I'm in Canada and the Prolia injection is around $400.00+. My husband has a private insurance plan which covers the cost. I will turn 65 this year, so my injection will be paid for by the provincial government plan. No cost was not a factor, although Forteo is much more expensive.
As I mentioned in an earlier posting, the black box warning about bone cancer bothered me as there is a big history of cancer on the paternal and maternal side. I also read that some patients experience rapid heart beat upon injecting and I have a well-controlled ventricular tachycardia that needs to stay that way. And I already inject Repatha (to lower LDL) twice a month and that's enough. I like the convenience of the twice a year injections of Prolia.
So; although the specialist's first choice was 2 years of Forteo followed by Prolia in order to build up bone faster, I opted to go with Prolia. A year later, the spine is up 11.5% and the hip 6.5% and the doctor seemed pleased and recommended the third injection which I did get. And that's the story.