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ORGOVYX Support Program Patient Guide: How to Get ORGOVYX® (relugolix) at Low or No Cost

ORGOVYX® (relugolix) is a prescription medication used to treat advanced prostate cancer in adults, and the ORGOVYX Support Program helps eligible patients access it through copay assistance, free medication options, and other support services.[1][2][4] This guide explains eligibility, application steps, and resources to make treatment more affordable.

About ORGOVYX® (relugolix)

ORGOVYX is an oral tablet (120 mg) taken daily to lower testosterone levels, which can help manage advanced prostate cancer.[2][5] It's prescribed for adults and works by blocking hormone signals that fuel cancer growth. Common side effects may include hot flashes, fatigue, and muscle weakness—discuss these with your doctor. It's not for use in females or children, and you should not take it if you've had a severe allergic reaction to relugolix.[2] Always follow your healthcare provider's instructions and review the full Prescribing Information.

Who Qualifies for the ORGOVYX Support Program?

The program offers multiple pathways based on your insurance and financial situation:[1][4][5][6]

• Copay Assistance Program: For commercially insured patients (private insurance, not government programs). Pay as little as $10 per prescription, up to $10,000 savings per calendar year.[1][5]
• Patient Assistance Program (PAP): Free ORGOVYX for uninsured patients, those with insurance denial, or who can't afford out-of-pocket costs. Requires meeting financial criteria (income evaluation) and U.S. residency.[5][6][7]
• Bridge Program: Free supply (up to 4 months) for commercially insured patients facing coverage delays, lapses, or prior authorization waits. Max 3 refills.[4][5][7]
• Free Trial Program: Up to 2 months free for patients new to ORGOVYX.[4]

Key Requirements Across Programs:

• 18 years or older.
• Valid prescription for FDA-approved use (advanced prostate cancer).
• U.S., Puerto Rico, or U.S. Territories resident.[5][6]

Important: Not for Medicare, Medicaid, or other government programs (except possible Medicare Part D eligibility via separate support).[1][5][10]

Income Eligibility Breakdown

Income thresholds aren't publicly detailed but involve a financial evaluation for PAP.[5][6] Commercial copay and Bridge don't require income checks, only commercial insurance. Contact the program for personalized assessment: 1-833-ORGOVYX (1-833-674-6899), Mon-Fri 8 AM-8 PM ET.[2][4]

Insurance Requirements

• Commercial Insurance: Eligible for copay ($10 copay), Bridge, and Trial.[1][7]
• No Insurance or Denied: PAP if income qualifies.[5]
• Medicare/Medicaid: Ineligible for copay; explore other options like Medicare Part D support.[1][10] Program offers benefits investigation and prior authorization help.[5][6]

The support team checks your coverage and suggests the best option.[2]

Step-by-Step Application Process

1. Talk to Your Doctor: Ask them to e-prescribe to Mercalis Pharmacy (or TC Script) for automatic enrollment, or download the Patient Start Form.[1][6][7]
2. Complete Enrollment: Doctor and patient fill out the form (covers consent for support services).[5][6]
3. Submit: Fax to 1-844-826-8875 or e-prescribe. For copay, visit www.ORGOVYX.com or call.[5][8]
4. Support Team Contacts You: They confirm eligibility, handle benefits investigation, prior auth/appeals, and ship to pharmacy.[6]
5. Receive Medication: Via in-network specialty pharmacy; welcome kit may be sent.[2][5]

Call 1-833-ORGOVYX for help anytime.[2]

Timeline and Delivery

• Processing: Support team triages prescription quickly; benefits investigation starts upon receipt.[6] Approval varies—copay instant at pharmacy; PAP/Bridge may take days to weeks pending review.[5]
• Delivery: Shipped monthly to your pharmacy or doctor; refills as prescribed (e.g., max 3 for Bridge).[5][7] Expect 1-2 weeks for initial supply post-approval.
• Refills: PAP requires annual re-evaluation; copay resets yearly.[5][6]

Alternatives if Denied or Ineligible

• Appeal: Program helps with prior auth appeals or denied claims.[5][6]
• Switch Programs: Try Bridge if copay maxed, or PAP if uninsured.[4][7]
• Other Resources: Benefits investigation for insurance options; patient education materials.[2] No biosimilars noted for relugolix. Generic alternatives unavailable as it's brand-only.[10]
• General Aid: Check rxassist.org or prescriberpoint.com for additional copay cards.[9][10]

Disclaimer

This guide summarizes publicly available info as of latest sources—eligibility/terms can change.[1][5] Not medical/financial advice. Consult your doctor, pharmacist, or call 1-833-ORGOVYX for current details. Program not health insurance. Void where prohibited; full terms at ORGOVYX.com.[8] Sumitomo Pharma America/Myovant Sciences sponsor; contact for questions.[6]