medical professionals at table

Supporting Patient Assistance

Welcome to the Sumitomo Pharma America (SMPA) Patient Assistance Program (PAP)

We are dedicated to helping individuals access the medications they need for their health conditions. By focusing on accessibility and patient care, SMPA strives to make a positive impact on the lives of those facing financial difficulties.

The SMPA Patient Assistance Program (PAP) provides covered medications at no cost to eligible patients who have an unmet financial need (Terms and Conditions May Apply).

Covered Products

Through the SMPA Patient Assistance Program, eligible patients with an unmet financial need, can receive free medication.

GEMTESA<sup>&reg;</sup> (vibegron)
MYFEMBREE<sup>®</sup> (relugolix, estradiol,<br> and norethrindone acetate)
Please see full Prescribing Information, including BOXED WARNING.
ORGOVYX<sup>®</sup> (relugolix)

ORGOVYX® (relugolix)

The ORGOVYX Patient Assistance Program is designed to help eligible patients receive their medication at no cost. Information about Eligibility Requirements and How To Apply to the program are listed below.
Contact Us

Please contact an ORGOVYX
Support Specialist at:
1-833-ORGOVYX (1-833-674-6899)

Monday–Friday, 8 am – 8 pm ET

Eligibility Criteria
  • Be prescribed ORGOVYX for an FDA approved indication
  • Live in the US or US Territories
  • Be uninsured or have inadequate coverage for ORGOVYX
  • Be unable to afford the cost of your medication
  • Have no other financial support available (you must not be eligible for Medicare Extra Help, your State's Medicaid or any other financial support options)
  • Have an annual household income at or below*:
# of People in Household
Annual Household Income
1
$45,180
2
$61,320
Add $16,140 per additional household member

*Visit www.aspe.hhs.gov/poverty for information on the Federal Poverty Level.

How to Apply

Please see your doctor to apply for ORGOVYX Patient Assistance Program.

Frequently Asked Questions

If you have questions about our Patient Assistance Program, click here for more information.

Key Resources

For help understanding Medicare out-of-pocket prescription costs, click here.