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What's your experience with Orgovyx (relugolix)?

Prostate Cancer | Last Active: 2 days ago | Replies (173)

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@cheriekhan

What kind of Cigna insurance do you have? I have Cigna open access and wondering how much orgovyx will cost. Cigna said they need pre authorization before they tell me how much it is. My husband haha been told he will be given the 3 month shot of lupron. But when I read the side effects I prefer orgovyx. He did extremely well on his loading dose with dexitral.

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Replies to "What kind of Cigna insurance do you have? I have Cigna open access and wondering how..."

I was denied on first go around on Orgovyx. Had to appeal. I pay $200/ mo and just took my first load dose a few days ago. I started with a 30 day shot of Eliguard. I have prior cardiovascular issues and asked for the Orgovyx also.
I get several hot flashes per day but was getting them before I started the Orgovyx.

We had Extra, the top plan. The lower cost plans cover the same 50% on Tier IV drugs. Our pricey Extra plan is only lower for tiers 1 thru 3.
https://www.cigna.com/medicare/member-resources/drug-list-formulary#medicarepartd
As mentioned, I tried everything to get a tier exemption or help from Orgovyx. I even wrote to the Pfizer CEO stating how his website says, "90% of Medicare patients pay $100/month." The only saving grace was I needed just 4 months. They are shady characters who mislead customers.

We dumped Cigna and went with a much lower cost Wellcare Value Script 2024, have been lots happier.