Is Zytiga +prednisone approved for recurrent metastatic hormone sensitive PCa?

I note that the Latitude Clinical Trial found a 37% survival benefit for newly diagnosed Pca mets in hormone sensitive patients. Is it also indicated for recurrent mets for hormone sensitive patients? Does Medicare pay for this treatment yet?
Bob

I was approved by United Healthcare although I am currently castrate with no sign of metastases (I don't think UH knows about the para-aortic and common-iliac metastases Combidex found, but they might). Also, as I pondered switching to another drug plan also administered by UH, they said the review people and process are the same for all the drug plans they administer so there should not be any difference in approvals between different drug plans (to the extent, of course, that stated coverage for the drug is the same).

I have decided to wait for the time being.
On July 7 I posted, in part,
"I hesitate to jump in [start abi] because
1) most seem to prefer enzalutamide over abiraterone, and I assume I will become metastatic at some point and insurance will cover it.
2) the deeper I get into ADT now, the less likely I will qualify for clinical trials for apalutamide, darolutamide, and other stuff that some thinks holds great promise.
My doc is generally for this move. [He ran the local branch of a trial matching firmagon, firmagon+abiraterone, and abiraterone arms for ADT naïve patients, but those results are not yet available.]"
Tall Allen (the ultimate and frighteningly reliable source) responded to my post:
"You are having a really excellent response to Firmagon. The STAMPEDE trial included some men who were not metastatic and a few with recurrent PC. Abiraterone did not increase overall survival in either of those groups. It did extend failure-free survival, however. The other thing worth thinking about is the added toxicity: Grade 3-5 adverse events went up from 33% to 47% when abiraterone was added. I think both points you make are very valid considerations."
As for cost, under most Plan Ds the cost is roughly $8K, with most of that coming during the doughnut hole. Check the cost at under your plan /www.medicare.gov/find-a-plan/questions/home.aspx
Help is available in various forms from various sources.