What type of drug is J0897?
Asked by: Moriah Goldner | Last update: September 1, 2025Score: 4.2/5 (26 votes)
What is the CPT code J0897 used for?
HCPCS Code for Injection, denosumab, 1 mg J0897.
What tier of drug is Prolia?
What drug tier is Prolia typically on? Medicare prescription drug plans typically list Prolia on Tier 4 of their formulary.
How much does a Prolia shot cost without insurance?
How much does Prolia cost without insurance? If you do not have health insurance coverage, then your out-of-pocket costs for Prolia may be as high as $2,201.2 for 1, 1ML of 60MG/ML Syringe. Save on this total by using a SingleCare Prolia coupon.
Is Prolia a high risk medication?
Additional Information for Health Care Professionals
FDA is adding a Boxed Warning stating the osteoporosis medicine Prolia increases the risk of severe hypocalcemia in patients with advanced CKD, including on dialysis, and that this risk is further increased in the presence of CKD-MBD.
E/M Coding Documentation and Guidelines
What are the three worst bone density drugs?
- Synthetic Glucocorticoids (e.g. Prednisone) ...
- Breast Cancer Drugs. ...
- Prostate Cancer Drugs. ...
- “Heartburn” Drugs. ...
- Depo-Provera. ...
- Excessive Thyroid Hormone Replacement. ...
- Anti-seizure and Mood-altering Drugs. ...
- Blood Pressure Medication.
What is the downside of taking Prolia?
Yes, rarely, Prolia (denosumab) can cause bad side effects such as: Serious allergic reactions with low blood pressure, throat tightness, trouble breathing, swelling of the face, eyes, lips, tongue or throat, skin rash, hives, and itching.
What is the new alternative to Prolia?
FDA approved Jubbonti (denosumab-bbdz) injection as an interchangeable biosimilar to U.S.-licensed Prolia (denosumab), and Wyost (denosumab-bbdz) injection as an interchangeable biosimilar to U.S.-licensed Xgeva (denosumab).
Will Medicare pay for Prolia injections?
The majority of commercial and Medicare plans cover Prolia®. The list price for Prolia® is $1,875.43 †,‡ per injection every six months. Most patients do not pay the list price. Your actual cost will vary.
What do dentists say about Prolia?
Recent studies indicate an association between Prolia use and an increased risk of complications, including osteonecrosis of the jaw, following dental procedures.
Why do doctors push Prolia?
It helps stop the development of bone-removing cells before they can reach and damage the bone. Prolia® works by targeting a molecule that the bone-removing cells need in order to work. Prolia® helps stop the development of bone-removing cells before they can reach and damage the bone.
What is the best drink for bone density?
- 8 ounces of orange juice fortified with calcium and vitamin D.
- A mixture of fortified orange juice and seltzer or club soda that's free of phosphoric acid.
What is the safest osteoporosis drug to take?
Teriparatide and abaloparatide are safe and generally well-tolerated medications.
What are the uses of j0897?
- Prevention of fracture in patients with multiple myeloma.
- Prevention of fractures in patients with bone metastases from solid tumors.
- Treatment of patients with giant cell tumor of bone that is unresectable or where surgical resection is likely to result in severe morbidity.
How many Prolia shots are required?
Prolia should be administered by a healthcare professional. The recommended dose of Prolia is 60 mg administered as a single subcutaneous injection once every 6 months.
What drugs should not be taken with Prolia?
- calcimimetic agents such as cinacalcet.
- chemotherapy agents, such as cyclophosphamide, methotrexate, or bleomycin.
- corticosteroids (such as prednisone or dexamethasone)
- immunosuppressants (such as azathioprine, cyclosporine, or tacrolimus).
Why is Prolia so expensive?
Prolia is available only as a brand-name biologic drug. Currently, it doesn't come in a biosimilar version. A biosimilar medication is a drug that's similar to a brand-name biologic drug (the parent drug). Also, biosimilars tend to cost less than brand-name medications.
How many years should you get Prolia injections?
Jonathan Adachi how long a patient can take Prolia. At that time, Dr. Adachi recommended that patients that start Prolia should continue the treatment for ten years.
What should you not drink if you have osteoporosis?
People with osteoporosis should avoid foods with added sugar, excess sodium, and saturated fat—as well as soda, alcohol, and caffeine.
What is the new drug for osteoporosis in 2024?
Abaloparatide is an anabolic drug and works in a slightly different way to many other drug treatments by stimulating bone formation. This new alternative has the potential to change thousands of lives by keeping people safe from life-changing spinal fractures and broken hips.
Which is safer, Fosamax or Prolia?
And when comparing Prolia versus Fosamax, Prolia may be preferred for people who are at very high risk for fracture. The most common side effects of Boniva and Fosamax are gastrointestinal symptoms like indigestion, nausea, and diarrhea.
Which fruit is best for bones?
Figs contain minerals and vitamins that are essential for bone health. One cup of stewed figs has about 180 milligrams of calcium, plus some vitamins C and vitamin K. Raw figs are low in calories and high in fiber, so they're good for your diet—a couple of raw figs can give you about 24 milligrams of calcium.
What is the controversy with Prolia?
Denosumab (Prolia) goes even further in interfering with immune factors to prevent the natural process of bone breakdown and renewal: A full 6% of those who use Prolia will develop a spontaneous vertebral fracture after stopping the drug, unless they're put immediately on a strong bone drug like Reclast to halt bone ...
Can you live with osteoporosis without medication?
If you decide not to take a drug treatment, it is likely that your bones will get weaker over time. This means your chance of breaking a bone will increase. Some people may never break any bones, while others may break several.