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But denosumab is a first-in-class drug: It's a biologic, which means it will likely be much more expensive than its competitor drugs, some of which are available as cheaper generics. The drug also boasts an extremely convenient dosing regimen -- subcutaneous injection every six months.
He or she might also decide not to prescribe a biologic if: 1  You have had tuberculosis in the past that has not been treated. 2  You have had other infections that were not treated. 3  You have cancer. 4  You have or had heart failure. 5  You have certain neurologic disorders.