When you’re prescribed VELTASSA
Your doctor or healthcare provider’s office will write your VELTASSA prescription to be filled through a retail pharmacy.
In most cases, prior authorization from your insurance provider is not needed for VELTASSA. However, if you learn that prior authorization is needed, contact your provider to make sure VELTASSA is covered under your insurance plan.
VELTASSA is the #1 covered branded K+ binder
- VELTASSA is covered for 90% of commercially insured patients
- VELTASSA is covered for 90% of commercially insured patients
- With VELTASSA, no prior authorization is needed for 93% of Medicare
patients (≥65 years of age)
Be sure to speak with your pharmacist if you have any questions.
The VELTASSA
Co‐pay Savings Program
Pay as low as $0 per month for up to 12 months
Eligible patients* may be able to pay as low as $0 per month for their VELTASSA co-pay. Here’s how it works:
The VELTASSA Co-pay Savings Program is available through participating pharmacies.
If you need additional co-pay support, click here.
No insurance coverage or not enough coverage?
If you do not have insurance or do not have enough insurance coverage and meet financial criteria, you may qualify for free VELTASSA.† Call 1-844-870-7597.
$
co-pay per month for up to 12 months
- Instant savings are applied at the pharmacy
- No registration required
VELTASSA identification information:
GROUP: 06780143
BIN: 600428
PCN: 06780000
ID: 29603038410
Pharmacy Help desk: 1-855-591-9132
*The VELTASSA Co-pay Savings Program is for commercially insured patients. Patients enrolled in a government health insurance program such as Medicare Part D, Medicaid, TRICARE, Veterans Health Administration, or Mi Salud are not eligible. This is not an exhaustive list of excluded government health plans. Patients are responsible for applicable taxes. The program is subject to Terms and Conditions. Offered at the sole discretion of Vifor Pharma and may be subject to change or cancellation.
†For assistance beyond 12 months, renewal is required.
Important Terms & Conditions
By participating in Vifor Pharma, Inc.’s Co-pay Savings Program (“Co-pay Program”) for VELTASSA, the patient acknowledges that, at the time of usage, they meet the eligibility criteria and comply with the following terms and conditions.
The Co-pay Program is for commercially insured patients. Patients with prescription coverage through any type of federal or state government-funded program are not eligible (eg, Medicare, Medicaid, TRICARE, Veterans Administration [VA], Mi Salud).
The patient may pay as low as $0 per month for up to a 12-month period, and afterward renewal is required. Annual maximum limits may apply. The Co-pay Program for VELTASSA is not insurance. Vifor Pharma, Inc. reserves the right to rescind, revoke, or amend this program without notice. The patient must use the Co-pay Program for a valid prescription of VELTASSA, and this cannot be combined with any other coupon, trial, savings card, free drug assistance, or other offer.
Patient must live in the United States (including the District of Columbia, Puerto Rico, and the US Virgin Islands). If the patient is enrolled in Veltassa Konnect, patient is required to promptly inform Veltassa Konnect of any change in insurance status during the course of enrollment.
The patient and participating pharmacy are each obligated to inform the insurance plan of any benefit received under the Co-pay Program as required and may not participate if the Co-pay Program conflicts with the plan’s policy. No party may seek reimbursement for any part of the benefit received by patient under the Co-pay Program. The patient is responsible for applicable taxes. Limit one per person; offer is non-transferable and void where prohibited by law or restricted.
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