ENVARSUS XR

Indicated For

Kidney transplant rejection prophylaxis

About This Medication

# Veloxis Pharmaceuticals Patient Assistance Program: How to Get ENVARSUS XR at Low or No Cost ## About ENVARSUS XR ENVARSUS XR (tacrolimus extended-release) is a prescription medication used to help prevent organ rejection in kidney transplant recipients. This guide explains how to access ENVARSUS XR through the Veloxis Transplant Support Patient Assistance Program if you're struggling with medication costs. ## Who Qualifies for This Program The Veloxis Transplant Support program is designed to help patients obtain ENVARSUS XR at reduced or no cost. You may be eligible if you meet these criteria: - You are a kidney transplant recipient prescribed ENVARSUS XR for an FDA-approved indication - You are 18 years or older (patients age 17 require a parent or legal guardian to apply) - You are commercially underinsured, federally underinsured, or uninsured - You meet the program's financial eligibility requirements - Your prescriber has determined that ENVARSUS XR is medically necessary for you The program also offers copay assistance for commercially insured patients and reimbursement support services. ## Income Eligibility The Veloxis Transplant Support program reviews applications on a case-by-case basis using pre-determined eligibility requirements. Specific income thresholds are not publicly listed, but the program is designed for patients who are uninsured or underinsured and meet financial eligibility criteria. To determine if you qualify, you will need to provide proof of household income documentation during the application process. The program accepts electronic income verification through Experian Health or traditional income verification documents such as tax returns, pay stubs, or benefit statements. ## Insurance Requirements The program serves multiple insurance situations: | Insurance Status | Program Benefit | |---|---| | Uninsured | Full patient assistance program (medication at no cost) | | Underinsured | Patient assistance program based on eligibility | | Commercially Insured | Copay assistance and reimbursement support | | Medicare Part D | Program operates outside the Medicare Part D benefit | **Important Note for Medicare Part D Beneficiaries:** If you have Medicare Part D coverage, any assistance provided through this program will not count toward your TrOOP (True Out-of-Pocket) balance or total drug spend. ## How to Apply The application process involves several steps: **Step 1: Gather Required Documents** - Both sides of all current insurance cards - Proof of household income (tax returns, pay stubs, benefit statements, or authorization for electronic verification through Experian Health) - Your prescription for ENVARSUS XR from your healthcare provider **Step 2: Complete the Enrollment Form** You can complete the enrollment form online or work with your healthcare provider's office. The form requires: - Your personal contact information (name, date of birth, address, phone number, email) - Information about any patient representative (parent, guardian, or healthcare power of attorney) - Insurance information - Financial disclosure and income verification - Your signature or your patient representative's signature **Step 3: Submit Your Application** Fax your complete application package to Veloxis Transplant Support at **1-844-475-8931**. Include: - Completed enrollment form (all pages with required signatures) - Copies of both sides of all insurance cards - Income verification documents or authorization for electronic verification - Your prescription (if not included on the enrollment form) **Step 4: Application Review** A Veloxis Transplant Support specialist will review your application and verify your eligibility. They will contact both you and your healthcare provider with next steps. If your application is incomplete, the program will attempt to contact you to request missing information. ## Timeline and Medication Delivery The search results do not specify an exact processing timeline for application approval. However, once you are approved, ENVARSUS XR will be shipped directly to you. The program also offers bridge supply assistance, which may help you access medication while your application is being reviewed. For questions about your specific application status or timeline, contact Veloxis Transplant Support at **1-844-VELOXIS (1-844-835-6947)**, available Monday through Friday, 9 AM to 7 PM ET. ## Reauthorization and Ongoing Eligibility Patients enrolled in the patient assistance program are approved for a maximum of 12 months of eligibility at a time. You must reapply annually to validate your continued eligibility. Veloxis Transplant Support will contact you before your current eligibility period expires to help you reapply. ## What If Your Application Is Denied If your application for the patient assistance program is denied, you have options: - **Appeal the Decision:** If you have a denial letter, include it with a new application to expedite the review process - **Explore Other Support Services:** Even if you don't qualify for the full patient assistance program, you may still be eligible for other Veloxis Transplant Support services, such as benefits investigation, benefits verification, or copay assistance - **Contact a Specialist:** Call 1-844-VELOXIS to discuss your situation with a Veloxis Transplant Support specialist who can explain your options ## Additional Support Services Beyond the patient assistance program, Veloxis Transplant Support offers: - **Benefits Investigation and Verification:** Help understanding your insurance coverage - **Bridge Supply:** Temporary medication access while your application is being processed - **Reimbursement Support:** Assistance with insurance claims and reimbursement - **Medication Shipping Services:** Convenient delivery of your medication - **Healthcare Provider Communication:** Coordination between you, your pharmacy, and your healthcare team ## Important Disclaimer This guide provides general information about the Veloxis Transplant Support Patient Assistance Program. Program details, eligibility criteria, and benefits may change. For the most current and accurate information, contact Veloxis Transplant Support directly at **1-844-VELOXIS (1-844-835-6947)** or visit **veloxistransplantsupport.com**. Always consult with your healthcare provider about your medication needs and treatment plan.

Program information last verified: March 29, 2026