Orgovyx Copay Assistance Program

Funded

About

The Orgovyx Copay Assistance Program is designed to help patients reduce their out-of-pocket costs for Orgovyx. Patients with commercial insurance can benefit from paying as little as $10 per month and enjoy up to $10,000 in assistance annually. The program ensures affordable access to Orgovyx, enhancing the treatment experience for patients across the United States.

Insurance requirements: Commercially insured

As low as: $10 per mo

Enrollment Forms

Enrollment Form

Benefits

•$10000 annual maximum benefit

•17 maximum fills per year

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: Yes

Program Details

•Eligible patients with commercial insurance may pay as little as $10 per month for their Orgovyx prescription

•Benefit may not be redeemed more than once every 21 days

•Maximum of $10,000 per calendar year; after annual maximum is reached, patient will be responsible for the remaining monthly outofpocket costs

•Not valid for cash paying patients

•For more information patients must call 18336746899, MondayFriday, 8AM8PM ET

Enrollment Forms

Enrollment Form