It's really weird here with Orgovyx. It's $2,500 a month if you're uninsured. If you're insured by a private health insurer, you need to get a preauthorization for it. I was somehow able to get this--not sure what my doctor wrote to let me take Orgovyx instead of Lupron. Lupron is the standard drug most insurance companies will approve.

The weird part is that, if you have private insurance, the company that makes Orgovyx will pick up all of your copay except for $10. My copay would have been $100 but they pay $90 of it. If you're on government insurance, though (Medicare or Medicaid) they won't pick up the copay.

I know there must be big bucks in it, though, because my cancer center provides it to me directly instead of me going through a pharmacy like I do for other prescriptions, i.e. the cancer center is making money on it instead of the pharmacy.