{"id":633026,"date":"2025-08-05T13:12:21","date_gmt":"2025-08-05T17:12:21","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=633026"},"modified":"2026-01-13T16:36:01","modified_gmt":"2026-01-13T21:36:01","slug":"forteo-cost-with-medicare","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/forteo-cost-with-medicare\/","title":{"rendered":"How much does Forteo cost with Medicare?"},"content":{"rendered":"

Forteo<\/span><\/a> (teriparatide) is an injectable parathyroid hormone (PTH) analog that\u2019s approved to <\/span>treat osteoporosis<\/span><\/a> in postmenopausal women and encourage bone growth in people at high risk of fracture. Medicare coverage varies by plan, but some Medicare formularies cover the generic version of Forteo, teriparatide, instead of brand-name Forteo. We\u2019ll break down how Medicare covers prescription drugs and how much you can expect to pay for Forteo or its generic version.<\/span><\/p>\n

How Medicare covers prescription drugs<\/span><\/h2>\n

Medicare covers self-administered prescription drugs through Part D plans. (Drugs administered at a hospital or outpatient clinic may be covered under Medicare Parts A or B.)\u00a0<\/span><\/p>\n

Part D coverage is optional, and plans are offered by different health insurance companies like Blue Cross Blue Shield, Aetna, or Kaiser Permanente. Each company creates a formulary, or a list of drugs it\u2019ll cover, and organizes each drug into different tiers. Your plan determines how much you pay out of pocket for drugs in each tier, but in general, higher-tiered drugs cost more.\u00a0<\/span><\/p>\n

Deductibles, copays, and caps<\/span><\/h3>\n

Like other health insurance plans, Medicare Part D plans have <\/span>deductibles and copays<\/span><\/a>. Fortunately, the federal government limits how much you have to pay, and this amount changes every year.\u00a0<\/span><\/p>\n

You\u2019ll pay out of pocket for Forteo until you reach your plan\u2019s deductible, which varies from plan to plan but can be no higher than $615 for 2026. Then, the plan\u2019s copay or coinsurance kicks in. You may pay a flat fee for Forteo or pay a percentage of its total cost. In 2026, you can pay no more than $2,100 out of pocket for covered drugs while on Medicare Part D, so once you reach that limit, you\u2019ll pay nothing for the prescription drugs that are covered by your plan.<\/span><\/p>\n

Does Medicare cover Forteo?<\/span><\/h2>\n

Medicare Part D formularies vary from one health insurance company to the next. Based on our research, many Medicare plans cover the generic version of Forteo, known as teriparatide.<\/span><\/p>\n

How much does Forteo cost with Medicare?<\/span><\/h2>\n

It\u2019s difficult to find the average cost of Forteo with Medicare because every plan is a little different. Although no one can pay more than $2,100 for covered prescription drugs in 2026, thanks to the new federal out-of-pocket maximum, that still amounts to $175 per month if spread evenly across the calendar year.\u00a0<\/span><\/p>\n

The best thing to do is contact your Medicare plan provider to find out if your specific plan covers Forteo and how much it would cost, or you can research plans and their formularies and costs using the planfinder tool on <\/span>Medicare.gov<\/span><\/a>.\u00a0<\/span><\/p>\n

That said, we can look at some sample formularies to see which drug tier Forteo usually falls under, as this affects how much you\u2019ll pay:<\/span><\/p>\n