@lag I am not saying it is not effective, just not the best. The insurance bean counters will always choose the least expensive treatment (Zytiga with prednisone for side effects and Lupron with Casodex for the flare) and if that is all you can get you should go for it. Some doctors will follow the path of least resistance and not mention medications if they know they will need to appeal a denial unless the patient insists. Patients with moderate heart problems should not be prescribed Zytiga. Those prescribed have double the risk of moderate issues at 6% vs 3%.
>> If on US commercial insurance Orgovyx has a savers program for $10/mth copay for everyone, so this is more an insurance expense issue vs. patient.