Patient Assistance Program

American Regent 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.
The most prescribed IV iron in the US

About the program

The Venofer IV Iron Patient Assistance Program helps improve access to Venofer for NDD-CKD patients who lack health insurance and cannot afford therapy. If a patient meets eligibility requirements, American Regent will replace the Venofer provided, free of charge, while the patient is enrolled in the program. American Regent reserves the right to modify or cancel the program immediately with respect to any patient, or in its entirety, at any time.

Program eligibility

This 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. Patients must also be US citizens, legal entrants in the United States or permanent residents.

FOR PATIENT ASSISTANCE, PLEASE CALL OUR REIMBURSEMENT HOTLINE

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

Monday through Friday, from 9 AM to 8 PM ET

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

How to apply

  • A hospital, physician or infusion center may apply to the program on behalf of its NDD-CKD patients
  • The patients' insurance and financial information will be needed to determine if patient qualifies
DOWNLOAD THE APPLICATION
  • The provider and patient will receive notification by mail of the patients' enrollment or denial
  • If approved, the patient is eligible for replacement product during the enrollment period
  • If the patient is approved for the program, the provider submits a product replacement request for each patient at the end of each month
  • The provider will receive free replacement vials approximately 30 days after the replacement request is received by the program
DOWNLOAD THE PRODUCT REPLACEMENT REQUEST FORM
  • Providers may reapply on behalf of their patients by completing a new patient application or by calling the program at the end of the patients' enrollment period

REFERENCE

1. IQVIA [NSP Audit from MAT November 2013 to November 2018].