Search results for:

denosumab

denosumab
Brand names: Bomyntra, Bomyntra Prefilled Syringe, Conexxence Prefilled Syringe, Jubbonti Prefilled Syringe, Osenvelt, Prolia, Stoboclo Prefilled Syringe, Wyost, Xgeva
Form Strength ANAN ASMP LACH LALK LOHH LOLR LOWC SDSD SESE SFSF Formulary Status
SOLUTION, SUBCUTANEOUS 60 mg/mL; 120 mg/1.7 mL; bbdz 60 mg/mL; bbdz 120 mg/1.7 mL; bmwo 60 mg/mL; bmwo 120 mg/1.7 mL; bnht 60 mg/mL; bnht 120 mg/1.7 mL         restricted


Comments:

Chemotherapy Chart

Medication

Reference Drug or Biosimilar

Formulary Status

Automatic Therapeutic Interchange

Inpatient1

Outpatient

*New Starts/New Authorizations Only*

Xgeva (denosumab)

Reference

Formulary,    restricted to OP (preferred)

NFT approval is needed

Use Xgeva unless third party payer requires other denosumab product

Wyost (denosumab-bbdz)

Osenvelt (denosumab-bmwo)

Bomyntra (denosumab-bnht)

Xbryk (denosumab-dssb)

Biosimilars

Formulary, restricted to OP

(not preferred)

Interchange to Xgeva unless third party payer requires other denosumab product

 

Medication

Reference Drug or Biosimilar

Formulary Status

Automatic Therapeutic Interchange

Inpatient1

Outpatient

*New Starts/New Authorizations Only*

Prolia (denosumab)

Reference

Formulary,    restricted to OP (preferred)

NFT approval is needed

Use Prolia unless third party payer requires other denosumab product

Jubbonti (denosumab-bbdz)

Stoboclo (denosumab-bmwo)

Conexxence (denosumab-bnht)

Ospomyv (denosumab-dssb)

Biosimilars

Formulary, restricted to OP

(not preferred)

Interchange to Prolia unless third party payer requires other denosumab product

 


Last updated: Oct. 15, 2025



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