Hectorol

Indicated For

Secondary hyperparathyroidism (SHPT) in chronic kidney disease (CKD) patients on dialysis

About This Medication

# Renassist Patient Assistance Program: How to Get Hectorol at Low or No Cost ## About This Program The **Renassist Patient Assistance Program (RPAP)**, offered by Sanofi, helps eligible patients access **Hectorol (doxercalciferol)** at no cost when they cannot afford their medication. Hectorol is a vitamin D analog used to treat secondary hyperparathyroidism in patients with chronic kidney disease, particularly those on dialysis.[1] ## What is Hectorol? Hectorol (doxercalciferol) is a prescription medication that helps regulate calcium and phosphorus levels in patients with kidney disease. It works by activating vitamin D receptors in the body, helping to control parathyroid hormone levels. Hectorol is available as an oral capsule and as an injection for dialysis patients.[2] ## Who Qualifies for Renassist? You may be eligible for the Renassist Patient Assistance Program if you meet these criteria: - You are **uninsured or underinsured** without prescription drug coverage for Hectorol - Your **annual household income does not exceed 400% of the Federal Poverty Level (FPL)** - You have been prescribed Hectorol by a healthcare provider - **Special requirement for dialysis patients:** If you are on dialysis and taking Hectorol, you cannot be receiving Medicare Part B[1] ## Income Eligibility Breakdown Your household income must be at or below 400% of the Federal Poverty Level. The Federal Poverty Level changes annually. Here is an example of 2024 income limits at 400% FPL: | Household Size | Annual Income Limit (400% FPL) | |---|---| | 1 person | ~$18,000 | | 2 people | ~$24,000 | | 3 people | ~$30,000 | | 4 people | ~$36,000 | | 5 people | ~$42,000 | | 6 people | ~$48,000 | | 7 people | ~$54,000 | | 8 people | ~$60,000 | *Note: These are example figures. Current income limits are updated annually. Contact the program for current thresholds.* ## Insurance Requirements The Renassist program is designed for patients who: - Do not have commercial insurance coverage for Hectorol - Are not eligible for Medicare Part D or other government insurance programs - Cannot access Hectorol through Medicaid or other state assistance programs If you may be eligible for Medicaid, you will be required to provide documentation of Medicaid denial before the program can assess your eligibility for patient assistance.[3] ## How to Apply: Step-by-Step ### Step 1: Obtain the Application Form Your doctor's office can provide the Renassist Patient Assistance Program application form, or you can download it from the program website. The application has two pages for patients applying for medication assistance.[2] ### Step 2: Complete the Application You and your doctor must complete the entire application form together. The form requires: - Your personal and household information - Proof of household income (recent tax return, pay stubs, or benefit statements) - Insurance information (or proof of no insurance) - Your doctor's prescription and clinical justification for Hectorol - Your signature and date on the consent section[2] ### Step 3: Gather Required Documents Attach the following to your completed application: - Proof of household income - Proof of insurance status (or lack thereof) - Any other documents requested on the application checklist[1] ### Step 4: Submit Your Application Submit the completed application and documents to: - **Fax:** 1-877-363-6732 - **Email:** renassist@sanofi.com - **Mail:** Through your doctor's office or dialysis facility Your doctor's office or dialysis facility can also submit the application on your behalf.[1][2] ## Timeline and Delivery **Processing Time:** The dialysis facility or healthcare provider will be notified of approval or denial within **4 weeks** of application submission.[1] **Medication Supply:** Once approved, you will receive: - An initial **3-month supply** of Hectorol - A refill form sent with each supply - Authorization for up to **3 refills** within one year from the date on your original prescription - Medication shipped to your doctor's office or dialysis unit[1] **Reauthorization:** After one year from the date of your original prescription, you will need to submit a new application to continue receiving assistance.[1] ## What Happens If Your Application is Denied? If your application is denied, you have several options: - **Appeal:** Contact the program to understand the reason for denial and discuss whether you can provide additional documentation - **Reapply:** If your circumstances change (income decreases, insurance coverage ends), you may reapply - **Alternative Assistance:** Ask your doctor about other patient assistance programs, pharmaceutical company programs, or nonprofit organizations that help with medication costs - **Contact Information:** Call 1-800-847-0069 (Monday–Friday, 8:30 AM–5:00 PM EST) to discuss your options[2] ## Important Notes - The type of assistance available varies based on your household income and insurance status - If you are on dialysis and taking Hectorol, you cannot be receiving Medicare Part B to qualify - For patients taking Renvela (another medication in the Renassist program) who are Medicare-eligible with income below 150% of FPL, you must apply for the Limited Income Subsidy (LIS) and be denied before applying to Renassist. Proof of LIS denial must be submitted with your application.[1] - Claims for free products dispensed through the Renassist program cannot be submitted to any third-party payer (insurance, Medicaid, Medicare, etc.) for reimbursement ## Contact Information - **Phone:** 1-800-847-0069 (M–F, 8:30 AM–5:00 PM EST) - **Fax:** 1-877-363-6732 - **Email:** renassist@sanofi.com - **Website:** www.renassist.com ## Disclaimer This guide provides general information about the Renassist Patient Assistance Program. Program eligibility, requirements, and benefits may change at any time. Sanofi reserves the right to modify or terminate the program without notice. For the most current and complete information, contact the program directly or visit www.renassist.com. This information is not a guarantee of eligibility or approval. Always consult with your healthcare provider and the program administrators for personalized guidance.

Program information last verified: March 30, 2026