*The ORGOVYX Support Program nurse advice is not meant to replace your doctor’s advice.
PAYING FOR ORGOVYX
You may be eligible for financial assistance
With everything you have going on, we want to help make paying for treatment easier. ORGOVYX Support Coordinators are here to assist you in finding ways to get and pay for your medicine.
For people with commercial insurance
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.†Learn more about the ORGOVYX Copay Assistance Program by calling 1-833-ORGOVYX (1-833-674-6899).
ORGOVYX Copay Assistance Program Terms & Conditions
†The ORGOVYX Copay Assistance Program (“Program”) is for eligible patients with commercial prescription insurance for ORGOVYX. The 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. Patient must be a resident of the U.S., Puerto Rico, or U.S. Territories. This Program is void where prohibited by state law. Certain rules and restrictions apply. This card is not insurance. This offer cannot be combined with any other coupon, free trial, discount, prescription savings card, or other offer. Patient and participating pharmacists agree not to seek reimbursement for all or any part of the benefit received by the patient through this Program. Patient and participating pharmacists agree to report the receipt of 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. Myovant Sciences reserves the right to revoke, rescind, or amend this offer without notice. The Program has no control over the decisions made by, and does not guarantee support from, independent third parties.
For people who are uninsured
Through the Myovant Patient Assistance Program, eligible patients may be able to get ORGOVYX at no cost. See if you qualify by calling 1-833-ORGOVYX(1-833-674-6899).
For people with Medicare Part D
We can provide information about financial support resources that may be able to help. Learn more by calling 1-833-ORGOVYX(1-833-674-6899).
ORGOVYX Free Trial Program‡
If you’ve just been prescribed ORGOVYX, you may be eligible to get up to 2 months of ORGOVYX at no cost through the ORGOVYX Free Trial Program.
ORGOVYX Free Trial Program Terms & Conditions
‡The ORGOVYX Free Trial Program (FTP) provides an up to 2-month supply of ORGOVYX at no cost to patients who meet FTP eligibility requirements and who agree to the FTP terms and conditions by submitting a signed FTP enrollment form. (i) FTP is a free trial offer, intended solely to allow new patients to try ORGOVYX and to determine with their healthcare provider whether ORGOVYX is right for them. There is no obligation to continue use of ORGOVYX after the free trial has been completed; (ii) to be eligible, patient must: (1) reside in the United States or Puerto Rico and (2) be a new patient not currently using ORGOVYX or who previously received ORGOVYX through the FTP; (iii) ORGOVYX supplied through the FTP will be dispensed only through a pharmacy designated by Myovant Sciences up to the limits above; (iv) product may only be delivered to the patient’s home address (no P.O. boxes) or the prescribing healthcare provider’s office; (v) it is unlawful for any person to sell, purchase, trade, barter or export ORGOVYX supplied through the FTP or make an offer to do so; (vi) ORGOVYX supplied through the FTP may not be billed (in whole or part, directly or indirectly) to any patient or third-party payer, including Medicare, Medicaid and commercial insurance plans; (vii) Myovant Sciences reserves the right to change or discontinue the FTP at any time without notice; (viii) the FTP is not health insurance; (ix) the FTP is not a discount, rebate, coupon, cost-sharing program or other form of financial assistance and no portion of the value of the FTP product may count as a patient out-of-pocket expense under any health insurance program; (x) ORGOVYX supplied free of charge through the FTP is not contingent on continued use of ORGOVYX. To continue a patient on therapy, a separate prescription must be written by the healthcare provider; (xi) the FTP is void where prohibited by law and where use is prohibited by the patient’s insurance provider.
Check your progress, record test results, and stay on track with ORGOVYX
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Visit these links for additional resources available to patients with prostate cancer
Myovant Sciences and Pfizer Inc. are not affiliated with and do not endorse any of the listed organizations or resources. The information provided by Myovant and Pfizer is for informational purposes only and is not meant to replace the advice of your healthcare team.
What should I tell my healthcare provider before taking ORGOVYX?
Tell your healthcare provider about all of your medical conditions, including if you:
Have any heart problems, including a condition called long QT syndrome.
Are pregnant or plan to become pregnant. ORGOVYX can harm your unborn baby and cause loss of pregnancy (miscarriage).
Have a partner who is pregnant or may become pregnant.
Males who have female partners who are able to become pregnant should use effective birth control (contraception) during treatment with ORGOVYX and for 2 weeks after the last dose of ORGOVYX.
Are breastfeeding or plan to breastfeed. It is not known if ORGOVYX passes into your breast milk.
Tell your healthcare provider about all the medicines or treatments you receive, including: prescription and over-the-counter medicines, vitamins, and herbal supplements. Taking ORGOVYX with certain other medicines can affect how ORGOVYX works or may cause side effects.
You should not start or stop any medicine before you talk with your healthcare provider who prescribed ORGOVYX.
What are the possible side effects of ORGOVYX?
Serious side effects of ORGOVYX include:
Changes in the electrical activity of your heart (QT prolongation). Your healthcare provider may check your body salts (electrolytes) and the electrical activity of your heart during treatment with ORGOVYX. Tell your healthcare provider right away if you get any signs or symptoms of QT prolongation, including:
feeling that your heart is pounding or racing (palpitations)
Most common side effects of ORGOVYX include:
increased blood sugar levels
increased blood fat (triglyceride) levels
muscle and joint pain
decreased blood hemoglobin levels
increased liver enzymes
ORGOVYX may cause other side effects including weight gain, decreased sex drive, and erectile function problems.
ORGOVYX may cause fertility problems in males, which may affect your ability to father children. Talk to your healthcare provider if this is a concern for you.
These are not all the possible side effects of ORGOVYX. Call your doctor for medical advice about side effects or if you have a side effect that bothers you or does not go away.