Auryxia

Indicated For

hyperphosphatemia in dialysis-dependent CKD, iron deficiency anemia in non-dialysis-dependent CKD

About This Medication

# AkebiaCares Patient Guide: How to Get Auryxia at Low or No Cost ## About This Program AkebiaCares is a patient assistance program administered by Akebia Therapeutics to help eligible patients access Auryxia (ferric citrate) at reduced or no cost. The program provides comprehensive support including insurance verification, copay assistance, financial aid for uninsured or underinsured patients, and help navigating prior authorizations and appeals. ## What Is Auryxia? Auryxia (ferric citrate) is an oral iron tablet used to treat two conditions in patients with chronic kidney disease (CKD): - **Iron deficiency anemia** in adults with CKD who are not yet on dialysis - **High blood phosphorus levels (hyperphosphatemia)** in adults with CKD who require dialysis Auryxia is the only oral iron tablet approved by the U.S. Food and Drug Administration for these specific uses in CKD patients. ## Who Qualifies for AkebiaCares? AkebiaCares is available to any patient who has been prescribed Auryxia by their healthcare provider. The program serves patients across different insurance situations: - Patients with commercial health insurance - Uninsured patients - Underinsured patients - Patients on Medicare or Medicaid (with specific program limitations) Specific income thresholds for financial assistance eligibility are not publicly detailed in available program materials. Eligibility is determined on a case-by-case basis during the application process. ## Insurance Requirements and Coverage ### Commercial Insurance If you have commercial health insurance, you may be eligible for AkebiaCares' copay assistance program. The program helps reduce your out-of-pocket costs: - **Up to $500 off** for prescriptions of 90 tablets or less per 30-day supply - **Up to $1,000 off** for prescriptions of 91-180 tablets per 30-day supply - **Up to $1,500 off** for prescriptions of 181 tablets or more per 30-day supply Many patients with commercial insurance pay as little as $0 per fill. ### Medicare and Medicaid Copay assistance through AkebiaCares is **not valid** for prescriptions reimbursed under Medicare, Medicaid, or similar federal or state programs. However, AkebiaCares can still help Medicare and Medicaid patients by: - Coordinating prior authorizations and medical exceptions - Identifying eligibility for Low-Income Subsidy (LIS) assistance - Connecting patients with state-funded programs - Investigating other coverage options Note: Prior authorization and/or medical exception may be required for Medicare Part D patients. ### Uninsured and Underinsured Patients Auryxia may be available free of charge for eligible uninsured or underinsured patients through AkebiaCares' patient assistance program. ## How to Apply for AkebiaCares ### Step 1: Gather Your Information Before applying, have the following information ready: - Your prescription for Auryxia from your healthcare provider - Your insurance information (if applicable) - Your financial information (for uninsured/underinsured patients) - Your contact information ### Step 2: Access the Program You can access AkebiaCares through multiple methods: - Visit the AkebiaCares website at www.akebiacares.com - Work with your healthcare provider to complete an AkebiaCares enrollment form - Use the AkebiaCares copay card or access card at your pharmacy - Contact a Care Manager for one-on-one assistance with insurance questions ### Step 3: Complete Your Application If you need financial assistance beyond copay support, you will need to complete an enrollment form. This form collects information about: - Your prescription details - Your insurance coverage (if applicable) - Your financial circumstances - Your contact information ### Step 4: Work with AkebiaCares Support Once you've applied, AkebiaCares Care Managers will: - Verify your insurance coverage and prescription drug benefits - Investigate your insurance coverage options - Confirm your out-of-pocket costs - Review your eligibility for financial assistance - Coordinate prior authorizations if needed - Handle appeals if necessary ## Timeline and Medication Delivery The program does not specify a standard processing timeline in publicly available materials. However, once you are approved for assistance, AkebiaCares will work with your pharmacy to ensure you receive your medication. Allow up to 6 weeks for processing of certain assistance applications. Your medication will be dispensed through your regular retail or mail-order pharmacy once your assistance is approved and processed. ## What If Your Application Is Denied? If you are denied for AkebiaCares assistance, you have several options: 1. **Work with your healthcare provider** to understand the reason for denial and explore alternative solutions 2. **Contact AkebiaCares directly** to discuss your situation with a Care Manager 3. **Explore other assistance programs** that may be available through state or local resources 4. **Ask about appeals** if you believe your denial was made in error AkebiaCares does not guarantee coverage and/or reimbursement for all patients, but the program is committed to exploring all available options. ## Refilling Your Prescription Once you are enrolled in AkebiaCares, refilling your prescription is straightforward: 1. Present your AkebiaCares copay card or access card at your pharmacy 2. Your pharmacy will process your prescription with the assistance applied 3. You will pay your reduced copay amount (as little as $0 for eligible patients) AkebiaCares will continue to support your refills as long as you remain enrolled in the program. ## Additional Support Available Beyond financial assistance, AkebiaCares provides: - Patient education resources and information - Support for starting and staying on your Auryxia treatment - Healthcare provider resources and tools - Assistance navigating insurance benefits - Help with prior authorizations and medical exceptions ## Important Disclaimer This guide provides general information about AkebiaCares. Program details, eligibility requirements, and benefits may change. For the most current and complete information about the program, visit www.akebiacares.com or speak with your healthcare provider. AkebiaCares does not guarantee coverage or reimbursement for all patients. Your individual eligibility will be determined during the application process based on your specific circumstances, insurance coverage, and financial situation.

Program information last verified: March 30, 2026