| Osteoporosis
Forteo vs Tymlos
Side-by-side clinical, coverage, and cost comparison for osteoporosis.Deep comparison between: Forteo vs Tymlos with Prescriber.AI
AI compares prescribing info and payer-specific access barriers across 1,200+ formularies. Here's a preview of what prescribers are already asking.Safety signalsTymlos has a higher rate of injection site reactions vs Forteo based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Tymlos but not Forteo, including UnitedHealthcare
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Category
Forteo
Tymlos
At A Glance
SC injection
Once daily
PTH analog
SC injection
Once daily
PTH1R agonist
Indications
- Osteoporosis
- Primary osteoporosis
- Osteoporosis steroid-induced
- Osteoporosis
Dosing
Osteoporosis, Primary osteoporosis, Osteoporosis steroid-induced 20 mcg subcutaneously once daily into the thigh or abdominal region; use for more than 2 years during a patient's lifetime only if the patient remains at or has returned to high risk for fracture.
Osteoporosis 80 mcg subcutaneously once daily into the periumbilical region of the abdomen; treatment duration not to exceed 2 years during a patient's lifetime.
Contraindications
- Hypersensitivity to teriparatide or any of its excipients
- History of systemic hypersensitivity to abaloparatide or any component of the product formulation
Adverse Reactions
Most common (>10%) Arthralgia, pain, nausea
Postmarketing Anaphylactic reactions, angioedema, urticaria, drug hypersensitivity, osteosarcoma, hyperuricemia, acute dyspnea, chest pain, muscle spasms of the leg or back, injection site reactions, oro-facial edema
Most common (>=2%) Hypercalciuria, dizziness, nausea, headache, palpitations, fatigue, abdominal pain upper, vertigo, injection site redness, injection site edema, injection site pain, tachycardia
Serious Orthostatic hypotension, hypercalcemia, hypercalciuria and urolithiasis
Postmarketing Abdominal distension, abdominal pain, constipation, diarrhea, vomiting, decreased appetite, asthenia, lethargy, malaise, hot flush, insomnia, hypersensitivity and anaphylactic reactions, dyspnea, pruritus, rash, generalized pain, blood pressure increased, muscle spasms, injection site bruising and hemorrhage
Pharmacology
Teriparatide is a recombinant human parathyroid hormone analog (PTH 1-34) that binds PTH cell-surface receptors and stimulates new bone formation by preferential stimulation of osteoblastic over osteoclastic activity on trabecular and cortical bone surfaces.
Abaloparatide is a PTHrP(1-34) analog that acts as an agonist at the PTH1 receptor (PTH1R), activating the cAMP signaling pathway and stimulating osteoblastic activity to promote new bone formation on trabecular and cortical bone surfaces.
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Most Common Insurance
Anthem BCBS
Forteo
- Covered on 5 commercial plans
- PA (10/12) · Step Therapy (10/12) · Qty limit (0/12)
Tymlos
- Covered on 5 commercial plans
- PA (11/12) · Step Therapy (12/12) · Qty limit (12/12)
UnitedHealthcare
Forteo
- Covered on 4 commercial plans
- PA (6/8) · Step Therapy (6/8) · Qty limit (0/8)
Tymlos
- Covered on 4 commercial plans
- PA (8/8) · Step Therapy (8/8) · Qty limit (3/8)
Humana
Forteo
- Covered on 0 commercial plans
- PA (1/3) · Step Therapy (1/3) · Qty limit (0/3)
Tymlos
- Covered on 0 commercial plans
- PA (3/3) · Step Therapy (3/3) · Qty limit (3/3)
Coverage data sourced from MMIT. Updated monthly.
Savings
Cost estimate not availableAssistance Fund: Neurofibromatosis
Commercial or private insurance
Medicare, Medicaid, VA, TRICARE
Cost estimate not availableAssistance Fund: Neurofibromatosis
Commercial or private insurance
Medicare, Medicaid, VA, TRICARE
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ForteoView full Forteo profile
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Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.