Prolia cost

Would like to know from anyone that has already taken a Prolia injection if you got it in the dr.'s office are at the hospital-outpatient.
I'm scheduled to get my first injection next week at the hospital and the cost is $3081 with Medicare paying 80% of that. I know some of that is hospital cost.
Is that just my doctor ordering it out are do all doctors do it that way?????

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reader2, anything given in the hospital is more costly. Perhaps you could ask your dr if there are any infusion centers available? Some specialists give the drug in their own office. I believe it is a pre-filled syringe, so easy to give. I expect those who have gotten the shot can give more info. I hope it helps you.

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I had my injection at the doctor's office and my insurance paid the entire costs. I'd ask to have your injection in an outpatient setting since it's just an injection not an infusion. $3000 for the injection is outragious. I was also told that if I wanted to have the medication ordered to a local pharmacy I could do my own injection next time and there was no need to come to the doctor's office. I wouldn't suggest it for your first injection but that would probably save money also.

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Hey reader2
I had my Prolia in my Rheumy's office pre filled syringe and sub-q injection, Medicare and my AARP supplement picked up the cost. But you could call Amgen and see if they have financial aid for Prolia. I am not aware of it, but it is a free 800 number: 8007726436.
Never Give Up

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I had both of my Prolia shots in the endocrinologist's office. The insurance was billed $900 per shot. (I hope I got the right stuff since it seems way less expensive than some of you are paying.) I'll know whether or not it helped in December, when I get my next bone density scan.

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I am in Canada, so I know the costs are much lower, but that price sounds insane! I picked up the injection kit at the pharmacy, the original cost was $400.00, which was mostly covered by my insurance. My GP gave me the shot in his office, it is just a simple injection in the tummy, I could have done it myself or have it done by a nurse. You should find out if you can just buy the Prolia and have someone else give it to you! You certainly don't need to go to the hospital for it. Good Luck

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Hi, I've never taken Prolia, but that cost does sound absurd! Here's a link from Amgen regarding Medicare coverage. http://www.proliahcp.com/reimbursement-coverage/partd.html Unless you are in the coverage gap, are you? If so, that may affect the cost, but only if you are going through part D for payment. If you are submitting it through part B, then the coverage gap (donut hole) would not apply.

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Thanks all for the imput. I see the problem has been dealing with my PC who wants to use only the hospital.
I have found a Endocrinologist in Asheville (2 hr. drive) that I will go to and he gives the shot in the office and it will cost me only $175. I have Medicare part B only so that is the 20%. Plus I will have his opinion of treatment and better monitoring. I live in the mts of North Carolina where Walmart is the big thrill for shopping. Will make a day of it when I go and get some Christmas shopping done. I am a retired nurse so giving the shot to myself is no problem but Medicare part B will not pay at all that way--only in the office or hospital. Medicare could save themself money in many ways.
Keep sharing,

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Actually, Prolia is covered under Part B of the Medicare, and you should never be billed for it as long as you get the injection in a hospital or doctors office. Some doctors have their accounting set up in India, and people over there are not aware of the system (( That happened to me when I was getting the Reclast.

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I had a shot at the hospital and got a bill the other day. it was 8700.00 for 1 shot. I only have to pay my copay. But that is crazy.

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Prolia -- just another hoax? I had 2 Prolia shots, 6 months apart, and went to my endocrinologist today for the bone density test. NOTHING had changed. I haven't gotten better and I hadn't gotten worse. I can tell you all that I am extremely frustrated!

Then my doctor said maybe I should go back to Reclast. I nearly jumped down her throat with a huge "NO WAY!"

I asked her if I could go back to Forteo because it's been at least 4 years since I last had that, and it was THE ONLY one that increased my bone density over a 2-year period. For some reason, she has to consult her partner about the Forteo. I imagine there will be tons of legal paperwork if they approve the drug for more than 2 years (which I've already used).

Anyway, I said I would report my results and they are no different from last year. The femoral neck t-score is still -3.7; the thoracic vertebrae score is still -2.8. I guess I'll just crumble away if something cannot be done.

I'm totally irritated. My husband had to pay the co-pay; I had the bone density scan; the results are just as bad as they were when I first quit Reclast.

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Jahrenlee.

Sorry to hear about your scan, will be curious as to how I do. Guess I will be sol if it doesn't work on me. Who knows these days. Sometimes I think just eating right and exercise is better than the meds. Keep us posted.

Good luck

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Wow!!! That is an incredible cost. My injections (in Canada) are $800 twice a year. I give myself the shot. The shot is nothing. Just like Forteo or an Insulin injection. Someone down there is getting very rich.

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I was scheduled to have mine at the rheumatologist's office.

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yes it is not right....

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I'm scheduled to get it that way. I'm told my insurance will pay for it. I've put if off for 2 weeks because I'm having asthma. Is the shot really in the stomach? moo

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Andor,

I don't have my card in front of me, but is Part B of Medicare the part that covers hospital visits? I get A and B confused. I know that one covers hospitalization (which I have); I do not have the part that covers doctor's visits.

Anyway, I was disappointed with Prolia.. . no harm done (I hope) but no gain in bone density either --- a year of waiting to find out nothing has changed.

Disappointedly,
Lynda

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mko,

I got both of my shots, six months apart, in my arm. Forteo is given in the stomach, but it's a tiny little short needle. Forteo worked for me; I want to go back to it, depending upon the doctor's decision.

God Bless You!

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Lynda, I was thinking about my first DEXA after one year on Forteo. No gain and major disappointment (although I had sustained no new fractures which was a huge change for me). My gains only came in the DEXA that was done after my 2 years of Forteo were done. I do not know if you can make any sort of correlation between the 2 cases (except on some sort of unscientific level) but it might be worth continuing the Prolia awhile longer.

I have said it before and still say it despite Prolia gains - if I could have stayed on Forteo forever, I would have. Good luck with another Forteo term. It has been done before.

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Thanks, Jahrenlee.

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dear debdu
Where in canada are you paying 800, is that the total for the year?

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