ORGOVYX® (relugolix) Support Program logo

The ORGOVYX Support
Program includes:

ORGOVYX® (relugolix) Copay Assistance Program Card
Financial Assistance*

As a part of the ORGOVYX Copay Assistance Program, eligible, commercially insured patients may pay as little as $10 per prescription, with a maximum savings per calendar year of $10,000. See program terms and conditions below.

Enroll patients
Reimbursement Support

We offer resources that may assist your patients with access challenges, including providing information about benefit verification, prior authorizations, and appeals processes.

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ORGOVYX Education

Want to learn more about ORGOVYX patient support programs? Click below to discover the resources that are available to support your ORGOVYX patients.

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ORGOVYX Copay Assistance Program Terms, Conditions, and Eligibility Criteria

*Eligibility required. Commercially insured patients only. This copay program is subject to a calendar year maximum savings of $10,000. After the calendar year maximum savings is reached, patient will be responsible for the remaining out-of-pocket costs for ORGOVYX. The Copay Program is not valid for patients participating in Medicare, Medicaid, or other government healthcare programs. No membership fees. This offer is not health insurance. Available only to patients who have been diagnosed with an FDA-approved indication for ORGOVYX. Terms and conditions apply. For full program terms, conditions, and eligibility criteria please visit www.orgovyx.com/terms-and-conditions.

We are dedicated to providing ongoing support to help patients prescribed to ORGOVYX.
Enroll your patients today.
E-PRESCRIBE

When e-prescribing ORGOVYX to the Mercalis Pharmacy, enrollment in the
ORGOVYX Support Program is available.

DOWNLOAD

Download and print the ORGOVYX Support Program Start form. Once it's completed fax it to 1-844-826-8875.

To reach ORGOVYX Support,
call toll-free 1-833-ORGOVYX (1-833-674-6899),
Monday-Friday, 8 AM-8 PM ET.
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