There are two ways to connect to Velphoro Access Solutions

  • Visit VelphoroPathways.com. Sign up and log on
  • Or download a benefits investigation application, and fax back
    Velphoro is covered under all major Medicare and commercial plans

LEARN MORE ABOUT VELPHOROPATHWAYS.COM


Start patients on the path to Velphoro at VelphoroPathways.com*

VelphoroPathways.com is your direct route to Velphoro Access Solutions and other programs that can connect your patients to Velphoro.

Initiate benefits investigations, monitor patient benefits, and access all patient programs provided by Fresenius Renal Pharmaceuticals Rx Solutions. Fast, convenient, and secure.

*FKC: continue to access benefits investigation via ePOC


Follow one of these pathways to Velphoro

Commercial insurance pathways

For all patients with commercial insurance

  • Velphoro Savings Card program†‡§
    • Who’s eligible: Patients with commercial insurance with copay, coinsurance, or a deductible
    • How they can benefit: 95% of patients who redeem the Velphoro Savings Card pay $0 for Velphoro1
  • Assistance for eligible patients
    • For commercially insured patients with household income between 1.5—4.5 times the Federal poverty limit, up to $117,900 for a family of four2
    • Patients are automatically referred to applicable assistance programs to determine eligibility if their out-of-pocket costs are >$50


    Connect patients to Velphoro two ways

     

Medicare Part D Standard/LIS pathways

For patients on Medicaid and/or Low Income Subsidy (LIS) Extra Help

  • Help patients enroll at ssa.gov
    • Most patients pay ≤$9.20 per monthly prescription¶3

For patients on Medicare Part D Standard and/or

  • Household income between 1.5—4.5 times the federal poverty limit, up to $117,900 for a family of four2
  • Out-of-pocket costs >$50
    • Patient Assistance Program PAP: Fill out PAP application provided in benefit summary and obtain patient signature

New to dialysis

  • For patients who are new to dialysis and have a Medicare application pending within 90 days
    • Velphoro Bridge Program: Up to 90 days of Velphoro at no cost: Call Velphoro Access Solutions at 877-774-6756

 


Connect patients to Velphoro two ways

 


Please see back of card for terms and conditions.

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

§Reimbursement options are available for patients using mail-order fulfillment.

2021 LIS Category 1-3 coverage is ≤$9.20. Category 4 coverage is a percentage of prescription costs after deductible.3

 

References: 1. Data on file. Fresenius Medical Care North America, Waltham, MA. 2. Your Medicare costs. The Official U.S. Government Site for Medicare. https://www.medicare.gov/your-medicare-costs/get-help-paying-costs/lower-prescription-costs. Accessed November 10, 2020. 3. Obamacare Facts.https://obamacarefacts.com/the-federal-poverty-level-guidelines-for-2020-and-2021-coverage. Accessed November 10, 2020.