TYMLOS

Indicated For

osteoporosis

About This Medication

# Radius Assist Patient Guide: How to Get TYMLOS at Low or No Cost ## About TYMLOS (Abaloparatide) TYMLOS (abaloparatide) injection is an FDA-approved medication used to treat osteoporosis in patients at high risk of fractures. The Radius Assist Patient Assistance Program helps qualified patients obtain this medication at no cost when they cannot afford it through their insurance or out-of-pocket. ## Who Qualifies for Radius Assist? To be eligible for the Radius Assist program, you must meet all of the following requirements: - Have an FDA-approved, on-label diagnosis for TYMLOS (abaloparatide) injection - Be a legal resident of the contiguous United States, Alaska, Hawaii, or Puerto Rico - Have an annual household income below 300% of the Federal Poverty Level (FPL) - Have a valid prescription from your healthcare provider - Meet specific insurance requirements (see Insurance Eligibility section below) ## Income Eligibility Breakdown Your household income must be less than 300% of the Federal Poverty Level. The Federal Poverty Level changes annually and varies based on household size. To find the current year's poverty guidelines and calculate your eligibility, visit the U.S. Department of Health and Human Services website at https://aspe.hhs.gov/poverty-guidelines. For example, if the current Federal Poverty Level for a family of four is $30,000, then 300% of that would be $90,000. Your household income must be below this threshold to qualify. | Household Size | 100% FPL | 300% FPL (Eligibility Threshold) | |---|---|---| | 1 person | Varies by year | Varies by year | | 2 people | Varies by year | Varies by year | | 3 people | Varies by year | Varies by year | | 4 people | Varies by year | Varies by year | *Note: Visit https://aspe.hhs.gov/poverty-guidelines for current year thresholds* ## Insurance Requirements Radius Assist has specific insurance eligibility rules: **You may be eligible if you are:** - Uninsured - Commercially insured but your plan does not cover TYMLOS - A Medicare Part D beneficiary (most Medicare Part D patients have access to TYMLOS, but individual plan requirements vary) **You are NOT eligible if you are enrolled in:** - Medicaid - TRICARE - Veterans Health Administration (VA) - Indian Health Service If you have commercial insurance, note that TYMLOS is covered by 90% of commercial insurance plans. You may want to check your coverage before applying to the assistance program. ## Step-by-Step Application Process ### Step 1: Gather Required Documentation Before starting your application, collect the following documents: - **Proof of Income**: Most recent tax return (Form 1040), Form 1099, or Social Security statement (Form SSA 1099) - **Insurance Information**: Front and back copies of your insurance card(s) and pharmacy benefits card(s) - **Valid Prescription**: A current prescription from your healthcare provider for TYMLOS - **Proof of Residency**: Documentation showing you are a legal resident of an eligible state or territory ### Step 2: Complete the Application Download the Radius Assist application form. The application has multiple sections: - **Sections 1-5**: Patient and prescriber information (pages 1-2) - **Section 4**: Must be signed and dated by the patient with an original signature (hard copy/wet signature required) - **Sections 6-7**: Additional information (page 3) If someone other than the patient will sign on their behalf, you will need a signed and notarized Power of Attorney (POA). ### Step 3: Have Your Healthcare Provider Complete Their Section Your doctor, nurse practitioner, or other healthcare provider must complete Sections 6 and 7 of the application. The forms require minimal information from your provider. ### Step 4: Submit Your Application Once you have completed all sections and gathered all required documents, submit your application by: - **Fax**: 1-800-910-4610 - **Mail**: Radius Assist Patient Assistance Program, 2503 E. 54th St. N., Sioux Falls, SD 57104 Make sure all pages are included and that the patient has signed and dated the application. ### Step 5: Receive Confirmation Your healthcare provider will receive a confirmation fax when Radius Assist receives your application. If any information is missing, the Radius Assist team will contact you or your healthcare provider to request it. ## Timeline and Medication Delivery **Processing Time**: Allow up to 4 weeks for your application to be processed. **Approval Notification**: You and your healthcare provider will be notified by phone or mail of the approval or denial decision. **Medication Delivery**: Once approved, you will receive: - Up to 3 months of medication per shipment - Up to 24 months of total therapy through the program - Medication shipped directly to you **Program Duration**: Your acceptance into the program is valid for the current calendar year with a valid prescription, subject to continued eligibility. You cannot receive more than 24 months of total TYMLOS therapy through Radius Assist during your lifetime. ## What If Your Application Is Denied? If your application is denied, you have several options: 1. **Review the Denial Reason**: Contact Radius Assist at 1-866-896-5674 to understand why your application was denied. 2. **Check Insurance Coverage**: If you have commercial insurance, verify whether your plan covers TYMLOS. TYMLOS is covered by 90% of commercial insurance plans, and eligible commercially insured patients may pay as little as $0 per month through a copay card program. 3. **Reapply**: If your circumstances change (such as income reduction or insurance status change), you may reapply in the future. 4. **Contact Your Healthcare Provider**: Your doctor may have information about other assistance programs or payment options. ## Reauthorization and Renewal Your eligibility for Radius Assist must be verified annually. Before your current year of coverage expires, you may need to submit updated documentation to confirm continued eligibility. The program will contact you if reauthorization is required. Remember that you can receive a maximum of 24 months of total TYMLOS therapy through Radius Assist during your lifetime. Once you reach this limit, the program will discontinue providing medication. ## Contact Information For questions about the Radius Assist program: - **Phone**: 1-866-896-5674 (available for both patients and prescribers) - **Fax**: 1-800-910-4610 - **Mailing Address**: Radius Assist Patient Assistance Program, 2503 E. 54th St. N., Sioux Falls, SD 57104 ## Important Disclaimer This guide provides general information about the Radius Assist Patient Assistance Program based on current program guidelines. Program eligibility criteria, requirements, and benefits are subject to change at any time. Changes to eligibility criteria will impact new patients entering the program and those who need to submit re-verifications for the next calendar year. Use of TYMLOS for more than 2 years during a patient's lifetime is not recommended by the manufacturer. Always consult with your healthcare provider about whether TYMLOS is appropriate for your medical condition and to discuss any questions about the assistance program. This information is not a substitute for professional medical advice. Please speak with your healthcare provider or the Radius Assist program directly for personalized guidance about your eligibility and application.

Program information last verified: March 30, 2026