Orgovyx (relugolix) is a prescription drug used to treat advanced prostate cancer. The cost of Orgovyx may depend on factors such as whether you have health insurance and the pharmacy you use.
The price you pay for Orgovyx can vary. To find out how much you’ll pay for Orgovyx, talk with your doctor, pharmacist, or insurance provider. Or check out the section below to learn how much you can save by using an Optum Perks coupon.
To save money on your Orgovyx prescription, explore these Optum Perks coupons.
Orgovyx only comes as a brand-name drug. It’s not currently available in a generic version. (A generic contains an exact copy of the active drug in a brand-name medication but tends to cost less.)
Why is there such a cost difference between brand-name drugs and generics?Years of research and testing are needed to ensure that brand-name drugs are safe and effective. This testing can make the drugs expensive. The manufacturer of a brand-name drug can sell the drug exclusively for up to 20 years. After that, other drugmakers can create generic versions. This competition in the market can lead to lower costs for generics. And because generics have the same active ingredients as brand-name drugs, they don’t need to be studied again. This can also lead to lower generic costs.
If you take Orgovyx long term, you may be able to lower your costs in the following ways:
- Look into getting a 90-day supply of your medication. You may be able to get a 90-day supply of Orgovyx if approved by your insurance company. This could reduce your number of trips to the pharmacy and help lower the cost of Orgovyx. If you’re interested in getting a 90-day supply of this drug, talk with your doctor, pharmacist, or insurance provider.
- Use a mail-order pharmacy to get your medication. Using a mail-order pharmacy might help lower your cost for Orgovyx. Plus, you could get your medication without leaving home. Some Medicare plans may help cover the cost of mail-order drugs. You may also be able to get a 90-day supply of the drug through mail order. If you don’t have health insurance, talk with your doctor or pharmacist. They may be able to suggest online pharmacy options that could work for you.
If you need help covering the cost of Orgovyx or understanding your insurance, check out these resources:
On these pages, you can find insurance information, details on drug assistance programs, and links to savings cards and other services.
If you have questions about how to pay for your prescription, talk with your doctor or pharmacist.
Below are answers to some frequently asked questions about Orgovyx and cost.
Is Orgovyx covered by Medicare?
It’s possible. To find out whether your Medicare plan covers the cost of Orgovyx, call your plan provider. There are many Medicare plans available, and your cost and coverage depend on your particular plan benefits.
Keep in mind that your plan may have prior authorization requirements before it’ll cover Orgovyx. (See the “Prior authorization” section below for more information.)
You can also ask your doctor about the cost of Orgovyx if you have Medicare.
How does the cost of Orgovyx compare with that of similar drugs, such as Lupron?
The cost of Orgovyx compared with similar drugs such as Lupron can depend on several factors.
For example, the form of the drug may affect the cost. Orgovyx comes as an oral tablet, while Lupron comes as an intramuscular injection given by a healthcare professional. You may have to pay a separate fee to receive Lupron injections at a clinic or doctor’s office.
Other factors that may affect how much you pay include:
- whether there are savings programs available for the drug you’re prescribed
- whether you have insurance or are paying out of pocket
- how long your treatment lasts
If you have questions about the cost of Orgovyx compared with that of similar medications, talk with your doctor, pharmacist, or insurance provider. They can share more details on treatment costs based on your specific situation.
How much does Orgovyx cost without insurance?
What you’ll pay for Orgovyx without insurance depends on several factors. Generally, your cost will be higher without insurance. Factors that could affect your cost include:
- whether you qualify and apply for savings programs
- the pharmacy you use
- the days’ supply of medication you receive (such as a 30-day or 90-day supply)
To find out the exact cost of Orgovyx without insurance, ask your doctor or pharmacist. You may also want to check with a few pharmacies to compare prices.
You can also visit Optum Perks* to get price estimates for Orgovyx when you use coupons from the site. It’s important to note that Optum Perks coupons cannot be used with any insurance copays or benefits.
* Optum Perks is a sister site of Healthline.
Optum Perks is owned by RVO Health. By clicking on this link, we may receive a commission. Learn more.
If you have insurance, you may need to get prior authorization before your insurance provider will cover Orgovyx. This means your insurer and your doctor will discuss Orgovyx in regard to your treatment. Then the insurance company will determine whether the drug is covered. If Orgovyx requires prior authorization and you don’t receive it before you start treatment, you could pay the full cost of the drug.
Be sure to ask your insurance company whether Orgovyx requires prior authorization.
If you still have questions about the cost of Orgovyx, talk with your doctor or pharmacist. They may be able to give you a better idea of what you’ll pay for this drug. But if you have health insurance, you’ll need to talk with your insurance provider to learn the actual cost you’d pay for Orgovyx.
Examples of questions you may want to ask your doctor or insurance provider include:
- How does the cost of Orgovyx compare with Firmagon?
- Are there generic medications to treat my condition which might cost less?
- Would I pay a higher price for Orgovyx with Medicare versus private insurance?
To learn more about Orgovyx, see these articles:
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Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.