Tricare Coverage for Prolia (Denosumab) in Osteoporosis
Tricare covers Prolia (denosumab) for osteoporosis when prescribed by a military healthcare provider. Requirements:
- Fill at a Tricare network pharmacy.
- Prior authorization typically required.
- Coverage aligns with FDA indication: postmenopausal women/men at high fracture risk, or glucocorticoid-induced osteoporosis.
Beneficiaries should confirm current formulary status and PA criteria with their regional contractor (East/West/Overseas).
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