Prolia

Indicated For

osteoporosis, bone loss from corticosteroids, bone loss from prostate cancer treatment

About This Medication

# Amgen SupportPlus Patient Guide: How to Get Prolia (denosumab) at Low or No Cost Prolia (denosumab) is a prescription injection used to treat osteoporosis and bone loss in specific high-risk patients, and Amgen SupportPlus offers financial assistance programs to help reduce or eliminate out-of-pocket costs depending on your insurance status.[1][3][9] ## About Prolia and Why You Might Need It **Prolia** is an injectable medication given every six months by a healthcare provider to help strengthen bones and reduce fracture risk. It works by slowing bone breakdown, making it suitable for: - Women after menopause at high risk for fracture. - Men with osteoporosis at high risk for fracture. - Patients on long-term corticosteroids (like prednisone) at high risk for fracture. - Men on prostate cancer treatments or women on breast cancer treatments causing bone loss, if cancer hasn't spread.[9] Prolia is not a daily pill—it's a quick injection, typically in a doctor's office or clinic. However, without assistance, costs can be high, often thousands per dose. Amgen SupportPlus provides options like copay cards, benefit verification, and referrals to make it affordable.[1][2][3] ## Who Qualifies for Assistance? Amgen SupportPlus tailors support to your situation: - **Commercially insured patients** (private insurance, employer plans): Eligible for the **Amgen SupportPlus Co-Pay Program**. Pay as little as **$0** per dose, covering deductibles, co-insurance, and copays. No income requirements.[2][3][4] - **Medicare Part B patients**: 100% have access as initial therapy, often no prior authorization or step edits needed. Copay programs may have limits; referrals available for extra help.[3] - **Uninsured patients**: Referrals to the **Amgen Safety Net Foundation**, a nonprofit providing Prolia at **no cost** to qualifying uninsured individuals.[3][6][8] - **Government insurance** (Medicaid, etc.): Referrals to independent nonprofits for copay assistance.[6] Every patient can get personalized financial info, regardless of income or insurance.[1] Call (866) 264-2778 for guidance.[1][2][4] ## Income Eligibility Breakdown Most Amgen programs, like the Co-Pay Program, have **no income eligibility**. The Safety Net Foundation for uninsured uses its own criteria (typically low-income, uninsured).[8] Here's a simple table: | Program | Insurance Type | Income Requirement | Max Benefit | |---------|----------------|---------------------|-------------| | Co-Pay Program | Commercial | None | $0 per dose (terms apply)[2][4] | | Safety Net Foundation | Uninsured | Yes (qualifying low-income) | Free medication[6][8] | | Medicare Referrals | Medicare | Varies by nonprofit | Copay help[3][6] | Notes: Eligibility has program maximums and terms. Check AmgenSupportPlus.com/copay.[4] ## Insurance Requirements - **Commercial insurance**: Primary option. Enroll in Co-Pay Program online or by phone. Provide insurance details.[4] - **Medicare**: Covered under Part B for most; no PA often needed. Use copay help or nonprofit referrals if costs remain.[3] - **Uninsured**: No insurance needed for Safety Net referral.[3][8] - Amgen verifies benefits: Fax form to 1-877-877-6542 or use myAmgenPortal.com.[2] ## Step-by-Step Application Process 1. **Talk to your doctor**: Confirm Prolia is right for you. Ask them to initiate benefit verification via Amgen SupportPlus.[2] 2. **Contact Amgen SupportPlus**: Call **(866) 264-2778** (Mon-Fri, 8:30am-8pm ET) or visit **AmgenSupportPlus.com**.[1][4] 3. **Choose your program**: - Commercial: Enroll at **AmgenSupportPlus.com/copay**. Get virtual copay card via account or mail.[4] - Uninsured: Request Safety Net Foundation application.[3][8] 4. **Provide info**: Insurance card (if applicable), doctor's details. Doctor's office handles injection billing with copay card.[4] 5. **Get approval**: Instant for copay card; foundation may take longer.[2][6] 6. **At appointment**: Give copay card info to provider/pharmacy for $0 billing.[4] Your doctor or specialty pharmacy coordinates delivery.[2] ## Timeline and Delivery - **Copay Program**: Enroll instantly online/phone. Card available immediately; use at next dose (every 6 months).[4] - **Safety Net Foundation**: Processing varies (weeks); medication shipped to doctor's office or pharmacy at no cost.[6][8] - **Benefit verification**: Quick via portal/fax.[2] Delivery: Prolia goes to your provider's office for injection. No home delivery typically.[1] ## Alternatives if Denied or Ineligible - Switch programs: Commercial not eligible? Try nonprofit referrals.[6] - **Biosimilar**: **Jubbonti (denosumab-bbdz)**—similar to Prolia, potentially lower cost. - Doctor can explore generics, other osteoporosis meds (e.g., bisphosphonates), or Medicare Extra Help. - Bone Matters program for reminders/support.[9] - Call Amgen for foundation matches.[3] ## Important Disclaimer This guide is for informational purposes based on Amgen SupportPlus details as of available resources. Programs change; eligibility/terms apply (e.g., max benefits).[2][4] Not medical/financial advice. Consult your doctor, pharmacist, or Amgen at (866) 264-2778. See full terms at AmgenSupportPlus.com. Prolia has risks (e.g., low calcium, jaw issues)—discuss with provider.[9] Word count: 1028.

Program information last verified: March 30, 2026