Last Updated on January 12, 2026
If you’re taking Prolia or Xgeva for osteoporosis or bone health, you’ve probably felt the financial strain. These medications can cost $1,500-2,000+ per injection at US pharmacies, and you need them every six months. That’s $3,000-4,000 annually just for one medication.
Here’s what many patients don’t know: you can buy Prolia Xgeva online from licensed international pharmacies at significantly lower prices – often saving 70-80% – without compromising quality or safety.
What Are Prolia and Xgeva?
Contents
- What Are Prolia and Xgeva?
- Why Prolia and Xgeva Cost So Much in the US
- How to Buy Prolia & Xgeva Online Safely
- Cost Comparison: US Pharmacies vs Online Options
- Who Should Consider Buying Prolia or Xgeva Online?
- Supporting Your Bone Health Beyond Medication
- What to Expect When Ordering Online
- Important Safety Reminders
- Start Saving on Your Bone Health Treatment
- Frequently Asked Questions
- Is it legal to buy Prolia and Xgeva online from international pharmacies?
- Will my insurance cover Prolia or Xgeva from an international pharmacy?
- How do I know the medication is authentic?
- What’s the difference between Prolia and Xgeva?
- How should I store Prolia and Xgeva?
- Can I administer the injection myself?
- What if I miss a dose?
- How long does shipping take?
Both Prolia and Xgeva contain denosumab, a medication that prevents bone breakdown and strengthens bones. While they contain the same active ingredient, they’re prescribed for different situations.
Prolia is primarily used for:
- Postmenopausal osteoporosis in women at high fracture risk
- Bone loss in men receiving hormone therapy for prostate cancer
- Bone loss in women receiving hormone therapy for breast cancer
- Osteoporosis in men at high fracture risk
Xgeva is used for:
- Preventing bone complications in cancer patients with bone metastases
- Treating giant cell tumors of the bone
- Preventing fractures in cancer patients
Your doctor determines which medication fits your specific condition. Both require injections every 6 months for Prolia or monthly for Xgeva, depending on your treatment plan.
Why Prolia and Xgeva Cost So Much in the US
The United States doesn’t regulate prescription drug prices like most countries do. Pharmaceutical companies can charge whatever they want, and US pharmacies add their markup on top.
Countries like Israel have government health agencies that negotiate maximum prices for medications. Israel’s pharmaceutical industry operates under strict Ministry of Health oversight, ensuring quality while keeping costs reasonable.
This is why you can buy Prolia Xgeva online from Israeli pharmacies for $480 per injection compared to $1,500-2,000+ in the US – same medication, different pricing regulations.
How to Buy Prolia & Xgeva Online Safely
Safety is the number one concern when ordering medications online. Here’s what to look for when you buy Prolia Xgeva online:
1. Verify Prescription Requirements
Legitimate pharmacies always require a valid prescription. If a website offers to sell Prolia or Xgeva without one, that’s a major red flag. These are powerful medications that require medical oversight.
Tel Aviv Pharma requires prescriptions for all orders. You can submit yours by fax (1-800-439-5336), email, or have your doctor send it directly.
2. Check for Licensed Pharmacist Support
Real pharmacies have licensed pharmacists available to answer questions about your medication, storage requirements, and administration. You should be able to call and speak with someone knowledgeable – not just a sales representative.
Tel Aviv Pharma provides pharmacist support at 1-800-467-7060 during business hours.
3. Confirm Regulatory Oversight
Your medication should come from countries with strong pharmaceutical regulations. Israeli pharmacies operate under Ministry of Health supervision, maintaining standards comparable to the FDA.
4. Verify Proper Storage and Shipping
Prolia and Xgeva must be refrigerated. Legitimate pharmacies use temperature-controlled shipping to maintain medication effectiveness. Ask about their shipping methods before ordering.
5. Look for Clear Contact Information
Trustworthy pharmacies don’t hide. They provide phone numbers, physical addresses, and multiple contact methods. Avoid pharmacies you can only reach through web forms.
Cost Comparison: US Pharmacies vs Online Options
Let’s look at real numbers:
US Retail Pharmacies:
- Prolia (60mg injection): $1,500-2,000 per dose
- Xgeva (120mg injection): $1,800-2,200 per dose
- Annual cost for Prolia (2 doses): $3,000-4,000
- Even with insurance, co-pays can be $200-500 per injection
Tel Aviv Pharma Pricing:
- Prolia: $480 per dose
- Xgeva: $480 per dose
- Annual savings on Prolia: $2,000-3,000+
For patients without insurance or with high-deductible plans, these savings are life-changing. Even with insurance, many people find international pricing lower than their US co-pays.
Who Should Consider Buying Prolia or Xgeva Online?
