Register Your Prolia® Co-pay Card

To register your Prolia® Co-pay Card, just follow these 4 steps.

1. Check Your Eligibility

After you answer a few "Yes" or "No" questions, we'll determine if you're eligible for the Prolia® Co-pay Program.

2. Enter Personal Information

You'll be asked to provide personal information, such as your name, address, and birth date.

3. Enter Card Information

You'll need to have your Prolia® Co-pay Card (if available) and Commercial Insurance Card to fill out this section.

4. Enter Doctor Information

You'll need to enter your doctor's first and last name, as well as the city and state of his/her office.

Rather Enroll By Phone?

Call the Prolia® Co-pay Program at