For patients who qualify for full Low Income Subsidy (LIS) Extra Help and/or are on Medicaid
For patients on Medicare Part D Standard
For patients new to dialysis who have a Medicare application pending within 90 days
Patients with commercial insurance and copay, coinsurance, or a deductible
Assistance for eligible patients
*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.