INDICATIONS AND USAGE
TYMLOS is indicated for the treatment of postmenopausal women with osteoporosis at high risk for fracture defined as a history of osteoporotic fracture, multiple risk factors for fracture, or patients who have failed or are intolerant to other available osteoporosis therapy. In postmenopausal women with osteoporosis, TYMLOS reduces the risk of vertebral fractures and nonvertebral fractures.
Downloadable forms and resources for your practice and your patients
Complete this form and fax it directly to a specialty pharmacy that dispenses TYMLOS.
Some health plans require a PA request form in order to satisfy their policy requirements to obtain TYMLOS coverage. Use this sample letter as a template to help you get started.
If a health plan denies TYMLOS coverage, they may require a letter of appeal along with a letter of medical necessity in order to reconsider the decision. This template can help you write your own letter of appeal.
Some health plans require a letter of medical necessity in addition to a letter of appeal that may help justify the clinical rationale for covering TYMLOS. Use this template to write a letter of medical necessity.
Learn more about how to enroll your patients in the TYMLOS support program and download the Patient Enrollment Form.
See a list of non-IDN SPs that are able to dispense TYMLOS. In addition, SPs affiliated with an IDN are able to dispense TYMLOS.
Use this guide to help answer questions your patients may have about receiving their prescription from a specialty pharmacy.
Eligible, commercially insured patients can pay as little as $0 for their TYMLOS prescription. There is an annual cap on the amount of assistance patients can receive over a one-year period. This offer is not valid for patients using Medicare, Medicaid, or other government-funded programs to pay for their medications. See back of savings card for all eligibility requirements, rules, and restrictions. Savings card is available for patients to download at Tymlos.com.
This brochure will help your patients understand postmenopausal osteoporosis as a disease, its associated risk factors, and the role TYMLOS plays in treating PMO. Inside she can find information on the TYMLOS patient support program, directions on storage and use, and how to access a savings card.
TYMLOS can be readily accessed by high-risk patients1,2
3 out of 4 commercial and Medicare Part D patients* with access† to TYMLOS may have a fracture exemption.‡ This means first-line access† and no step edit required.
Radius defines a fracture exemption as a health plan’s UM criteria that states if an appropriate§ TYMLOS patient has a documented history of, or recent, low-trauma fracture,‡ then TYMLOS may be approved by that health plan.
Not required†:
- Trial or failure of another therapy indicated for osteoporosis (step edit)
- Documentation of BMD T-score or FRAX®
BMD=bone mineral density; UM=utilization management; MMIT=Managed Market Insights and Technology.
If TYMLOS is not covered under your patient’s insurance plan,
you can advise her to call 1-866-896-5674 to learn about RadiusAssist, a patient assistance program that may be available to eligible patients who cannot afford their medication.
Radius Patient Access Support Services
The Support Center will provide you with details related to your patients’ insurance benefits, prior authorization requirements, as well as contact information for specialty pharmacies.