denosumab
| Drug Name | Form | Strength | Non-Formulary | Restricted | Renal Dosing | REMS | Therapeutic Interchange | Notes |
|---|---|---|---|---|---|---|---|---|
| Bildyos (nxxp) | SOLUTION, SUBCUTANEOUS | nxxp 60 mg/mL | RMH preferred biosimilar (inpatient) | |||||
| Bilprevda (nxxp) | SOLUTION, SUBCUTANEOUS | nxxp 120 mg/1.7 mL | RMH preferred biosimilar (inpatient) | |||||
| Bomyntra (bnht) | SOLUTION, SUBCUTANEOUS | bnht 120 mg/1.7 mL | requires pre-approval | |||||
| Conexxence (bnht) | SOLUTION, SUBCUTANEOUS | bnht 60 mg/mL | ||||||
| Enoby (qbde) | SOLUTION, SUBCUTANEOUS | qbde 60 mg/mL | ||||||
| Jubbonti (bbdz) | SOLUTION, SUBCUTANEOUS | bbdz 60 mg/mL | RMH preferred biosimilar (outpatient) | |||||
| Osenvelt (bmwo) | SOLUTION, SUBCUTANEOUS | bmwo 120 mg/1.7 mL | ||||||
| Ospomyv (dssb) | SOLUTION, SUBCUTANEOUS | dssb 60 mg/mL | ||||||
| Stoboclo (bmwo) | SOLUTION, SUBCUTANEOUS | bmwo 60 mg/mL | requires pre-approval | |||||
| Wyost (bbdz) | SOLUTION, SUBCUTANEOUS | bbdz 120 mg/1.7 mL | RMH preferred biosimilar (outpatient) | |||||
| Xtrenbo (qbde) | SOLUTION, SUBCUTANEOUS | qbde 120 mg/1.7 mL | ||||||
| Prolia | SOLUTION, SUBCUTANEOUS | 60 mg/mL | no restrictions | |||||
| Xgeva | SOLUTION, SUBCUTANEOUS | 120 mg/1.7 mL | no restrictions |
Prolia & Biosimilars:
-Inpatient: Bildyos is the preferred biosimilar for inpatient use. Inpatient use is restricted to: Approval by Endocrinology, Nephrology, or Oncology for indication of hypercalcemia in patients who have failed or intolerant to bisphosphonate therapy.
-Outpatient: Jubbonti and Stobolo are the preferred outpatient products. Other products are restricted to use when Jubbonti and Stoboclo are not covered by insurance. Financial review with verification of insurance coverage required before initiating therapy for outpatient administration.
Xgeva & Biosimilars:
-Inpatient: Bilprevda is the preferred biosimilar for inpatient use. Inpatient use is restricted to: Approval by Endocrinology, Nephrology, or Oncology for indication of hypercalcemia in patients who have failed or intolerant to bisphosphonate therapy.
-Outpatient: Osenvelt and Wyost are the preferred outpatient products. Other products are restricted to use when Osenvelt and Wyost are not covered by insurance. Financial review with verification of insurance coverage required before initiating therapy for outpatient administration.