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Prolia ® can be obtained through a specialty pharmacy or retail pharmacy: Pharmacy fills the prescription. Patient pays cost-sharing under the pharmacy benefit or Medicare Part D. Patient brings their Prolia ® to your office or treatment site for injection by a healthcare provider.
Prolia® is a prescription medicine used to increase bone mass in men with osteoporosis who are at high risk for fracture.
The current U.S. Prescribing Information states that Prolia () should be administered by a healthcare provider. At this time, self-administration of Prolia is not approved in the United States. However, administration by healthcare providers may be a challenge in the context of the current COVID-19 pandemic.
All requests for Xgeva (), Prolia () require a prior authorization and will be screened for medical necessity and appropriateness using the criteria listed below.
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