Prolia

(denosumab)

Prolia 60 MG in 1 ML Prefilled Syringe

NO BLACK BOX WARNING

Dosage & administration

* Pregnancy must be ruled out prior to administration of Prolia.
* Prolia should be administered by a healthcare professional.
* Administer 60 mg every 6 months as a subcutaneous injection in the upper arm, upper thigh, or abdomen.
* Instruct patients to take calcium 1000 mg daily and at least 400 IU vitamin D daily.

drug label

Prolia prescribing information

Contact Medical Science Liaison Report Adverse Event

prior authorization

Prolia prior authorization resources

Most recent Prolia prior authorization forms

View By Payer

Verified: Sep 04, 2023Highmark BCBS Northeastern NY - Outpatient Prolia Prior Authorization Form (Medical Benefit)

Verified: Sep 04, 2023Highmark BCBS Western NY - Outpatient Prolia Prior Authorization Form (Medical Benefit)

Verified: Sep 03, 2023Highmark BCBS West Virginia - Outpatient Prolia Prior Authorization Form (Medical Benefit)

Verified: Sep 03, 2023Highmark BCBS Delaware - Outpatient Prolia Prior Authorization Form (Medical Benefit)

Verified: Sep 03, 2023Highmark BCBS Central PA - Outpatient Prolia Prior Authorization Form (Medical Benefit)

Verified: Sep 02, 2023Highmark BCBS Western PA - Oupatient Prolia Medication Prior Authorization Form (Medical Benefit)

Verified: Oct 02, 2023Blue Cross Blue Shield of Michigan - FEP Prolia Prior Authorization Form (Medical Benefit)

Verified: Sep 28, 2023Cigna - Prolia Prior Authorization Form

Verified: Sep 26, 2023Blue Cross Blue Shield of Michigan - Prolia Prior Authorization Form (Medical Benefit)

Verified: Sep 21, 2023Aetna - Medicare Part B Prolia and Xgeva Prior Authorization Form

PDFProlia Insurance Verification & PA Form

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Benefits investigation

PDFProlia Insurance Verification & PA Form

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Reimbursement help (FRM)

Reimbursement Information [Connect with a Red Pop-UP}

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pharmacy

Prolia preferred pharmacy

OTHERPharmacy List

financial assistance

Prolia financial assistance options

Co-pay savings program

commercial only

Enroll in Patient Savings Program

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Overview

Reduce patient OOP costs for drug (and occasionally for drug administration/infusion costs or drug-related test costs)

Patient benefit

A portion (or all) of patient OOP (deductible, copay), typically up to monthly and/or annual max

Patient eligibility

Patient must enroll or activate (may permit HCPs to enroll on patient’s behalf for HCP-administered drugs)
Generally, must have commercial insurance (rarely, may permit uninsured patients to use)
May never be used with government insurance

How to sign up

Cards may be downloadable digital cards or hard copies
Some pharmacos offer debit cards with pre-loaded copay benefit
Typically, available through multiple channels (e.g., rep to HCP to patient; pharmacy to patient; patient via website, Hub live agent, or copay vendor (live agent or IVR); patient and HCP via Hub enrollment form)
Some HCP-administered product programs permit HCPs to enroll on a patient’s behalf through via Hub form

Foundation programs

under insured

no insurance

goverment insurance

65+

Amgen Safety Net Foundation Eligibility Check

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Overview

Charitable 501(c)(3) organizations provide direct cost-sharing and other support (e.g., travel, counseling) through disease-state funds to indigent patients on first-come first-served basis
These organizations may receive financial contributions from drug manaufacturers for particular disease-state funds that cannot provide funds directly to patients - the foundation must be independent/unaligned

Patient benefit

Patients apply for grants that cover a portion (or all) of their out-of-pocket costs (deductibles and co-pays) until the grant is exhausted

Patient eligibility

Patients must apply and meet eligibility criteria including income level (typically a multiple of federal poverty line), specific diagnosis, insurance status, etc.

How to sign up

Patients submit proof of out-of-pocket drug costs to charities for reimbursement

patient education

Prolia patient education

Getting started on Prolia

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link

Patient toolkit

BRAND PAGEAbout Prolia

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGESide Effects

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHERDoctor Discussion Guide

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Learn More

Other resources

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Prolia FAQs

How is the dosage of Prolia?Prolia is available in 1 dosages, including 60 mg/ml Prefilled Syringe 1 ml

What does Prolia treat?Prolia treats Postmenopausal Osteoporosis and Osteoporotic Fractures

What is Prolia made of?Prolia contains denosumab which is a RANK Ligand Inhibitor

How Is Prolia Administered?Prolia is administered as a Injectable

What Are The Prolia Mechanism Of Action?Prolia mechanism of action is RANK Ligand Blocking Activity

FAQ Data Source

Prolia

Dosage & administration

drug label

Prolia prescribing information

prior authorization

Prolia prior authorization resources

Most recent Prolia prior authorization forms

Benefits investigation

Reimbursement help (FRM)

pharmacy

Prolia preferred pharmacy

financial assistance

Prolia financial assistance options

Co-pay savings program

Foundation programs

patient education

Prolia patient education

Getting started on Prolia

Patient toolkit

Other resources

people also ask

Prolia FAQs