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What's your experience with Orgovyx (relugolix)?

Prostate Cancer | Last Active: Nov 8 3:43pm | Replies (171)

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@seasuite

Here's a brief recap of my, all bad, experience trying to get help paying for Orgovyx. I'm wondering if I should start a separate thread as a warning to others:
- After a multitude of calls and appeals, Orgovyx told me that my income of Social Security only, for my wife and I (I retired at 70), exceeded the limit for assistance. That is insane to me!
- After 3 appeals of my denial for a Tier Exception from Cigna, including an independent review, I gave up this effort.
- My provider offered a voucher, free one month supply, but it says only for those who have never tried Orgovyx.

So, the claim on orgovyxpricing.com that 3 of 4 patients with Plan D supplement will have less than $100 co-pays, reminds me of two animals, bulls and horses.

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Replies to "Here's a brief recap of my, all bad, experience trying to get help paying for Orgovyx...."

@seasuite, did you have an oncology social worker help with the submission? Sometimes they can make headway where an individual cannot.