@lacraig1 Yes, and since it's out of patent, you can get generic Abieraterone (same thing) down there in the States for much less than that: about US $20–40/month from CostPlus, + under $10/month for the Prednisone. So even someone without insurance can afford it.

By comparison, Apalutamide costs US $16,000/month down there. It doesn't require you to take a steroid, and it has show astounding results in big trials like TITAN (and in my personal experience: it has literally given me my life back), but your insurers will steer you away from it because of the $$$.

However, if it turns out to be the steroid that's making your life miserable, you might be able to make a case for one of the -lutamides.

(For me, the Ontario government pays "only" CA $3,374/month — about US $2,450 — for my Apalutamide, because drugs cost less outside the U.S.).

Best of luck!

@lacraig1 "My Zytiga costs $1500 a month". I'm thinking you may need to shop around. I pay $76 a month after I was paying much more than that from a place my doctors sent me to. I now go to one of my local supermarket pharmacies for mine. Talk to local pharmacies and ask them what kind of discounts are available.
Good luck!

@lacraig1 my husband is getting zytiga too and next year insurance doesn't cover it and he really doesn't want lupron.... anyways the office said there might be manufacture help in some way, we'll see when the year rolls around.