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Profile picture for northoftheborder @northoftheborder

The punchline (??) is that here in Canada, Orgovyx is priced *exactly* the same as Firmagon (about US $215/month retail), so there's no excuse for governments or private insurers to push back against prescribing it, like they sometimes do in the U.S.

However, patients are still often getting prescribed Lupron or Firmagon first. That makes sense for a patient with dementia, who might not remember to take a daily pill, but otherwise a small pill is *always* preferable to big needle stuck into your abdomen. 😕

I suspect Orgovyx is just not on many Canadian oncologists' radar yet (it didn't become widely available here until 2024, and provinces and private insurers didn't start covering it until 2025).

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Replies to "The punchline (??) is that here in Canada, Orgovyx is priced *exactly* the same as Firmagon..."

@northoftheborder
I always had my Lupron and Eligard shots in the hip,

@northoftheborder @stephenz
Hubby was prescribed the injectable first, but the pill they put you on to prepare for that (sorry, the name of it isn’t coming to me right now) gave him the side effects of a pounding heart pretty much right away. They took him off that and he’s now on Orgovyx (Relugalux) and it’s been great for him.
The oncologist said that Relugalux wasn’t the first ‘go to’ medication here yet, but didn’t hesitate to prescribe it.

@northoftheborder Apparently it can be purchased through Canadian mail order Pharmacies from the US for $400 USD. It seems they purchased it overseas. I just wasn't comfortable doing that and at the time there was a potential mail strike in the works in Canada. Any idea if that is legit up there? I had one month left when my wife retired and switched to Medicare. I got a one time free prescription through some pharma plan at my Doc's office.