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  • Tymlos Prior Authorization Request Form (page 1 Of 2)

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OptumRx has partnered with CoverMyMeds to receive prior authorization requests, saving you time and often delivering realtime determinations. Visit go.covermymeds.com/OptumRx to begin using this free.

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Tymlos comes as a solution inside a prefilled pen with 30 doses. The drug is typically given once each day as a subcutaneous injection (an injection under your skin).

Per the agreement, Paladin will in-license Radius' abaloparatide subcutaneous injection, marketed as Tymlos, and abaloparatide transdermal device (abaloparatide-TD) in Canada.

To begin, visit tymlossignup.com or call 1-855-730-8591. Complete the form and fax it directly to a Specialty Pharmacy that dispenses TYMLOS. RadiusAssist is a patient assistance program that may help patients who cannot afford their medication (1-866-896-5674). *Current as of 01/2023.

If you have been prescribed TYMLOS® (abaloparatide) but are unable to afford it, Radius Assist may be able to help.

Postmenopausal women with osteoporosis, aged 50-85 years. BMD: T-score ≥ –2.5 at the lumbar spine or hip (including femoral neck or total hip) OR BMD+Fracture History: T-score ≥ –2.0 at the lumbar spine or hip and a recent (>5 years) low-trauma vertebral, forearm, humerus, sacral, pelvic, femoral, or tibial fracture.

The cost for Tymlos subcutaneous solution (3120 mcg/1.56 mL) is around $2,818 for a supply of 1.56 milliliters, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans.

The Radius Assist Patient Assistance Program provides TYMLOS (abaloparatide) injection therapy at no cost to qualified patients in need. Recordati Rare Diseases Isturisa® (osilodrostat) offers a $20 co-pay for qualified patients with commercial insurance.

TYMLOS is covered by most commercial and Medicare plans. Individual out-of-pocket costs will vary. Data courtesy of Managed Markets Insight & Technology as of January 3, 2024.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232