Forum - Questions & Answers
Aug 11th, 2010 - acatlett
Prolia 60mg injectible
Has anyone billed for this new osteoporosis medication? If so, what was your reimbursement and was it like the drug rep informed the doctors it would be? Did you use HCPCS J3490?
Aug 11th, 2010 - nmaguire 2,606
Depends
Payers will determine, based on the prescribing information including the instruction that Prolia should be administered by a Health Care Professional, whether Prolia is covered under their medical and/or pharmacy benefit. J code would be unlisted drug.