Hi Steve:  Generally iv bisphosphonates are prescribed because the patient either has gastro intestinal problems with the oral form or there is a compliance issue (forgetting to take the treatment).

According to Novartis, MC covers reclast in most situations, so if you have this coverage, check with MC and ask if it's covered under your part *B* insurance.  Reclast is not covered under the drug plan(part D) because it's not a med that can be filled at a pharmacy, it's under part B because it's administered at an infusion center, or hospital.

Here's the link to Novartis that should give you info on coverage.  I don't know if convenience is considered when the insurance co decides what they will or will not pay for, so you would have to check with your carrier.  Since all insurances vary it's impossible to say what your's will do.  If you do have MC, then I would read the Novartis site, since it does say that it is covered in most cases.

If you are also looking into Boniva, you would have to check that out the same way.

Some insurance co's require a trial of an oral bisphosphonate before and iv will be approved, *however* not all of them do this, so it's really an individual decision made by each carrier.

If you have trouble with coverage and you do have MC, you can also submit a drug exception form, which your Dr would have to fill out, but this is only if they don't cover it for some reason.  You are entitled to file a drug exception or tier change under any policy, so if you ever run into problems where the copay is too high or a drug isn't covered, call your insurer and ask how you go about filing either of the above. 

Good luck with this.  I'm not aware of any position papers on this, but will let you know if I run across one.