Feraheme

Indicated For

iron deficiency anemia, CKD

About This Medication

# Feraheme Assist Patient Assistance Program Patient Guide: How to Get Feraheme at Low or No Cost Feraheme (ferumoxytol) is an intravenous iron replacement therapy used to treat **iron deficiency anemia (IDA)** in adults who cannot tolerate oral iron or have not responded well to it, including those with chronic kidney disease (CKD).[1][9] The **Feraheme Assist Patient Assistance Program** from Covis Pharma provides a **single course of therapy at no cost** to eligible uninsured or underinsured patients, helping you access this important treatment without financial burden.[1][2] ## About Feraheme: Why You Might Need It **Iron deficiency anemia** occurs when your body lacks enough iron to make hemoglobin, the protein in red blood cells that carries oxygen. Symptoms can include fatigue, weakness, pale skin, shortness of breath, and dizziness. Feraheme is a non-stoichiometric magnetite (ferumoxytol injection) administered by your healthcare provider (HCP) in two doses: 510 mg infused over at least 15 minutes on day 1, followed by a second 510 mg dose 3 to 8 days later.[4][9] It's FDA-approved for adults with IDA who have had an unsatisfactory response to oral iron or cannot tolerate it, and for those with CKD.[1][9] Unlike oral iron supplements, Feraheme is given intravenously (IV), bypassing the gut for faster results and fewer side effects like stomach upset. Your doctor will monitor you during infusion for safety. Always discuss risks, such as potential allergic reactions or hypotension, with your HCP.[9] ## Who Qualifies for Feraheme Assist? This program is designed for patients facing financial hardship who meet strict criteria. Key eligibility requirements include:[1][2][3][4] - **Residency**: U.S. citizen or resident physically living in the U.S.[4] - **Prescription**: Prescribed Feraheme for an FDA-approved (on-label) use.[1][4] - **Insurance Status**: Uninsured or underinsured with **no coverage for Feraheme**. You are **not eligible** if enrolled in government programs like Medicaid, Medicare, TRICARE, or if your plan requires a third-party Alternative Funding Program (AFP) as a prerequisite for coverage.[1][3][4][8] - **Income**: Household income at or below **500% of the Federal Poverty Level (FPL)** based on your state of residency. Income documentation is required.[1][3] The program evaluates each application individually and may change based on availability, laws, or other factors. Contact Feraheme Assist for full details.[1] ## Income Eligibility Breakdown Eligibility hinges on your **total household income** compared to 500% FPL guidelines, which adjust annually and vary by household size and location (Alaska/Hawaii have higher thresholds). Use the **FPL calculator** on ASPE.hhs.gov or call the program to confirm your status. Here's a sample table for **2026 Continental U.S. FPL** (estimates; verify current guidelines): | Household Size | 100% FPL | 500% FPL (Eligibility Limit) | |---------------|----------|------------------------------| | 1 (Individual) | $15,060 | **$75,300** | | 2 (Couple) | $20,440 | **$102,200** | | 3 | $25,820 | **$129,100** | | 4 | $31,200 | **$156,000** | | +1 Person | +$5,380 | **+ $26,900** | *Notes: Based on residency; includes all income sources. Physician attestation allowed if no income.*[1][3] If over the limit, explore other Covis programs or copay cards.[5][10] ## Insurance Requirements - **Uninsured**: No insurance at all—mark this on forms.[7] - **Underinsured**: Commercial insurance that denies Feraheme coverage (provide proof like Explanation of Benefits).[1][3] - **Exclusions**: Government insurance (Medicare, Medicaid, etc.) or AFP-mandated plans disqualify you.[1][4][8] The program verifies insurance to comply with laws.[2] ## Step-by-Step Application Process Applying is straightforward but requires your doctor's help. Fax everything to **877-591-2505** (confirm current fax via phone).[2][7] 1. **Talk to Your Doctor**: Ask your HCP (hematologist, nephrologist, etc.) to complete the **HCP PAP Enrollment Form**. They certify your diagnosis, prescription (two 510 mg doses), and that Feraheme is appropriate.[2][4][7] 2. **Complete Patient Application**: Fill out the **Patient Assistance Application with Certification**. Sign to confirm uninsured/underinsured status and income ≤500% FPL. List household size and income.[3][8] 3. **Gather Proof of Income**: Submit **one or more** of these (most recent):[3][8] - Federal tax return - W-2 forms - Paycheck stubs - Social Security/unemployment/disability statements - Physician attestation letter (if no income) 4. **Include Insurance Info**: Fax copies of insurance cards (front/back) or note 'no insurance'.[7] 5. **Submit Together**: Doctor faxes HCP form + your patient app + docs. You'll get a **receipt fax**; later, a status notification.[1] 6. **Call for Help**: (844) 635-2624, Mon-Fri 8 AM-6 PM ET (or 10 AM-6 PM per some docs).[2][4][5] ## Timeline and Delivery - **Processing**: No fixed time listed; expect receipt confirmation quickly, then eligibility review (days to weeks). Follow up by phone.[1] - **Delivery**: If approved, Feraheme ships **free to your home or doctor's office** for a **single course** (two doses).[1][2] - Office hours: Mon-Fri, varying 8-10 AM to 5-6 PM ET.[4][5] ## If Denied or Alternatives Common denial reasons: income too high, government insurance, incomplete docs, or AFP requirement.[1][4] Appeal by resubmitting corrected info or calling for guidance. Alternatives: - **Other Covis Support**: Copay cards, free trial offers via Feraheme Assist.[10] - **General PAPs**: NeedyMeds.org, RxAssist.org. - **Biosimilars**: None currently.[program data] - **Oral Irons**: If tolerated, per your doctor. Contact (844) 635-2624 immediately if denied—they assess individually.[1] ## Important Disclaimer This guide summarizes publicly available info as of latest sources; **program terms can change**. Not medical/financial advice—consult your HCP and verify eligibility directly with Feraheme Assist at (844) 635-2624. Covis reserves rights to modify/discontinue.[1][4] Feraheme has risks; full prescribing info at Feraheme.com.[9] Word count: ~950.

Program information last verified: March 30, 2026