Orgovyx prices world wide

I got Orgovyx approved by my pharmacy plan. Discount was $70 pill and insurance paid $50; my copay was $10/month with the makers savings plan (not income based). All brand drugs are high in the US. It is not legal to import to US, but personal use medications less than 90 days are not usually stopped. India made Xtandi can be obtained for about $400 per month (160mg/day) and Erleada about $800 per month (240mg/day). Both near patent expirations starting in 2027. Branded are about 30% of US prices so $120/day vs $400/day.

We got a month's supply of Orgoyx from India for about $100 a few months ago.

The full retail price for Orgovyx at an Ontario pharmacy is about U.S. $215/month, the same as Firmagon (I pay $0 thanks to the provincial drug benefit), but you do need a prescription from a Canadian physician.

It would be $90 a pill if you paid full price, But insurance usually covers at least 80-90% or so of the cost. Even if it was $90 a pill the maximum $2100 limit for Medicare payments for prescription drugs Would have resulted in you only paying $70 per pill the first month if you had to pay the full amount. It would then cost nothing for the rest of the year.

My Orgovyx is essentially free all year. I get my prescription for Darolutamide First and it cost around $2100. As a result, my second prescription for Orgovyx is free. Orgovyx cost more than $400 per pill. I pay $70 the first month.

Curious how many of you have actually imported expensive ADT drugs into the US? It is my understanding there is a many week lag time for the drugs to actually arrive to your home. I was considering this when I started Orgovyx as my medicare hadn't kicked in. The Canadian postal system was preparing to go on strike and they couldn't guarantee delivery so had to bite the bullet. Pharmacy at doctors office discovered they had a deep discount program with the first month very inexpensive without having to do all of the qualifying paperwork until the second month.

France is 60 euros for a 30-day supply, although it is free once you have an established diagnosis. $2900/month is the US, but you can probably find cheaper.

Loosely related: Erleada (apalutamide) and Xtandi (enzalutamide) are on the list for Medicare pricing negotiations. Considering the $16k/mo (!) price for Erleada, that would be incredible.

My Orgovys was @$1000/month. Because of medicare, I hit the max at $2K and free after that. I think using reputable foreign pharmacies makes a lot of sense.

Orgovyx through my Aetna Medicare Advantage/Express Scripts is $125/mo. or $250/3 mo. Through Biologics by McKesson pharmacy, I was connected with a grant to cover a year’s co-insurance. After that, my combination of Orgovyx and Eliquis jump right through the $2100 Medicare maximum and are „free“ for most of the year.

My primary care doctor practices in Canada and the US, so she has a license to prescribe in Canada. She writes prescriptions for her US patients who want them filled in Canada.

I inquired at the US border crossing in Blaine, Washington, some years ago, as to what their policy was then about crossing the border into the US with Canadian prescription drugs. They said "this port" allows them in no problem, as long as you declare what you have. I regularly brought in my prescription for Xarelto (a blood thinner) with no problems. I didn't have a primary care doc in the US who could write Canadian prescriptions at that time so I would go to a Canadian same day clinic, ask a doc there for a prescription, they would give it, and proceed from there. The copay for Xarelto in the US was more than the full cost an uninsured foreigner would pay in Canada at the time.

I just use Part D Medicare drug insurance these days and let the US gov't pay the exorbitant cost of my Orgovyx and Eliquis, because of the yearly copay limit.

I can understand a national policy to let drug companies charge what the market will bear for a certain number of years until generics are allowed to compete - it is a good idea to encourage new drug development.

The abuses come when the companies somehow get patents extended with various sorts of chicanery, or use other means to restrict the supply or availability of generic competition. When a new use was discovered for Thalidomide, i.e. it could cure certain cancers, this decades old drug was marketed for hundreds of thousands of $$ in Canada where I lived at the time. It was preposterous.

@jeffmarc Ditto for me. I reach my Medicare Rx max in February. After that my Orgovyx, Nubeqa, Imbruvica, and Farxiga are no cost. If that $2100 max is sadistically removed I’m a dead duck.