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← Return to Lupron or Not at 76?
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Prostate Cancer | Last Active: 12 hours ago | Replies (50)
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@jim18
I've looked into Orgovyx and am going to ask the urologist about it. Cost is an issue - I really don't know how preauthorizations work on my Part D plan but a year would cost $34,000 with no insurance which is doable. I'm more concerned about the quality of life than the length - I'd rather die from something else.
Thanks for the advice about exercise...this might be my biggest challenge.
Replies to "@jim18 I've looked into Orgovyx and am going to ask the urologist about it. Cost is..."
@tbgb50
This year Medicare has a maximum for what you will pay for drugs. It is $2100. I hit that in January this year when I ordered Darolutamide. From then, on all my drugs were free for the rest of the year.
I read that for 2027. It will be $2400 but I have not seen that confirmed in other articles.
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@tbgb50 If Orgovyx is covered you should get approval since there is no Part D alternative. Full cost for Lupron Depot is about $10K per year (part B) and Orgovyx is about $25K per year. On Orgovyx you will hit the Part D cap. ARSIs (Nubeqa, Erleada, Xtandi) are $10K+ per month.
Someone mentioned ArteraAI test. For high risk it is not if ADT is effective but will adding abiraterone help. This drug is generic and a relatively cheap alternative to the ARSIs (max $200 per month vs. min $10K) with worse side effects. Not sure this adds anything to the decision. See link to their site for what is provided.
https://artera.ai/prostate-test-report