Access

Velphoro is accessible and affordable for most patients1,2

MEDICARE PART D

For patients who qualify for full Low Income Subsidy (LIS) Extra Help and/or are on Medicaid

  • Most patients pay ≤$10.35 per monthly prescription*2
    • A majority of these patients will have a $0 copay with no deductible1
    • 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 1.5 and 4.5 times the federal poverty limit, up to $135,000 for a family of four
  • 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 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 1.5 and 4.5 times the federal poverty limit, up to $135,000 for a family of four3
  • 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.com. Initiate 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

 

*In 2023, patients who qualify for full Extra Help pay no more than $10.35 per prescription. Patients who qualify for partial Extra Help pay no more than 15% of the cost of the drug until they reach the out-of-pocket limit.2

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 16, 2022. 3. 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.