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@kcraff777 What is the Medicare Pt D (prescription drugs) plan? Both are pills covered by part D. Out of pocket is capped at about $2K per year but Zytiga & Prednisone is going to cost $200-$300 per month while Nubeqa is going to be over $10K per month. Usually need a medical reason to get approval. Some plans may have step therapy (Nubeqa only after Zytiga fails). When insurance tells you its not about the money you can be sure it is about the money.

From a medical point if the patient can stand Zytiga doctors like to use that first not only because it is cheap but because Nubeqa will almost always work when Zytiga stops working but if you start on Nubeqa going to Zytiga is rarely effective.

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@jim18
Actually Zytiga is generic and I wasn’t paying more than about $40 for it.

Yes, my January order of Nubeqa Cost $.50 less than $2100 (This year‘s limit) So I didn’t have to pay anything for drugs for the rest of the year. Yes, that is expensive but worth it because of the lack of side effects, especially compared to Zytiga. He could also usually arrange to pay that over time.

There are a couple of other options for paying for Nubeqa. Bayer Has a deal with people that are lower income can get it for free. I know someone that’s gotten it for three years in a row for free.

Then there’s another option. Someone in this forum has come up with a website where they can get drugs at very low cost or pay nothing. Unfortunately, I did not capture the website somebody else reading this message may have been able to capture it and give you that information..

@jim18 Zytiga (Abiraterone) is now generic. You should not be quoted high prices like the ones you mention!