Velphoro Concierge Support, powered by ASPN Pharmacies, can help patients get Velphoro if their phosphate binder is not covered through the Medicare Prospective Payment System.*
*As of January 1, 2025, phosphate binders are included in the End-Stage Renal Disease (ESRD) Prospective Payment System, and Medicare beneficiaries with ESRD for whom phosphate binders are medically indicated will receive their phosphate binder medication through their dialysis provider. Certain patients, such as those for whom Medicare eligibility is pending, certain Medicare Advantage beneficiaries, and those whose commercial insurance plans are the primary payer, may not be eligible to receive their phosphate binder through their dialysis organization and may still have a choice of pharmacy.
†Includes fee-for-service patients receiving phosphate binder therapy through their dialysis organization. Out-of-pocket costs are based on the patient's medical health plan coinsurance structure.
Reference: 1. Centers for Medicare & Medicaid Services. Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, Conditions for Coverage for End-Stage Renal Disease Facilities, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model. Fed Regist. 2024;89(218):89084-89213. 42 CFR Parts 410, 413, 494, and 512. https://www.govinfo.gov/content/pkg/FR-2024-11-12/pdf/2024-25486.pdf