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 | restricted |
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