Prolia (Denosumab)
AMGEN
Postmenopausal osteoporosis male osteoporosis, glucocorticoid-induced osteoporosis, high risk for fracture with androgen deprivation therapy and nonmetastatic prostate cancer high risk of fracture receiving aromatase inhibitor therapy for breast cancer.
Postmenopausal Osteoporosis Treatment
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- 60mg office administered SC q 6 months
- 60mg office administered SC q 6 months
Instructions
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 – Need past and present DXA report with T-score of spine and hip, documentation of any fracture of vertebrae, hip, femur, tibia, forearm, or humerus. Serum Ca++ and Creatinine.
4 – Send list of medications tried and failed.
5 – Fax the following to Pacific Infusion Center (310) 297-9222:
ㅤ• Completed and signed forms/order
ㅤ• Copy of the patient’s insurance card(s)
ㅤ• Demographics
ㅤ• OV notes
ㅤ• Tried and failed medications
ㅤ• Labs
ㅤ• Drug Enrollment Forms
6 – After the patient’s infusion appointment, our nurses will fax a copy of the infusion notes to your office.
