In Canada Orgovyx (as an alternative to Firmagon) became widely available only last spring, because Pfizer waited to get Health Canada approval until after it had done the big markets like the U.S. and EU.

While it's relatively inexpensive even at full retail (CA $315/US $220 per month, the same as Firmagon) it's not in the Ontario drug formulary yet, and most private insurerers won't cover it until it is, so doctors might be reluctant to prescribe it (I'm fortunate that my former radiation oncologist registered me in Pfizer's patient-access programme before he retired).