Prolia (denosumab) [Amgen]
- Postmenopausal & male osteoporosis and treatment to increase bone mass in cancer patients
- 60mg office administered SC q 6 months
- Need past and present DEXA report with T-score (Ca++ and 25 hydroxy-Vit D level if available), height and weight
- Please open authorization forms at left. Fill out the forms on your computer, save and print.
- Open Physician Orders for the office of your choice (at left). Save to your computer, print and fill out.
- Most past and present DXA report (with T score).
- Send list of medications tried and failed.
- Fax the following to Pacific Infusion Center (310) 297-9222:
- Completed and signed forms/order
- Copy of the patient’s insurance card(s)
- OV notes
- Tried and failed medications
- Drug Enrollment Forms
- After the patient’s infusion appointment, one of our nurses will fax a copy of the infusion notes to your office.