Prolia®is coveredby many Medicare and Commercial plans.*Learn more about paying for Prolia® *Individual patient out of pocket costs will vary The majority of commercial and Medicare plans cover Prolia®. Thelist pricefor Prolia®is$1,875.43†,‡per injection every six months. Most ...
Patients are not eligible if they are under 18 years of age or are covered in whole or in part by any state program or federal healthcare program, including, but not limited to, Medicare or Medicaid (including Medicaid managed care), Medigap, VA, DOD, or TRICARE. Patients must have a ...
In the 2020 Notice of Benefit and Payment Parameters (NBPP), the Centers for Medicare & Medicaid Services (CMS) finally opined on the issue, stating that it would permit plans to exclude the value of manufacturer assistance from the ACA’s annual out-of-pocket maximums “for specific p...
You are not eligible if prescriptions are paid by any state or other federally funded programs, including, but not limited to Medicare or Medicaid, Medigap, VA or DOD or TriCare, or where prohibited by law; and you will otherwise comply with the terms above. Not intended for distribution ...
The majority of commercial and Medicare plans cover Prolia®. The list price for Prolia® is $1,875.43†,‡ per injection every six months. Most patients do not pay the list price. Your actual cost will vary. Talk to your insurance provider. The guide below will help you find ...