PRICING INFORMATION

WHAT YOU MAY PAY FOR ORGOVYX

Depending on your insurance plan and other factors, the cost of ORGOVYX may differ from person to person. We are committed to helping you understand your potential out-of-pocket (OOP) costs. Only your insurance company or pharmacy can tell you the exact amount you will pay. Please contact them for specific cost information.

Let’s start by selecting what type of insurance you have.

SELECT ONE:

I have Medicare Part D or Medicaid

Health insurance through a government-sponsored program

Medicare Part D
or Medicaid

If you have Medicare Part D:

3 out of 4 ORGOVYX patients paid
$100 or less per month on average*

If you have Medicaid:

5 out of 6 ORGOVYX patients paid
$0 per month on average*

The list price for 30 days of treatment with ORGOVYX is $2,681.91.^† List price is not what most people pay, although it may have an impact on your out-of-pocket obligation.

The information above is based on a 30-day ORGOVYX prescription
30-day prescription = A prescription written for 30 days at a time and refilled monthly
*As of January 15, 2024. Source: Symphony Claims Data, December 2022–November 2023. Calculated based on 30-day supply, excluding reversed, rejected, and null value claims. Data may not represent claims not captured in the Symphony dataset.
^†As of December 30, 2023. List price is also known as wholesale acquisition cost or WAC. WAC is the price at which pharmaceutical manufacturers sell their products to wholesalers. Most patients do not pay the list price for ORGOVYX.

How much you pay depends on your coverage. We can help you find out what your costs may be. Call 1-833-ORGOVYX (1-833-674-6899) to request an insurance benefit review.

I have Commercial Insurance

Health insurance through your employer or purchased directly by you

Commercial
Insurance

5 out of 6 ORGOVYX patients paid $10
or less per month on average*

The list price for 30 days of treatment with ORGOVYX is $2,681.91.^† List price is not what most people pay, although it may have an impact on your out-of-pocket obligation.

How much you pay depends on your coverage. Call 1-833-ORGOVYX (1-833-674-6899) to request an insurance benefit review, or contact your health insurance company.

Paying for ORGOVYX

If you have insurance through your work or that you bought for yourself (often called commercial insurance), you may be eligible to pay as little as $10 per month up to annual program limits. Terms and Conditions apply.^‡ Learn more about the ORGOVYX Copay Assistance Program by calling 1-833-ORGOVYX (1-833-674-6899).

Enroll or Re-Enroll

This will take you to a third-party site.

ORGOVYX Copay Assistance Program: Terms and Conditions

The ORGOVYX Copay Assistance Program (“Copay Program”) is for eligible patients with commercial prescription insurance for ORGOVYX. With this Copay Program, eligible patients will pay as little as $10 per month, subject to a maximum of $10,000 per calendar year. After the annual maximum of $10,000 for ORGOVYX is reached, patient will be responsible for the remaining monthly out-of-pocket costs. This Copay Program may not be redeemed more than once per 21 days. The Copay Program is not valid for patients whose prescription claims are reimbursed, in whole or in part, by any state or federal government program, including, but not limited to, Medicaid, Medicare, Medigap, Department of Defense (DoD), Veterans Affairs (VA), TRICARE, Puerto Rico Government Insurance, or any state patient or pharmaceutical assistance program. Offer is not valid for cash-paying patients. Patient must be a resident of the U.S., Puerto Rico, or U.S. Territories. This Copay Program is void where prohibited by state law and on the date an AB generic equivalent for ORGOVYX becomes available. Certain rules and restrictions apply. This offer is not insurance. This offer cannot be combined with any other coupon, free trial, discount, prescription savings card, or other offer. This offer is not conditioned on any past, present, or future purchase, including refills. Patient and participating pharmacists agree not to seek reimbursement for all, or any part of the benefit received by the patient through this Copay Program. Patient and participating pharmacists agree to report the receipt of Copay Program benefits to any insurer or other third party who pays for or reimburses any part of the prescription filled using the Card, as may be required by such insurer or third party. Sumitomo Pharma America reserves the right to revoke, rescind, or amend this offer without notice. The ORGOVYX Copay Program is valid through December 31, 2024.

NO INSURANCE COVERAGE

No health insurance or your current insurance doesn’t cover ORGOVYX

No Insurance
Coverage

The list price for 30 days of treatment with ORGOVYX is $2,681.91.* If you do not have prescription drug coverage or your insurance does not cover ORGOVYX, you can expect to pay the list price shown above with any additional pharmacy charges or discounts based on where you purchase your medicine.

The information above is based on a 30-day ORGOVYX prescription
30-day prescription = A prescription written for 30 days at a time and refilled monthly
*As of December 30, 2023. List price is also known as wholesale acquisition cost or WAC. WAC is the price at which pharmaceutical manufacturers sell their products to wholesalers. Most patients do not pay the list price for ORGOVYX.

Assistance is a phone call away

ORGOVYX Support Coordinators are here to assist you with questions about insurance coverage and financial assistance support options for ORGOVYX. Call 1-833-ORGOVYX (1-833-674-6899) to speak to someone today.

Learn more about orgovyx

including full Prescribing Information and Patient Product Information