Vifor Pharma can help your patients access and afford VELTASSA
~74 % of patients paid $10 or less for their monthly VELTASSA prescriptions.†
Eligible commercially insured patients may pay as little as $0 for VELTASSA per month for up to 12 months.‡
- Instant savings at the pharmacy
- No co-pay card or print coupon required
- No patient registration
*As of June 2022 and may be subject to change.
†Source: Source Health Analytics PTD Dispensed Claims (May 2021–April 2022).
‡Program is for commercially insured patients. Patients enrolled in a government health insurance program such as Medicare Part D, Medicaid, TRICARE, or Veterans Health Administration are not eligible; this is not an exhaustive list of excluded government health plans. Patients may pay as low as $0 for up to 12 months; after that, renewal is required. The patient is responsible for applicable taxes. Annual maximum limits apply. Co-pay program is not insurance. No party may seek reimbursement for any part of the co-pay benefit received under the program. See full Terms and Conditions below.
$0 Co-pay Important Terms and Conditions
By participating in Vifor Pharma, Inc.’s $0 Co-pay Savings Program (“Co-pay Program”) for VELTASSA, the patient acknowledges that, at the time of usage, they meet the eligibility criteria and comply with the following terms and conditions.
The Co-pay Program is for commercially insured patients. Patients with prescription coverage through any type of federal or state government-funded program are not eligible (e.g., Medicare, Medicaid, TRICARE, Veterans Administration [VA], Mi Salud).
The patient may pay as low as $0 per month for up to a 12-month period, and afterward renewal is required. Annual maximum limits may apply. The Co-pay Program for VELTASSA is not insurance. Vifor Pharma, Inc. reserves the right to rescind, revoke, or amend this program without notice. The patient must use the Co-pay Program for a valid prescription of VELTASSA, and this cannot be combined with any other coupon, trial, savings card, free drug assistance, or other offer.
Patient must live in the United States (including the District of Columbia, Puerto Rico, and the U.S. Virgin Islands). If the patient is enrolled in Veltassa Konnect, patient is required to promptly inform Veltassa Konnect of any change in insurance status during the course of enrollment.
The patient and participating pharmacy are each obligated to inform the insurance plan of any benefit received under the Co-pay Program as required and may not participate if the Co-pay Program conflicts with the plan’s policy. No party may seek reimbursement for any part of the benefit received by patient under the Co-pay Program. The patient is responsible for applicable taxes. Limit one per person; offer is non-transferable and void where prohibited by law or restricted.