Patient Assistance

PATIENT ASSISTANCE PROGRAM

American Regent, Inc. created the IV Iron Patient Assistance Program to provide free Venofer® (iron sucrose injection, USP) for eligible patients who are uninsured and do not have the financial resources to pay for medicine.

Program Eligibility

This program is an assistance program for patients who qualify based on income limits and lack of insurance coverage for healthcare. To be eligible for the program, patients must completely lack health insurance. The patient must also be a US citizen, legal entrant in the United States, or permanent resident.

How to Apply

Providers (hospitals, physicians or infusion centers) may apply to the program on behalf of their patients. Please call the IV Iron Reimbursement Hotline or download an enrollment application.

American Regent, Inc. reserves the right to modify or cancel the program immediately with respect to any patient, or in its entirety, at any time.


For patient assistance, please contact:

IV Iron Reimbursement Hotline

A toll-free hotline designed to help physicians and other providers understand payers' coverage and reimbursement policies for Venofer®

1-877-4-IV-IRON (1-877-448-4766)

Monday through Friday, between 9:00 am and 8:00 pm, ET

ADDITIONAL AMERICAN REGENT RESOURCES

Patient Assistance Request Form
Download the Patient Assistance Request Form
Patient Assistance Program Enrollment Application
Download the Patient Assistance Program Enrollment Application
Insurance Verification Request Form
Download the Insurance Verification Request Form