Prolia (denosumab) [Amgen]

  • Postmenopausal & male osteoporosis and treatment to increase bone mass in cancer patients
    • 60mg office administered SC q 6 months
  • Need most recent DEXA report with T-score (Ca++ and 25 hydroxy-Vit D level if available)


  1. Please open authorization forms at left. Fill out the forms on your computer, save and print.
  2. Open Physician Orders for the office of your choice (at left). Save to your computer, print and fill out.
  3. Most recent DXA report (with T score).
  4. Send list of medications tried and failed.
  5. Fax the completed, signed forms and a copy of the patient’s insurance card to: Pacific Infusion Center (310) 297-9222.
  6. After the patient’s infusion appointment, one of our nurses will fax a copy of the infusion notes to your office.