feeling pain in his knees from arthritis while on a couch stock photo

How Much Does Xeljanz Cost with Medicare?

Jan 25, 2023

The feet of a person suffering from foot pain stock photo

Does Medicare Cover Cartiva Implants?

Nov 29, 2022

woman working from home with a headset on stock image

How Do Medicare Agents Get Paid?

Apr 12, 2023

Unrecognizable person undergoing surgery in the clinic stock photo

Does Medicare Cover Robotic Surgery?

Nov 28, 2022

Washington DC stock image

14 Best Ways for Seniors to Stay Active in Washington, D.C.

Mar 11, 2023

Diagnosis overactive bladder stock image

Does Medicare Cover PTNS?

Dec 9, 2022

Cover image

Medicare & Ozempic

Jul 20, 2023

Emergency section of a hospital exterior stock photo

How Does Medicare Pay for Emergency Room Visits?

Nov 21, 2022

Medicare 2025 What you need to know in the new year stock image

How is Medicare Changing in 2025?

Dec 21, 2022

Man with disability and service dog stock photo

Does Medicare Cover Service Animals?

Nov 29, 2022

Closeup of a male Doctor or physiotherapist doing stretching for a patient in the clinic for examining treating injured of back stock photo

Does Medicare Cover Chiropractic Visits?

Dec 22, 2022

senior man receiving dental care stock photo

Will Medicare Cover Dental Implants?

Jun 2, 2022

Cover image

Does Medicare Cover RSV Vaccines?

Sep 13, 2023

Cover image

Turning 65 and Thinking of Keeping COBRA? Here’s Why It Usually Backfires

Jul 15, 2025

Senior woman smiling after vaccination stock photo

Does Medicare Cover Flu Shots?

Dec 9, 2022

senior man on a phone call stock image

What is a Medicare Beneficiary Ombudsman?

Apr 11, 2023

More of our articles

10 Top Medicare Supplement (Medigap) Companies for 2025

13 Best Ways for Seniors to Stay Active in Columbus

14 Best Ways for Seniors to Stay Active in Nashville

2024 Cost of Living Adjustment

Building the Future of Senior Healthcare

Can I Change My Primary Care Provider with an Advantage Plan?

Can I Use Medicare Part D at Any Pharmacy?

Denied Coverage? What to Do When Your Carrier Says No

Do All Hospitals Accept Medicare Advantage Plans?

Does Medicare Cover Air Purifiers?

Does Medicare Cover Bariatric Surgery?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Cervical Disc Replacement?

Does Medicare Cover Cosmetic Surgery?

Does Medicare cover Deviated Septum Surgery?

Does Medicare Cover Diabetic Eye Exams?

Does Medicare Cover Driving Evaluations?

Does Medicare Cover Exercise Physiology?

Does Medicare Cover Geri Chairs?

Does Medicare Cover Hoarding Cleanup?

Does Medicare cover Hyoscyamine?

Does Medicare Cover Hypnotherapy?

Does Medicare Cover Inspire for Sleep Apnea?

Does Medicare Cover Iovera Treatment?

Does Medicare Cover Linx Surgery?

Does Medicare Cover Medical Marijuana?

Does Medicare Cover Nexavar?

Does Medicare Cover Orthodontic Care?

Does Medicare Cover Penile Implant Surgery?

Does Medicare Cover SIBO Testing?

Does Medicare Cover Stair Lifts?

Does Medicare Cover TENS Units?

Does Medicare Cover the WATCHMAN Procedure?

Does Medicare Cover Vitamins?

Does Medicare Pay for Antivenom?

Does Medicare Require a Referral for Audiology Exams?

Does Retiring at Age 62 Make Me Eligible for Medicare?

Does Your Plan Include A Free Gym Membership?

Everything About Your Medicare Card + Medicare Number

Fair Square Client Newsletter: AEP Edition

How Are Medicare Star Ratings Determined?

How Do I Sign up for Medicare? A Simple How-To Guide For You

How Medicare Costs Can Pile Up

How Much Does Open Heart Surgery Cost with Medicare?

How Much Does Trelegy Cost with Medicare?

How Often Can I Change Medicare Plans?

How to Apply for Medicare?

How to Become a Medicare Agent

How Your Employer Insurance and Medicare Work Together

Is Botox Covered by Medicare?

Is Displacement Affecting Your Medicare Coverage?

Is Fair Square Medicare Legitimate?

Is PAE Covered by Medicare?

Medicare 101

Medicare Advantage Plans for Disabled People Under 65

Medicare Deductibles Resetting in 2025

Medicare Savings Programs in Kansas

Medicare Supplement Plans for Low-Income Seniors

Plan G vs. Plan N

Saving Money with Alternative Pharmacies & Discount Programs

Should You Work With A Remote Medicare Agent?

The Fair Square Bulletin: October 2023

Welcome to Fair Square's First Newsletter

What Happens to Unused Medicare Set-Aside Funds?

What If I Don't Like My Plan?

What Is a Medicare Supplement SELECT Plan?

What Is Medical Underwriting for Medigap?

What Is the Medicare Birthday Rule in Nevada?

What is the Medicare ICEP?

What's the Deal with Flex Cards?

Why You Should Keep Your Medigap Plan

Will Medicare Cover it?

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 2025

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. © 2025 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