Who can administer a Prolia shot?

Who can administer a Prolia shot?

It is usually injected by a doctor or nurse in a medical office or clinic. Denosumab injection (Prolia) is usually given once every 6 months. When denosumab injection (Xgeva) is used to reduce the risk of fractures from multiple myeloma, or cancer that has spread to the bones, it is usually given once every 4 weeks.

Can a pharmacist administer Prolia?

The current U.S. Prescribing Information states that Prolia® (denosumab) should be administered by a healthcare provider. At this time, self-administration of Prolia® is not approved in the United States.

Who is the manufacturer of Prolia?

Prolia is one of Amgen’s bigger growth drivers now, and with biosimilar competition rearing its ugly head, the California-based biotech needs all the help it can get.

How do I bill for Prolia injection?

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.

Can a nurse administer Prolia?

If eligible, as a temporary option during the COVID-19 pandemic, patients can have Prolia® administered right in their homes by a Home Health Registered Nurse (RN).

Can I self administer Prolia?

FDA Temporarily Allowing Self-Injection or Injection by Lay Caregiver of Prolia® during the COVID-19 Pandemic. The U.S. Food and Drug Administration (FDA) is temporarily allowing self-administration or injection by lay caregiver of Prolia® during the COVID-19 pandemic.

Is Prolia administered in a doctor’s office?

Prolia is administered in your doctor’s office or a medical clinic. The drug could be considered a covered item under Medicare Part B “if” Medicare determines the drug is medically necessary. Pre-authorization is required before Medicare will pay for your treatment.

How do I contact Prolia?

If you have questions about Prolia® (denosumab) and would like to speak to a representative, please call 1-877-4-PROLIA (877-477-6542).

Is there a generic for Prolia?

Prolia and Reclast are both brand-name drugs. Reclast is available as the generic drug zoledronic acid, and Prolia is available as the biosimilar medication called denosumab. A generic drug is an exact copy of the active drug in a brand-name medication.

How is Prolia billed to Medicare?

The majority of commercial and Medicare plans cover Prolia®. The list price for Prolia® is $1,434.14* ,† per treatment every six months. Most patients do not pay the list price. Your actual cost will vary.

Is Prolia covered by Medicare Part B or Part D?

For those who meet the criteria prescribed above, Medicare Part B covers Prolia. If you don’t meet the above criteria, your Medicare Part D plan may cover the drug. GoodRx reports that 98% of surveyed Medicare prescription plans cover Prolia. With Medicare Part D coverage, you’re likely to pay coinsurance or a copay.

What should I check before giving Prolia?

Denosumab may lower the calcium levels in the blood. If blood calcium levels are low before receiving denosumab, the low calcium level must be corrected before giving the medicine or it will get worse. Patients need to have a blood test after each dose to confirm that blood calcium level is not abnormally low.