Approved Formulary
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Approved Formulary
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denosumab

denosumab
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-formulary Interchange
Prolia SOLUTION FOR INJECTION 60 mg/ml (1ml) prefilled syr      
Bomyntra (-bnht) SOLUTION FOR INJECTION 120 mg/ 1.7 ml      
Xgeva SOLUTION FOR INJECTION 120 mg/1.7 ml vial      


Comments:

Denosumab is a RESTRICTED formulary medication.  Denosumab use is restricted to Hem/Onc prescribers and will only be stocked pursuant to an active patient whose insurance requires buy and bill.  White bag is the primary insurance preference for this medication. 

Preferred biosimilar agent for Inpatient use: Bomyntra (-bnht)

Non-Preferred agents will only be procured for scheduled infusion patients with an approved PA whose insurance will not cover our preferred agent(s).


Last updated: Feb. 26, 2026


Pharmacy Phone Numbers:
Inpatient Pharmacy: 205-638-9641
IV Room: 205-638-9716
Pharmacy Offices: 205-638-9718

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