TYMLOS 3.12 mg/1.56mL Injection, Solution

Also known as Abaloparatide. Coverage in California (CMS PDP Region 32).

3 of 12 stand-alone Part D plans in California cover this drug on tier 5.

3 of 3 plans apply a prior authorization, step therapy or quantity limit.

263 Medicare Advantage plans in CA do cover it

Medicare Advantage plans carry their own formularies, separate from stand-alone Part D. A patient on an MA-PD plan may have coverage even where no PDP lists the drug. CA: 263 plans.

Every plan that covers it

Plan	Tier	30-day preferred	90-day mail	Unit cost	Est. 30-day fill	Restrictions
AARP Medicare Rx Preferred from UHC (PDP)$165.40/mo premium · $130.00 deductible	5Specialty Tier	31%	—	$1911.0531	$3,822.112 units	Prior authorization Quantity limit 1.56 per 30 days
Blue Shield Rx Plus (PDP)$199.70/mo premium · $615.00 deductible	5Specialty Tier	25%	—	$1921.8907	$3,843.782 units	Prior authorization Quantity limit 1.56 per 28 days
Blue Shield Rx Enhanced (PDP)$227.80/mo premium · $0.00 deductible	5Specialty Tier	33%	—	$1921.8907	$3,843.782 units	Prior authorization Quantity limit 1.56 per 28 days

Cost-sharing is the initial coverage phase at a preferred pharmacy; a percentage is coinsurance of the plan’s negotiated price, and the deductible may apply first. CMS publishes a negotiated price per unit, so the 30-day fill is shown only where the plan’s own quantity limit supplies the quantity.

See coverage in all 39 regions →