Orgovyx was covered under my Medicare Part D drug coverage as a Tier 5 med w/ 25% copay.

No special approval required; just a significant out of pocket cost. However others have different coverage and there can be financial assistance in some cases.

Injectables should be covered in whole or in large part under Medicare Part B or commercial insurance.

Just an additional comment to your very helpful post.

And while I was fine with the "daily dose at same time", for some men a "set it and forget it" 3 or 6 mo injection may result in better patient compliance.