Connect patients to Velphoro with Velphoro Access Solutions

  • More patients than ever have access to Velphoro through their commercial and Medicare Part D pharmacy benefit plans
  • Most patients pay less than $10/month for Velphoro

Find out more about Velphoro Access Solutions

Velphoro Access Solutions can help you get new patients started

Top commercial and Medicare Part D plans cover Velphoro. If prior authorization (PA) is required by the patient’s insurance plan, a case manager is available to help and will automatically initiate the PA.1

Choose the pathway to Velphoro most appropriate for your patients.

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: 96% 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 if their out-of-pocket costs are >$50*

Medicare Part D Standard/LIS pathways

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

  • Help patients enroll at
    • Most patients pay ≤$8.95 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

*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.

§2020 LIS Category 1-3 coverage is ≤$8.95. 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. US Department of Health & Human Services. 2020 Poverty Guidelines. Accessed March 18, 2020. 3. Save on drug costs. The Official U.S. Government Site for Medicare. Accessed March 18, 2020.