Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  
 

Keryx Patient Plus Program

This program provides brand name medications at no or low cost

Provided by: Keryx Biopharmaceuticals, Inc.

PO Box 877
Somerville, NJ 08876

TEL: 855-686-8601


FAX: 866-310-7424
Languages Spoken:

English

Program Website

 

Patient Assistance Applications

Keryx Patient Plus Program Application

 

Brand Name Medications Covered

 
  • Auryxia tablet
 

Generic Name

 
  • ferric citrate tablet
 

Eligibility Requirements   

Insurance Status Must have no insurance or prescription coverage
Those with Part D Eligible? Determined case by case
Income Above 150% and at or below 300%
Diagnosis/Medical Criteria Medically Necessary as determined by a Doctor
US Residency Required? Must be citizen or legal resident
   

Application

Obtaining Call or download
Receiving Faxed, emailed, mailed or downloaded
Returning Email, fax or mail
Doctor's Action Complete section and sign
Applicant's Action Complete section, sign, attach required documents
Decision Communicated Dialysis facility
Decision Timeframe 2-3 business days
   

Medication

Amount/Supply Up to 1 month supply
Sent To Not specified
Delivery Time Not specified
Refill Process Not specified
Limit Not specified
Re-application New application yearly
   

Additional Information

This program also provides co-pay and reimbursement assistance.


Updated March 21, 2017