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Prolia by infusion

Osteoporosis & Bone Health | Last Active: 15 hours ago | Replies (19)

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@rjd

I do not think anyone has said they were actually infused. Prolia is an injection....a simple shot.

Rather, it seems to be how some medical providers are labeling it.....or requesting that you go to an 'infusion' center where you will receive an injection that can easily be done at a doctor's office....and billing it.

It appears there is some sort of game going on. It is probably related to Medicare payment guidelines/reimbursement rates/allowed amount to providers. And Prolia looks to be one of those situations that can be processed and paid under either Medicare Part B or Part D; it may be up to an insurer which one.

How Prolia is billed and processed can affect the amount that is the patient's responsibility. It would be nice to think providers were trying to somehow help patients manage costs by the way it labels the delivery method but I will not hold my breath.

Insurance companies, big pharma, and benefits managers are not the only game players in our overly complex medical system. Providers seek to maximize revenue as well, either for private profit or for those overpaid executives at so-called 'non-profit' institutions like hospitals.

And good luck getting reliable info about your share of the cost before treatment, especially if you are enrolled in an Advantage plan that has an incorporated drug plan.

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Replies to "I do not think anyone has said they were actually infused. Prolia is an injection....a simple..."

My Prolia injection is given at an infusion center . I have never heard of Prolia being infused.