Zoledronic Acid (zoledronic acid)

• Osteoporosis after menopause (treatment): women past menopause who have osteoporosis (thin, weak bones); Reclast.
• Osteoporosis after menopause (prevention): women past menopause, to prevent osteoporosis; Reclast.
• Osteoporosis in men: men with osteoporosis, to increase bone mass; Reclast.
• Steroid-induced (glucocorticoid-induced) osteoporosis: men and women who are starting or staying on steroid medicines taken by mouth or IV (such as prednisone) at or above the daily amount the label sets, and who expect to stay on them for at least 12 months, to treat or prevent this bone loss; Reclast.
• Paget's disease of bone: men and women with Paget's disease of bone (a disease that makes bones grow too big and weak) who have a high alkaline phosphatase blood test (2 or more times the upper limit of normal), have symptoms, or are at risk of problems from the disease; Reclast.
• High blood calcium caused by cancer (hypercalcemia of malignancy): people with cancer who have a high level of calcium in the blood; Zometa.
• Multiple myeloma and cancer that has spread to bone: people with multiple myeloma (a blood cancer) or with cancer from solid tumors that has spread to the bones, together with standard cancer treatment; for prostate cancer, the cancer must have grown after at least one hormone treatment; Zometa.

A prescription is required. Your prescriber decides whether Zoledronic Acid is right for you.

IV infusion, given by a healthcare professional. When your prescriber agrees it can be given at home, we send a skilled nurse from an accredited nursing agency to give it.

Before the first dose, your prescriber may ask for:

• a blood test of kidney function (creatinine) before each dose
• a blood test for calcium; low blood calcium and other mineral problems must be treated first
• a mouth exam, and for people with cancer or other risk factors, a dental exam with any needed dental care before starting
• a check that you have had enough fluids (are well hydrated)

Read the Medication Guide and the full Zoledronic Acid prescribing information, and ask your prescriber or our pharmacists about side effects. Our pharmacists are on call 24 hours a day.

Health plans often require prior authorization for Zoledronic Acid. Our intake team checks your coverage and works with your prescriber’s office on the paperwork before your first delivery.

Offices can call (844) 671-2600 or fax a referral to (844) 671-2601. Use the Osteoporosis Referral Form (PDF).