Veltassa
Generic: patiromer
Manufacturer: Vifor Pharma, Inc. · Program: VeltassaKonnect
Apply for AssistanceEligibility Criteria
Insurance Requirement
Patients must be uninsured or underinsured; Medicare Part D recipients not eligible
Residency
US, DC, Puerto Rico, or US Virgin Islands
Uninsured PAP applicants required to submit verification for all sources of household income; annual pretax household income and number of family members required
Program Information
Processing Time
2–4 weeks
Delivery Method
shipped to patient’s address or treating facility
Application Method
Fax
Reauthorization
Required — annually
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- proof of household income for uninsured
- prescription
- patient information
- physician information
Indicated For
hyperkalemia
About This Medication
# VeltassaKonnect Patient Guide: How to Get Veltassa at Low or No Cost VeltassaKonnect is a patient assistance program (PAP) sponsored by **Vifor Pharma, Inc.** that helps **uninsured or underinsured patients** access **Veltassa (patiromer)** for free if they meet income and other eligibility requirements. This guide explains everything you need to know in simple terms to apply and get your medication.[1][5][6] ## About Veltassa (Patiromer) **Veltassa** is a prescription medicine used to treat **hyperkalemia** (high potassium levels in the blood), which is common in people with chronic kidney disease. It works by binding to excess potassium in your gut, helping your body remove it through stool. You mix the powder in water or soft food and take it once daily. It's not a pill—it's a suspension you prepare fresh each time. Always follow your doctor's instructions, and note it must be taken separately from other medications by at least 3 hours.[1][2][7] VeltassaKonnect offers more than just free medicine: it includes a free 20-day starter supply for eligible new patients, insurance support, financial aid options, and help staying on treatment. Free products cannot be submitted for insurance reimbursement.[1][5][7] ## Who Qualifies for VeltassaKonnect? This program is for **U.S. residents** (including D.C.) who **cannot afford Veltassa** due to lack of insurance or high costs. Key requirements: - **Uninsured or underinsured** (details below). - **Household income verification** required for all sources—program uses **annual pretax household income** and **number of family members** to determine eligibility. - **Valid prescription** from a U.S. licensed doctor. - No specific income limits (like FPL percentages) are publicly listed; eligibility is assessed case-by-case based on your submitted proof.[1][6] **Note:** Medicare Part D, Medicaid, TRICARE, VA, or other government insurance recipients are **not eligible** for the free PAP. A separate **Co-pay Program** exists for **commercially insured** patients (call 1-855-591-9132), reducing costs to $0/month for up to 12 months.[2][4] ## Income Eligibility Breakdown VeltassaKonnect requires **proof of household income** for uninsured applicants. No fixed Federal Poverty Level (FPL) threshold is specified—instead, they review your **total annual pretax household income** against **family size**. Here's a general guide based on typical PAP standards (your actual eligibility depends on program review): | Family Size | Example Max Income (300% FPL estimate*) | Notes | |-------------|-----------------------------------------|-------| | 1 (Individual) | ~$45,000 | Submit all income sources (pay stubs, tax returns) | | 2 (Couple) | ~$61,000 | Include spouse/partner income | | 3 | ~$77,000 | Add dependents | | 4 | ~$92,000 | Larger families may qualify higher | *Estimates for 2026; actual thresholds not published—**call (844) 870-7597** for your situation. Provide **last 30 days' proof** like W-2s, 1099s, pay stubs, or benefit statements.[1][6] ## Insurance Requirements - **Must be uninsured or underinsured** (e.g., high copays/deductibles not covered). - **Medicare Part D patients NOT eligible** for PAP—use Co-pay Program only if commercially insured.[1][2][4] - Program verifies insurance status; free Veltassa **cannot be reimbursed** by any payer.[1][3] ## Step-by-Step Application Process 1. **Talk to your doctor**: Ask them to prescribe Veltassa and complete the **VeltassaKonnect Enrollment Form** (available at veltassa.com or by calling).[3][7][10] 2. **Choose services**: Select **Patient Assistance Program (PAP)** for free ongoing supply, **Starter Supply** (20 days free), or both.[7] 3. **Gather documents**: - **Proof of household income** (uninsured only): Recent pay stubs, tax returns, etc. - **Prescription** signed by doctor. - **Patient info**: Name, address, phone, DOB, household size/income. - **Physician info**: Name, contact, NPI.[1][6][10] 4. **Sign authorizations**: Patient and doctor sign for privacy release and no-reimbursement agreement. Or e-sign at www.veltassaeconsent.com.[1][3][5][9] 5. **Submit by fax**: Fax form + docs to the number on the form (call (844) 870-7597 for latest). No online portal listed.[1][6] 6. **Call for help**: (844) 870-7597, Mon-Fri 9AM-8PM ET.[5] ## Timeline and Delivery - **Processing time**: Not specified—expect 1-2 weeks; call to check status.[1] - **Delivery**: Free Veltassa **shipped to your home or doctor's office/facility**. Starter supply ships quickly for new patients.[1][6] - **Refills**: **Reauthorization required** periodically—doctor resubmits form.[6] ## If Denied or Need Alternatives - **Appeal**: Call (844) 870-7597 to discuss reasons (e.g., income too high, insured status). - **Other options**: - **Co-pay Card** for commercial insurance: $0/month up to 12 months.[2][4] - **RxAssist.org** or NeedyMeds for similar programs. - **Generic alternatives**: None (patiromer is brand-only); ask doctor about **sodium zirconium cyclosilicate (Lokelma)** PAPs. - **State programs** or **hospital charity care**.[6] ## Important Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. **Program rules can change**—always verify with Vifor Pharma at (844) 870-7597 or veltassa.com. Not medical advice; consult your doctor. Vifor reserves rights to amend/deny. Free meds **cannot be resold or reimbursed**. Word count: 950.
Program information last verified: March 30, 2026
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