Prolia

Indicated For

Osteoporosis, post-menopausal osteoporosis

About This Medication

# Amgen SupportPlus Co-Pay Program Patient Guide: How to Get Prolia at Low or No Cost ## About This Program The Amgen SupportPlus Co-Pay Program is a patient assistance program designed to help eligible patients afford their Prolia (denosumab) prescriptions. This guide will walk you through the application process, eligibility requirements, and how to get your medication delivered to you or your doctor's office. ## What is Prolia? Prolia is a prescription medication used to treat osteoporosis in post-menopausal women and other patients at risk for bone fractures. It works by blocking a protein that causes bone loss, helping to strengthen bones and reduce fracture risk. Prolia is administered as an injection under the skin every 6 months. ## Who Can Apply? You may qualify for the Amgen SupportPlus Co-Pay Program if you: - Have a valid prescription for Prolia from your healthcare provider - Are a U.S. resident - Are commercially insured (have private health insurance) - Meet the income eligibility guidelines based on your household size - Are not eligible for government programs like Medicare, Medicaid, or Veterans benefits (though some exceptions may apply) **Note:** Income limits vary and are assessed on a case-by-case basis during the application review process. ## Income Eligibility Guidelines While specific income thresholds vary based on individual circumstances, here is a general reference table for household income limits: | Household Size | Approximate Maximum Income | |---|---| | 1 person | Varies by state | | 2 people | Varies by state | | 3 people | Varies by state | | 4 people | Varies by state | | 5+ people | Varies by state | **Important:** These are general guidelines. Your eligibility will be determined during the application review. Contact the program directly at (866) 264-2778 to discuss your specific situation. ## Insurance Requirements - You must have active commercial health insurance - Your insurance must be from a U.S.-based health plan - You should have your insurance card information ready when applying - The program works with your existing insurance to help reduce your out-of-pocket costs ## How to Apply: Step-by-Step Instructions ### Step 1: Gather Your Documents Before you begin, collect the following: - Your current insurance card - Your prescription for Prolia from your healthcare provider - Proof of income (recent tax return, pay stubs, or other income documentation) - Your Social Security number - Contact information for your healthcare provider ### Step 2: Choose Your Application Method You can apply in multiple ways: **Online:** Visit https://www.amgensupportplus.com/copay and complete the online application form. **By Phone:** Call (866) 264-2778 to speak with a program representative who can guide you through the application over the phone. **By Fax:** Complete the paper application form (available on the website) and fax it to (877) 877-6542 along with your required documents. **With Your Doctor:** Your healthcare provider's office may be able to submit the application on your behalf. ### Step 3: Complete the Application Provide accurate information about: - Your household income and family size - Your current health insurance details - Your prescription information - Your medical history as it relates to osteoporosis treatment ### Step 4: Submit Required Documents You'll need to submit: - Insurance verification form (may be provided by the program) - A copy of your prescription from your healthcare provider - Proof of income (if requested) ### Step 5: Wait for Approval The program typically reviews applications within 4-8 weeks. You'll be notified by mail, phone, or email about your approval status. ### Step 6: Receive Your Medication Once approved, your Prolia will be shipped to you or to your healthcare provider's office, depending on your preference. Your doctor will administer the injection during an office visit. ## Program Benefits - **Co-Pay Assistance:** Eligible patients may pay as little as $0-$50 per dose - **No Deductible Assistance:** Help meeting your insurance deductible - **Easy Reauthorization:** Annual reauthorization required to maintain benefits - **Savings Card:** Additional savings may be available through the Amgen SupportPlus Savings Card ## Timeline and Delivery - **Application Processing:** 4-8 weeks (typical) - **Delivery Method:** Shipped to your home or your doctor's office - **Reauthorization:** Required annually to continue receiving benefits ## What If Your Application is Denied? If your application is denied, you have options: 1. **Ask for a Reason:** Contact the program to understand why you were denied 2. **Appeal:** You may be able to appeal the decision with additional information 3. **Alternative Resources:** Explore other patient assistance programs, state pharmaceutical assistance programs, or discuss payment plans with your healthcare provider 4. **Contact Your Doctor:** Your healthcare provider may have information about other resources or treatment alternatives ## Additional Resources - **Amgen SupportPlus Website:** https://www.amgensupportplus.com/copay - **Phone Support:** (866) 264-2778 - **Fax:** (877) 877-6542 - **Savings Card:** https://www.amgensupportplus.com/copay - **Other Patient Assistance:** Ask your doctor about other programs that may help with medication costs ## Important Reminders - Keep your insurance information current and notify the program of any changes - Maintain your annual reauthorization to continue receiving assistance - Only use this program if you meet the eligibility criteria - This program is not insurance and does not replace your health plan - Your healthcare provider should monitor your treatment with Prolia and discuss any concerns ## Legal Disclaimer This guide is provided for informational purposes only and does not constitute medical advice. The Amgen SupportPlus Co-Pay Program has specific eligibility requirements, terms, and conditions. The information contained in this guide is current as of the publication date but may change. For the most accurate and up-to-date information, please visit https://www.amgensupportplus.com/copay or call (866) 264-2778. Always consult with your healthcare provider regarding your medication and treatment options. Amgen reserves the right to modify or discontinue this program at any time.

Program information last verified: March 25, 2026