Frequently Asked Questions

Is there a limit or cap on Prolia® Co-pay Program benefits?

Yes, the Prolia® Co-pay Program will reimburse an eligible patient's combined total deductible, co-pay and/or co-insurance requirements up to an annual Maximum Program Benefit per calendar year for Prolia® (denosumab). The patient is responsible for costs above this amount. Call 1-844-369-9962 for more information about the annual Maximum Program Benefit.

Why are uninsured, cash-paying patients not eligible for the Prolia® Co-pay Program?

The Prolia® Co-pay Program is intended to help commercially insured patients cover the cost of their co-pay or deductible for Prolia® (denosumab). Uninsured patients requiring assistance may be directed to The Amgen Safety Net Foundation at 1-888-SN-AMGEN (1-888-762-6436) to request assistance. The foundation helps support uninsured patients and certain underinsured patients with financial need who do not have coverage for Prolia® or other Amgen medications, and are not eligible for other support options such as Medicare or Medicaid.

Are there financial resources available to people on Medicare or Medicaid?

Amgen Assist® can refer patients, as a courtesy, to independent co-pay foundations. Provided through independent charitable patient assistance programs, eligibility in these foundation programs is based on criteria established by the charity. Amgen has no control over independent, third-party programs. For more information, contact Amgen Assist® at 1-866-264-2778.

Is annual re-enrollment in the Prolia® Co-pay Program necessary?

Once your office is enrolled in the Program, there is no need for your office to re-enroll. However, a Prolia® patient's Co-pay Program benefits renew every 12 months and patients need to re-verify their eligibility on a yearly basis. Annual benefits remain in effect for 12 months from the date of enrollment. At that time, participants will need to re-verify their benefits by logging into www.ProliaSupport.com or calling 1-844-369-9962 to ensure they still meet the program's eligibility criteria. Once benefits are re-verified and eligibility reconfirmed, the calendar year maximum benefits will automatically reset.

Can the Prolia® Co-pay Program MasterCard® be used with mail order and specialty pharmacies?

Yes, the Prolia® Co-pay Program card can be used at pharmacies. Patients should provide the Rx BIN number and member ID that is printed on the card when filling their prescription.

Can patients use their Co-pay Card for Prolia®-related office visits?

No. The Prolia® Co-pay Program covers out-of-pocket medication costs for Prolia® only. It does not provide support for supplies, procedures, or any physician-related services associated with Prolia®, including office visits or administration of Prolia®.

Does the Explanation of Benefits (EOB) have to be faxed after each dose?

Ongoing eligibility in the program is contingent on submission of the patient's Explanation of Benefits (EOB) within 180 days of each and every swipe of the Prolia® Co-pay Card. To submit EOB and other relevant documentation, please fax 1-844-369-9961 or mail to or upload electronically via your portal:

ConnectiveRx
100 Passaic Avenue, Suite 245
Fairfield, NJ 07004
ATTN: Prolia Co-pay Program.

What if there is a delay in getting the EOB?

If the EOB is not received within 180 days, the card will be deactivated. Patients will be responsible for reimbursing the program for all amounts paid out if the EOB for the date of service is not received within 180 days. If you require any further extension on a specific case, call the Help Desk at 1-844-369-9962.