Access

Velphoro is accessible and affordable for most patients1,2

MEDICARE PART D

For patients who qualify for the Extra Help low-income subsidy (LIS) and/or are on Medicaid

  • Most patients pay ≤$11.20 per monthly prescription*2
    • No annual deductible3
    • A majority of these patients will have a $0 copay1
    • Direct eligible patients to enroll online at SSA.gov, where they can fill out and submit an application

 

For patients on Medicare Part D Standard

  • With a household income between 150% and 450% of the federal poverty limit, up to $135,000 for a family of four4
  • Patients with out-of-pocket costs of >$50 will be automatically referred to the Patient Assistance Program (PAP)† 
    • Fill out the PAP application provided by your Velphoro Access Solutions Case Manager and obtain the appropriate signatures

 

For patients new to dialysis who have a Medicare application pending within 90 days

  • Velphoro Bridge Program provides up to 90 days of Velphoro at no cost
    • Call Velphoro Access Solutions at 1-877-774-6756

COMMERCIAL INSURANCE

Patients with commercial insurance and copay, coinsurance, or a deductible

  • Velphoro Copay Savings Program: Most patients will pay $0 for Velphoro1
    • Copay savings are automatic; no card required

 

Assistance for eligible patients

  • With a household income between 150% and 450% of the federal poverty limit, up to $135,000 for a family of four4
  • Patients with out-of-pocket costs of >$50 will be automatically referred to the Patient Assistance Program (PAP)
    • Fill out PAP application provided by your Velphoro Access Solutions Case Manager and obtain the appropriate signatures

Starting new patients on Velphoro is easy with
Velphoro Access Solutions

  1. Visit the HCP portal to sign up and log in at VelphoroPathways.comInitiate benefits investigations for patients, track their application status, monitor their benefits, and access all patient programs provided by Fresenius Renal Pharmaceuticals.

    Fresenius Kidney Care: Please continue to access benefits investigation via ePOC.

  2. Download a benefits investigation application and fax back to Velphoro Access Solutions at 1-866-496-8638.

Contact Velphoro Access Solutions

Velphoro Access Solutions representatives are available to answer questions 
from 8 am to 8 pm ET at 1-877-774-6756

 

*The Extra Help LIS benefit is available for patients who have an income of up to 150% of the federal poverty level (FPL) and meet resource limit requirements. All patients eligible for Extra Help receive full Extra Help; the partial LIS benefit has been phased out as of January 1, 2024.2,3

Patients with commercial insurance may be eligible for PAP program if out-of-pocket costs are deemed too high with savings program. Eligibility requirements apply.

Reimbursement options are available for patients using mail-order fulfillment. Through our partnership with RelayHealth, a card is not required for automatic application of savings at all participating in-network pharmacies. A small percentage of independent or out-of-network pharmacies may still require a downloadable copay card, available at VelphoroCoupon.com. Savings realized after application of automatic $0 copay.

References: 1. Data on file. Fresenius Medical Care North America, Waltham, MA. 2. Medicare.gov. Help with drug costs. https://www.medicare.gov/basics/costs/help/drug-costs. Accessed November 9, 2023. 3. Centers for Medicare and Medicaid Services. CMS releases 2024 projected Medicare Part D premium and bid information. https://www.cms.gov/newsroom/fact-sheets/cms-releases-2024-projected-medicare-part-d-premium-and-bid-information. July 31, 2023. Accessed October 5, 2023. 4. Office of the Assistant Secretary for Planning and Evaluation; US Department of Health and Human Services. Poverty guidelines. https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines. Accessed March 9, 2023.