Program Details: The Prolia® Co-pay Program is a coupon program that provides financial support for eligible commercially insured patients. For eligible patients, program covers the amount of OOP cost for Prolia® that exceeds $25, up to a maximum benefit of $1,500 per patient, per 12-month enrollment period.
Regarding this, does Prolia cause weight loss?
No, weight gain wasn’t reported as a side effect of Prolia in clinical studies. But weight gain may be a symptom of a side effect called peripheral edema. With peripheral edema, fluid builds up in your body and causes swelling in your arms and lower legs.
The administration of denosumab, when billed, should be billed using the therapeutic administration code 96372 (Therapeutic prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular.
Also to know is, how many years should you take Prolia?
Denosumab (brand name Prolia) is a medication used to treat severe osteoporosis. It works by turning off the natural process of breaking down and reabsorbing bones. It is administered through a shot twice per year for up to 10 years.
How much does denosumab injection cost in Australia?
Costs. Annual treatment costs for denosumab and alendronate were obtained from the Australian pharmaceutical benefits schedule: AUD $541 per year for denosumab (a twice yearly 60 mg/mL injection) and AUD $199 for alendronate (a 70 mg weekly oral drug) [www.pbs.gov.au].
How much does Prolia cost in Australia?
DENOSUMAB
| Code & Prescriber | Medicinal Product Pack (Name, form & strength and pack size) | General Patient Charge |
|---|---|---|
| 5457F | DENOSUMAB denosumab 60 mg/mL injection, 1 mL syringe (PI, CMI) | $42.50 |
| Available brands | ||
| Prolia |
Is Prolia on the PBS?
Denosumab is currently PBS listed for osteoporosis and established post-menopausal osteoporosis.
Is Prolia the same as Xgeva?
Denosumab is also known by its brand names, Xgeva and Prolia. It helps to prevent fractures and other cancer related bone problems in adults with cancer that has spread to the bones. Prolia can reduce the risk of spinal fractures in men who have weakened bones due to hormone therapy for prostate cancer.
Is Prolia worth the risk?
Are there any dangers of using this drug? Studies have found that Prolia is generally safe and effective to treat osteoporosis and certain types of bone loss. For example, in the studies, people taking Prolia for up to 8 years didn’t have significant side effects compared with people taking a placebo.
Is there a generic for Prolia?
Denosumab is the generic name for the trade name drugs Prolia® or Xgeva®. In some cases, health care professionals may use the trade names Prolia® or Xgeva® when referring to the generic drug name denosumab. Prolia® and Xgeva® are the same generic drug (denosumab).
What can I use instead of Prolia?
Alternatives to Prolia
- alendronate (Fosamax)
- risedronate (Actonel)
- ibandronate (Boniva)
- zoledronic acid (Reclast, Zometa)
- denosumab (Xgeva)
- teriparatide (Forteo)
- abaloparatide (Tymlos)
- raloxifene (Evista)
Which is better for osteoporosis Fosamax or Prolia?
Fosamax (alendronate) is a first-choice treatment for osteoporosis, but taking it can be a hassle. Prevents bone loss. Prolia (Denosumab) is an effective and convenient treatment for osteoporosis if other options haven’t worked or aren’t appropriate for you.
Who qualifies for Prolia?
Prolia is approved only for specific types of patients: Postmenopausal women with osteoporosis and high risk of fracture (that is, previous fracture due to osteoporosis or multiple fracture risk factors). Patients with osteoporosis for whom other osteoporosis treatments have failed.
Why is Prolia not covered by insurance?
Because Prolia is a brand name drug with no generic equivalent, it typically falls under Tier 3 or 4. Consult your Medicare prescription drug plan’s formulary for more information.