Hi @deborahla,
My endocrinologist told me that I will be on Reclast for 3 years, and then I will take a drug holiday. These infusions are once per year. They do them at an infusion center because they have to start an IV drip. They can set up the drip for any length of time, but the doctor really needs to specify the infusion time in the order. My doctor was not willing to adjust the dose. I'm on Medicare (original) with a supplement (AARP United Healthcare) and they will pay 100%. I just wanted to be an encouragement, because when I read so many horrible reviews about this drug, I developed really bad anxiety. When I spoke to the NP at the infusion center, she told me that it is rare for people to have serious side effects from Reclast, and those who have those side effects should not have another infusion. She also explained that hydration is the most important thing, both before and after the infusion. Take care, and I hope you find the right treatment 🙂