@gently
Thank you for your feedback! I would actually really like to come off Prolia anyway as it is such an expensive drug and there is the constant threat of being cut off it. I was hoping the transition would be more smooth than it is turning out to be. Insurance has a way of throwing a wrench in everything doesn't it!? I have thought about asking about alendronate since even if insurance doesn't cover it it is much cheaper to pay for out of pocket (or with a discount coupon). Its good to know at least that is an alternative if the Reclast is denied by insurance also. I work as a medical coder (one of my specialties is infusions) and I have seen a lot of denials for Reclast or zoledronic acid as well as Prolia for a variety of reasons, the biggest being dxa scores that are too high. Its such a paradox for Prolia, because going off it inevitably means those scores are going to plummet, but it will not continue to be approved once you reach a certain score over an extended time on it. It would be nice if there was a standard protocol followed when denied Prolia after so many years, instead of being left to figure out what to do and facing insurance issues! I'm definitely looking forward to having my Dad here!