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Verified Checked 08/19/26

Orgovyx patient assistance

relugolix · Sumitomo Pharma America, Inc.

A documented program may help with Orgovyx. Eligibility depends on the program’s current rules; the program makes the final decision.

What it costs

$0

A pharmacy price is not confirmed for this record.

Maker
Sumitomo Pharma America, Inc.
Program
SMPA Patient Assistance Program
Income limit, 1 person
$46,950/yr
Income limit, family of 4
Not confirmed
Last verified
08/19/26

The program's own page · Our verification method

Your options, in order

Which option fits depends on your insurance and the program’s current rules. Use the official application; a paid paperwork service is a separate choice.

  • SMPA Patient Assistance Program, run by Sumitomo Pharma America, Inc., provides the medication at no cost if you qualify. One eligibility path: "You are uninsured or underinsured."

    What it costs you
    $0
    Income limit, 1 person
    $46,950/yr
    Medicare
    No confirmed Medicare eligibility path for this program.
    Checked
    08/19/26

    You are uninsured or underinsured

    Household size Annual income limit
    1 $46,950
    2 $63,450
    • ·Published for household sizes 1-2 only: $46,950 (1) / $63,450 (2). The program states "Add $16,500 per additional household member" but the page does not print sizes 3-8 (exact schedule beyond household size 2 not printed on the rendered page).

    Program website

How to apply

Follow the current program’s application instructions. Documents, review times and approval requirements vary.

Approval is not permanent. Use your approval notice to track the end date and any renewal requirements.

  1. 1

    Confirm the program

    Check its current medication list, benefit and eligibility requirements.

  2. 2

    Gather the required documents

    Use the current application to identify income and insurance documents the program accepts.

  3. 3

    Coordinate with your prescriber

    Ask whether the program needs a prescription, clinical information or signature.

  4. 4

    Submit and follow up

    Confirm receipt, ask about the decision and keep any approval or renewal dates.

If this is more than you want to take on

Help with the paperwork for Orgovyx

You can follow the official application yourself. A paid service may help with documents and follow-up; ask exactly what its fee includes.

Compare published fees, cancellation terms and available reviews. Paying for paperwork does not establish coverage or guarantee approval.

  • Ask which forms and submissions the service handles
  • Ask how the service coordinates with your prescriber
  • Check whether renewal assistance is included
Compare services that help you apply

A paperwork service is optional. Check the program directly first.

Common questions

  • Is assistance confirmed for Orgovyx?

    A documented program may help with Orgovyx. Eligibility depends on the program’s current rules; the program makes the final decision.

  • Does income alone establish eligibility?

    No. Medication coverage, insurance and other program requirements may also matter. The program makes the final decision.

  • Do I have to pay a company to apply?

    Follow the official program’s application instructions. Paid paperwork services are optional and do not guarantee approval.

  • How long does approval last?

    Approval and renewal periods vary by program. Check the current terms and your approval notice.

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