You’re a good candidate if you:
- Have no insurance coverage for Prolia or Xgeva
- Face high deductibles before insurance kicks in
- Pay expensive co-pays even with insurance
- Need long-term treatment and want to reduce yearly costs
- Are comfortable with 7-10 day shipping times
Stick with local pharmacies if you:
- Have excellent insurance with minimal co-pays
- Need your medication urgently (within 24-48 hours)
- Prefer face-to-face interactions for injections
Supporting Your Bone Health Beyond Medication
While Prolia and Xgeva are powerful treatments, supporting your bone health through lifestyle choices enhances their effectiveness:
- Calcium and Vitamin D: Essential for bone strength. Your doctor may recommend supplements alongside Prolia or Xgeva.
- Weight-bearing exercise: Walking, dancing, or light resistance training helps maintain bone density
- Avoid smoking and excessive alcohol: Both interfere with bone health
- Regular bone density tests: Monitor your progress and medication effectiveness
If you need additional osteoporosis medications or calcium supplements like Fosamax, combining treatments often provides better results.

What to Expect When Ordering Online
Understanding the process helps you feel confident when you buy Prolia Xgeva online:
Step 1: Get Your Prescription
Talk to your doctor about your current treatment. Request a prescription that you can use for online ordering.
Step 2: Submit Your Order
Visit the Prolia/Xgeva product page, select your medication and quantity, then complete checkout.
Step 3: Send Your Prescription
Fax, email, or have your doctor send your prescription to Tel Aviv Pharma. Check our detailed ordering instructions for submission methods.
Step 4: Receive Your Medication
Your order ships via temperature-controlled delivery within 7-10 business days. Tracking information is provided so you can monitor shipment progress.
Step 5: Store Properly
Refrigerate immediately upon arrival. Don’t freeze. Keep in original packaging until ready to use.
Important Safety Reminders
Prolia and Xgeva are powerful medications that require careful use:
- Never skip dental checkups – these medications can affect jaw bone health
- Report any new thigh, hip, or groin pain to your doctor immediately
- Maintain adequate calcium and vitamin D intake as directed
- Don’t stop treatment suddenly without consulting your doctor
- Keep all follow-up appointments for monitoring
If you experience severe bone pain, unusual fractures, or signs of infection, contact your healthcare provider right away.
Start Saving on Your Bone Health Treatment
You don’t have to choose between your bone health and your budget. When you buy Prolia Xgeva online from licensed international pharmacies, you get authentic medications at prices that won’t drain your savings.
Thousands of patients have successfully switched to affordable international sources without compromising treatment quality. The medications come from the same manufacturers – only the prices differ due to government regulation.
Ready to reduce your medication costs? Visit our Prolia and Xgeva product page or call 1-800-467-7060 to speak with licensed pharmacists about your options.
For more information about safely ordering medications online, read our guide on buying prescription medications safely.
Frequently Asked Questions
Is it legal to buy Prolia and Xgeva online from international pharmacies?
The FDA allows personal importation of up to a 90-day supply of non-controlled medications for personal use. While technically in a gray area, millions of Americans safely order internationally every year, and no individual has been prosecuted for importing small quantities for personal use.
Will my insurance cover Prolia or Xgeva from an international pharmacy?
Most US insurance plans don’t cover international pharmacy purchases directly. However, the cash prices are often lower than your insurance co-pay would be anyway. Some patients submit receipts for possible reimbursement, though approval isn’t guaranteed.
How do I know the medication is authentic?
Licensed pharmacies like Tel Aviv Pharma source directly from authorized distributors under Israeli Ministry of Health supervision. The medications come in original manufacturer packaging with proper labeling and lot numbers.
What’s the difference between Prolia and Xgeva?
Both contain denosumab, but Prolia treats osteoporosis with injections every 6 months, while Xgeva prevents bone complications in cancer patients with more frequent dosing. Your doctor determines which is appropriate for your condition.
How should I store Prolia and Xgeva?
Both medications must be refrigerated at 36-46°F (2-8°C). Don’t freeze. Keep in the original carton to protect from light. Remove from refrigerator 15-30 minutes before injection to reach room temperature.
Can I administer the injection myself?
Prolia and Xgeva injections are typically given by healthcare professionals. However, some patients or caregivers are trained to administer them at home. Discuss this option with your doctor if you’re ordering online.
What if I miss a dose?
Contact your doctor immediately if you miss a scheduled dose. The timing of Prolia and Xgeva injections is important for maintaining bone protection. Your doctor will advise on when to receive your next injection.
How long does shipping take?
International orders typically arrive in 7-10 business days via temperature-controlled shipping. Plan ahead and order before you run out to ensure continuous treatment. Tracking information is provided for all shipments.

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