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Alternative to Reclast after Prolia

Osteoporosis & Bone Health | Last Active: Jun 1 1:08pm | Replies (13)

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Profile picture for lisaberkowitz @lisaberkowitz

@lisaberkowitz I'm on Medicare & insurance won't pay for Prolia. There is a generic equivalent called Jubbanti but insurance only covers 60%. If your endo writes that Reclast is a medical necessity, insurance should cover it. You can also see a metabolic bone specialist (there are additional tests besides Dexa) who might have more sway than an endo. Hope that helps!

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Replies to "@lisaberkowitz I'm on Medicare & insurance won't pay for Prolia. There is a generic equivalent called..."

@lisaberkowitz Yeah, the whole change to Jubbonti this year was a mess as well. Luckily for my last injection Prolia was still covered, but some clueless person at the infusion center mistakenly told me they didn’t have it. After a lot of panic over that I spoke to a nurse who confirmed they did carry it. I’m on Medicare Advantage. Honestly our healthcare system is horrible. My cat gets better care — the vet who’s seen her the most gave me his personal cell and I can call or text him with any urgent issues. Her insurance pays 90% after deductible and they process claims and pay within a week or so. No prior authorization needed.