Velphoro

Indicated For

hyperphosphatemia, chronic kidney disease on dialysis

About This Medication

# Velphoro Access Solutions Patient Guide: How to Get Velphoro at Low or No Cost Velphoro Access Solutions, offered by Fresenius Medical Care North America, provides **copay assistance** and **benefit investigation services** for insured patients prescribed Velphoro (sucroferric oxyhydroxide), a phosphate binder for controlling serum phosphorus levels in adults and children 9 years and older on dialysis.[1][2] ## About Velphoro **Velphoro** is a prescription iron-based phosphate binder taken with meals to help manage high phosphorus levels (hyperphosphatemia) in people with chronic kidney disease (CKD) on dialysis.[2] Unlike some binders, it's chewable and doesn't require water. Most patients start with **1 tablet per meal**, but your doctor may adjust based on lab results like serum phosphorus.[4] Common side effects include **dark stools** (normal due to iron), diarrhea, nausea, discolored teeth, or rash—these are often mild and resolve on their own.[4] Velphoro integrates easily into dialysis care, often supplied through your dialysis clinic or pharmacy with **minimal or no copay** for many insured patients.[6] Always follow your doctor's instructions. Report side effects to Fresenius at 1-800-323-5188 or FDA at 1-800-FDA-1088.[2] ## Who Qualifies? This program targets **patients with health insurance** covering Velphoro—no strict income limits apply.[1] It's ideal for: - Adults and children ≥9 years on dialysis with high phosphorus. - Those with commercial insurance, Medicare, or Medicaid (benefits verified per plan).[1] - Dialysis patients where Velphoro is part of routine care, often with **no extra copay/coinsurance** via Medicare Prospective Payment System.[6] **No income requirements** means broader access, but you must have prescription coverage. Uninsured patients should ask their doctor about dialysis organization options.[4][6] ## Income Eligibility Breakdown Velphoro Access Solutions focuses on **insurance-based copay help**, not income-tested free medication. Here's a simple overview: | Household Size | Income Threshold | FPL % | Notes | |----------------|------------------|-------|-------| | Individual | None | None | Copay assistance for insured patients only. No income eligibility specified.[1] | | Couple | None | None | Same as above. Dialysis patients often get it via clinic with minimal cost.[6] | | Family of 3 | None | None | Benefits investigation covers commercial, Medicare, Medicaid.[1] | | Family of 4+ | None | None | Contact program for family details; focus on insurance verification.[1] | This table reflects **no FPL-based limits**, prioritizing insured dialysis patients.[1] ## Insurance Requirements You need **health insurance** that covers Velphoro (pharmacy/PBM card required).[1] The program verifies: - Commercial plans. - **Medicare Part D** (common for dialysis).[1][6] - Medicaid (if applicable).[1] Dialysis organizations often include Velphoro in formularies with **equitable access** and mail delivery.[6] If prior authorization is needed, your doctor submits it separately.[7] Program performs **benefit investigation** to confirm coverage and copay details, sharing results with your doctor and dialysis facility.[1] ## Step-by-Step Application Process Applying is straightforward via **fax**—no online form listed.[1] Call **(877) 774-6756** for help.[1] 1. **Get Prescribed**: Ask your doctor (nephrologist or dialysis team) to e-prescribe Velphoro, searching "ASPN Pharmacies, LLC" in their EMR.[2] 2. **Fill Application**: Doctor or you complete sections: - Patient info (name, insurance details). - Prescriber info (NPI, DEA, license).[1] - Prescription (dose, labs like phosphorus, prior therapies).[1] - Authorization signature (HCP or patient).[1] 3. **Gather Documents**: - **Front/back** of pharmacy/medical insurance cards. - Medical face sheet.[1] - Signed form.[1] 4. **Fax to 1-866-496-8638** (not the phone number).[1] Keep a copy. 5. **Wait for Verification**: Program investigates benefits, notifies doctor/dialysis facility.[1] **Tip**: Complete all fields legibly to avoid delays.[1] Applications valid **12 months** or until Dec 31.[1] ## Timeline and Delivery **Processing time**: Not specified—call (877) 774-6756 for status.[1][3] Benefit results go to your **dialysis facility and doctor's office** quickly.[1] **Delivery**: Your **pharmacy supplies Velphoro**—often mailed to home/clinic via dialysis program for adherence.[1][4][6] No direct ship from manufacturer. **Reauthorization**: **Required** annually or per insurance; reapply as needed.[1] ## Alternatives if Denied or No Coverage - **Dialysis Formulary**: Many organizations cover Velphoro with **no copay**.[6] - **Other Binders**: If denied, doctor may try Renvela, Fosrenol (some programs require failure proof).[9] - **Patient Assistance**: Call program or RxHope/RxAssist for options (some online/phone apps).[3][5] - **Prior Auth**: Submit labs showing hyperphosphatemia on dialysis.[7] - **State Programs**: E.g., PA Chronic Renal Disease may cover with proof of failure/insurance.[9] Discuss with your dialysis team—they coordinate most access.[4] ## Important Disclaimer This guide summarizes Velphoro Access Solutions based on available info—**not official advice**. Eligibility/coverage varies; **contact (877) 774-6756** or your doctor for personalized help.[1] Program details can change. Not for uninsured/free meds. Consult healthcare provider before starting Velphoro. Fresenius not liable for coverage denials.

Program information last verified: March 30, 2026