How much does prolia cost with insurance?

Prices for Prolia (denosumab) with insurance vary a lot by plan, deductible status, and whether your plan uses coinsurance or a fixed copay. There isn’t a single number I can give that will be accurate for everyone.

What tends to happen in the U.S.:
- If your plan covers Prolia well, your out-of-pocket per 60 mg dose is often fairly modest (some people pay little to nothing due to copays or savings programs).
- Many people pay around $0–$100 per dose, especially if they’re on a commercial plan and qualify for a patient savings program.
- Some plans use coinsurance (e.g., 10–30% of the allowed amount) or require you meet a deductible, which can push your cost up to a few hundred dollars per dose.
- Since Prolia is given every 6 months, your annual out-of-pocket for injections will be roughly double whatever you pay per dose if you’re paying a fixed amount.

Ways to get an exact figure for your situation:
- Contact your insurer’s member services and ask for the formulary status, copay/coinsurance, and whether you have any deductible still to meet for Prolia.
- Have your pharmacist or doctor’s office flush out a price quote using your exact insurance plan and any applicable deductible.
- Check Amgen’s Prolia Savings Program (if you have commercial insurance) to see if you qualify for reduced out-of-pocket costs.
- If you’re uninsured or underinsured, ask about patient assistance options from the manufacturer or clinics.

If you tell me:
- Are you in the U.S. or another country?
- Do you have commercial insurance or Medicare/Medicaid?
- Do you know your deductible status or your plan’s coinsurance or copay?

I can help you estimate a more specific out-of-pocket range and suggest steps to minimize the cost. Also, discuss with your doctor if cost is a barrier, since there are other osteoporosis treatments that might be more affordable for you.