TYMLOS® (abaloparatide) injection Savings Program Terms and Conditions
With this TYMLOS® (abaloparatide) injection Pharmacy Savings Card, eligible commercially
insured patients may pay as little as $0 per month in out-of-pocket costs for their TYMLOS prescription.
There is an annual cap on the amount of assistance that patients can receive over a one year period.
Patient Instructions: In order to redeem this offer, you must have a valid prescription for TYMLOS.
Follow the dosage instructions given by the doctor. By using this offer, you agree that you meet the
eligibility criteria and will comply with the Eligibility, Rules, and Restrictions section below each
time you use this offer. Patients with questions about the TYMLOS Savings offer should call 1-855-243-6222.
Pharmacist: When you apply this offer, you are certifying that you have not submitted a claim for
reimbursement under any federal, state, or other governmental programs for this prescription. Participation
in this program must comply with all applicable laws and regulations as a pharmacy provider. By
participating in this program, you are certifying that you will comply with the terms and conditions
described in the Eligibility, Rules, and Restrictions section below.
Pharmacist instructions for a patient with an Eligible Third-Party Payer: This card must be
accompanied by a valid prescription for TYMLOS. Submit the claim to the primary Third-Party Payer first,
then submit the balance as a secondary transaction to BIN 601341. The patient will be responsible for any
remaining amount above the annual cap. Valid Other Coverage Code required. Pharmacists with questions,
please call 1-800-364-4767.
Eligibility, Rules, and Restrictions: Patients must be female and 18 years or older, and have a valid
prescription for TYMLOS. There is an annual cap on the amount of assistance that patients can receive over a
one year period. This program is available only for prescriptions covered by commercial or private health
insurance. This program is not available for prescriptions covered by state or federal government-funded
healthcare programs, such as Medicare (including Part D), Medicaid, TRICARE, and Veterans Administration.
The patient understands that if she begins to receive drug benefits under any such government-funded
program, she can no longer use this offer. The patient also agrees to follow any health insurance plan
requirements, including telling her plan how much co-pay support she gets from this program. This offer is
not transferable and is limited to one offer per person. Patients may not seek payment for the value of this
offer from a third-party, such as a flexible spending account. This offer is only valid in the United States
and is not valid in any state where it is prohibited by law. This card is not health insurance. The program
may change or end at any time without notice. This offer may not be used with any other coupon, discount,
prescription savings card, free trial, or other offer.