denosumab
| 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; dssb 60 mg/mL; kyqq 60 mg/mL; kyqq 120 mg/1.7 mL; nxxp 60 mg/mL; nxxp 120 mg/1.7 mL; qbde 60 mg/mL; qbde 120 mg/1.7 mL | restricted to outpatient use only |
Chemotherapy Chart
Medication
Reference Drug or Biosimilar
Formulary Status
Automatic Therapeutic Interchange
Inpatient1
Outpatient
*New Starts/New Authorizations Only*
Wyost (denosumab-bbdz)
Biosimilar
Formulary, restricted to OP (preferred)
NFT approval is needed
Use Wyost unless third party payer requires other denosumab product
Xgeva (denosumab)
Reference
Formulary, restricted to OP
(not preferred)
Interchange to Wyost unless third party payer requires other denosumab product
Osenvelt (denosumab-bmwo)
Bomyntra (denosumab-bnht)
Xbryk (denosumab-dssb)
Bilprevda (denosumab-nxxp)
Aukelso (denosumab-kyqq)
Xtrenbo (denosumab-qbde)
Oziltus (denosumab-mobz)
Jubereq (denosumab-desu)
Biosimilars
Medication
Reference Drug or Biosimilar
Formulary Status
Automatic Therapeutic Interchange
Inpatient1
Outpatient
*New Starts/New Authorizations Only*
Jubbonti (denosumab-bbdz)
Biosimilar
Formulary, restricted to OP (preferred)
NFT approval is needed
Use Jubbonti unless third party payer requires other denosumab product
Prolia (denosumab)
Reference
Formulary, restricted to OP
(not preferred)
Interchange to Jubbonti unless third party payer requires other denosumab product
Stoboclo (denosumab-bmwo)
Conexxence (denosumab-bnht)
Ospomyv (denosumab-dssb)
Bildyos (denosumab-nxxp)
Bosaya (denosumab-kyqq)
Enoby (denosumab-qbde)
Boncresa (denosumab-mobz)
Osvyrti (denosumab-desu)
Biosimilars