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