Injectafer

Indicated For

Iron Deficiency Anemia (IDA), Non-Dialysis Dependent Chronic Kidney Disease, Iron Deficiency in Heart Failure

About This Medication

# Daiichi Sankyo Access Central Patient Guide: How to Get Injectafer at Low or No Cost Injectafer (ferric carboxymaltose) is an intravenous iron replacement therapy used to treat iron deficiency anemia (IDA) in adults and children when oral iron is ineffective or cannot be used.[1][3] This guide explains Daiichi Sankyo's patient assistance programs, including the **Injectafer Savings Program** for commercially insured patients and support for uninsured or underinsured patients through Access Central, helping you access treatment at low or no cost.[1][2][3] ## About Injectafer **Injectafer** replenishes iron stores quickly with two doses given at least 7 days apart, unlike daily oral supplements that may cause stomach upset.[3] It's FDA-approved for IDA in patients who have not responded well to oral iron or have non-dialysis-dependent chronic kidney disease (NDD-CKD). Common side effects include nausea, high blood pressure, flushing, and dizziness—discuss risks with your doctor.[3] Each dose can be expensive without assistance, but Daiichi Sankyo programs cap costs.[2][9] ## Who Qualifies? Daiichi Sankyo offers two main paths: 1. **Injectafer Savings Program**: For **commercially insured** patients (not Medicare, Medicaid, or VA). Provides up to **$500 per dose**, covering two courses (up to 4 doses) per 12 months, with a $2,000 annual limit. Patients pay as little as $50 per dose if eligible.[2][3][9] 2. **Patient Assistance Program (Open Care via Access Central)**: For **uninsured or underinsured** patients with financial need who lack other payment sources. Provides **free Injectafer** to qualified individuals.[1][5][8] No specific income thresholds are listed publicly; eligibility is determined case-by-case by Daiichi Sankyo Access Central.[1][5] All US residents prescribed Injectafer may apply.[10] ## Income Eligibility Breakdown Detailed income limits aren't published online, but general pharmaceutical assistance often follows Federal Poverty Level (FPL) guidelines (e.g., 400-500% FPL). Contact Access Central for your situation.[1] Here's a sample FPL table for context (2026 estimates; verify current): | Household Size | 400% FPL | 500% FPL | |---------------|----------|----------| | 1 (Individual) | ~$60,000 | ~$75,000 | | 2 (Couple) | ~$81,000 | ~$101,000| | 3 | ~$102,000| ~$127,000| | 4 | ~$123,000| ~$154,000| **Notes**: Savings Program ignores income—focuses on commercial insurance. Free drug program assesses financial hardship.[8][10] ## Insurance Requirements - **Savings Program**: **Commercial insurance only** (e.g., employer plans, marketplace). Excludes government insurance like **Medicare Part B/D, Medicaid, TRICARE, VA**. Submit Explanation of Benefits (EOB) or itemized statement post-dose.[2][3][9] - **Free Assistance**: For uninsured/underinsured without coverage or unable to pay copays. Benefits investigation available.[5] ## Step-by-Step Application ### For Savings Program (Commercially Insured): 1. Ask your doctor to enroll you at **injectafercopay.com** (they need your last 4 SSN digits) or call **1-866-437-4669**.[3] 2. Or self-enroll at **injectafercopay.com** or call.[3] 3. Get instant virtual debit card number (enrollment in minutes).[3] 4. Give card to provider for infusion; they bill insurance first.[2] 5. Submit EOB/CMS-1500/UB-04 form via upload, fax, or mail after each dose.[3] 6. Retroactive enrollment up to **120 days**.[2] ### For Free Assistance (Uninsured/Underinsured): 1. Doctor completes **Patient Enrollment Form** (download from dsaccesscentral4u.com).[4][5] 2. Fax to **1-833-471-9988** with physician/patient signatures.[4] 3. Access Central reviews eligibility, verifies benefits if needed.[5] 4. Call **1-866-437-4669** (M-F, 8am-6pm ET) for support.[1][3] **Required Documents**: Enrollment form, proof of income/insurance (if applicable), EOBs post-treatment, SSN (last 4).[2][4] ## Timeline and Delivery - **Enrollment**: Minutes for Savings Program; days for free assistance review.[3][5] - **Approval**: Immediate virtual card or notification via mail/fax.[3] - **Delivery**: Provider gets reimbursed via card/check; free drug shipped to office.[1][2] - **Processing**: Submit EOBs promptly; reimbursements follow.[3] One enrollment per 12 months; valid for 2 courses.[2] ## Alternatives if Denied - Appeal with more docs or call Access Central.[1] - **Partnership for Prescription Assistance (PPA)**: Daiichi Sankyo member—search ppanx.org.[8] - Other iron infusions: Monoferric, Feraheme (check their programs). - **Biosimilars**: None listed currently.[ ] - Generic oral iron if suitable; hospital charity care.[ ] ## Disclaimer This guide is for informational purposes based on publicly available data as of 2026. Programs change; **always verify with Daiichi Sankyo Access Central at 1-866-437-4669 or dsaccesscentral4u.com**. Daiichi Sankyo makes no guarantees on coverage/reimbursement. Consult your doctor; not medical/financial advice. Terms apply (injectafercopay.com).[1][2][3]

Program information last verified: March 30, 2026