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. Patient is responsible for applicable taxes. Annual maximum limits may apply. Co-pay program is not insurance. No party may seek reimbursement for any part of the co-pay benefit received under this program. See full Terms and Conditions below.
VELTASSA Konnect may help patients
start and stay on therapy
Enroll your patients with the VELTASSA Konnect Enrollment Form
VELTASSA Konnect helps with:
Researches patients’ insurance coverage and provides information on PAs and appeals if needed. Case managers are available to answer questions
A free trial supply (up to 20 days) is available for patients upon healthcare professional request through the VELTASSA Start Program†
Assesses need and potential eligibility for qualified patients
Specialty pharmacy ships prescriptions directly to patients
Stay-on-Track, an adherence program, offers patients ongoing support and lifestyle tips. Nurse advocates are available to answer patients’ questions‡
Use of the VELTASSA Konnect program is not a guarantee of payment or reimbursement. Coverage is subject to individual
insurance plans, which may vary.
† The VELTASSA Start Program is not contingent on purchase. This is a one-time-only supply and may be subject to additional restrictions. There is no guarantee that VELTASSA will be approved by patients’ health plans.
‡ VELTASSA Konnect does not provide medical advice. Patients should consult their HCP if they have any questions about their
health or treatment.
$0 Co-pay Important Terms and Conditions
By participating in Vifor Pharma, Inc.’s (Vifor Pharma) Pay as Low as $0 Co-pay 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 (eg, 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 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 US 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.