Does your current phosphate
regimen weigh you down?
Velphoro can
Lighten Your Day!
-
Velphoro helps lower
serum phosphorus levels -
1 chewable tablet per meal can help
lower your phosphorus levels -
Support may be available to help
you meet your coverage needs


Phosphorus Control

Phosphorus builds up
Your kidneys filter fluid in the body to remove waste and turn it into urine. In this process, one of the things that is removed is phosphorus. Without working kidneys, phosphorus builds up in your blood, also known as hyperphosphatemia. While you may not feel any symptoms from hyperphosphatemia, it can affect your overall health.

Bringing Phosphorus Down
Dialysis, along with a diet that limits phosphorus, can help control the phosphorus levels in your blood. However, phosphorus usually cannot be lowered with dialysis and diet alone. Most patients on dialysis need to use a medicine called a phosphate binder, like Velphoro. Find out how Velphoro works.

Tracking your phosphorus
When you are on dialysis, your doctor will test your blood on a regular basis. One of the things the test results will show is your phosphorus level. If your level is not in the right range, your doctor may recommend changes in your diet and the use of a phosphate binder.
The National Kidney Foundation recommends that phosphorus levels be 3.5 to 5.5 mg/dL. Your healthcare professional may have a different goal for you. Ask your dialysis team about your phosphorus goal!

The “pill burden”
Do you have a large number of pills that you have to take every day? This can make it difficult for you to keep up with your medications. Some phosphate binder treatments call for up to 4 pills per meal to control phosphorus levels. Velphoro can help control phosphorus levels starting with 1 chewable tablet per meal.
How Velphoro Works

Velphoro is a phosphate binder that can help you reach your goal
- Velphoro works like a magnet—it attaches to phosphates in your body
- One source of phosphates is the phosphorus in your diet
- Once the phosphorus attaches to Velphoro, it passes through your digestive tract and is eliminated in the stool
Learn how Velphoro brings phosphorus down

Bringing phosphorus down
- When taken with meals as prescribed, Velphoro can help you reach and stay at your phosphorus goal
- In a year-long study with people who were taking Velphoro, phosphorus levels went down, on average by 2 mg/dL within 3 months. Phosphorus levels were controlled during the rest of the study

Velphoro has some side effects
- The most common side effects are discolored feces and diarrhea
- In a year-long study with people taking Velphoro, diarrhea was mild, happened soon after treatment began, and went away with continued treatment
Tell your healthcare professional if you have any side effect that bothers you or does not go away.
How to Take Velphoro

Lighten your day with Velphoro dosing!
Start with one chewable tablet per meal.
- Tablets are easy to chew and have a pleasant berry taste
- You may only need to take one chewable tablet with you when you go out for a meal
- In studies, most people reached their phosphorus goal with 3 to 4 tablets per day

Take Velphoro as prescribed
- Take it with meals
- Just chew and swallow—if needed, you can crush the tablets first
- No extra liquid needed
- Many medications can be taken with Velphoro but some cannot. Tell your healthcare provider about all the medicines you take, including prescription and nonprescription medicines, vitamins, and other supplements

If you miss a dose
- Velphoro only works when you eat a meal or snack, so a dose you miss can’t be replaced
- If you miss a dose, take Velphoro the next time you eat
Velphoro Coverage

Velphoro treatment is affordable or free for most people
Most healthcare plans cover Velphoro. If you have trouble paying for your Velphoro prescription, help is available regardless of your insurance coverage.
Talk to your healthcare professional to find out if you are eligible for co-pay savings or other programs through Velphoro Access Solutions.

Velphoro Savings Card
Savings offered with this card include:
- $0 co-pay for the majority of those with commercial insurance, or
- Up to $350 toward out-of-pocket cost for each prescription*
*Please download the Savings Card to see terms and conditions.

Financial Support
If you are new to dialysis or to Velphoro, ask your healthcare professional which of the following programs may be right for you:
Velphoro Savings Card ($0 Co-pay)
- For eligible people who are commercially insured or paying with cash
Free drug program
- Available if you are new to dialysis and transitioning to Medicare Part D or can’t afford your medication
Low-income subsidy (LIS)*
- Pay no more than $10 per monthly prescription if you qualify
Velphoro Access Solutions
If you have questions about your coverage, talk to your healthcare professional. With Velphoro Access Solutions, your healthcare team has the support of experts who are committed to helping them find a coverage option that fits your needs.
*In order to participate, you must have Medicare/Medicaid or Medicaid and have applied and qualified for Medicare Part D LIS. This program enables you to have a low out-of-pocket expense, and you will not be subject to the coverage gap (donut hole). 2016 LIS coverage ≤$7.40.
FAQ
What is Velphoro?
Velphoro is a phosphate binder for people with chronic kidney disease who are on dialysis.
How does Velphoro work?
Velphoro works like a magnet—it attaches to the phosphates in your body.
How do I take Velphoro?
Velphoro should be taken at the same time as meals or snacks. Velphoro tablets must be chewed.
How many Velphoro tablets should I take?
The recommended starting dose of Velphoro is 3 tablets per day, 1 tablet with each meal. However, you should follow your healthcare provider's instructions about how many Velphoro tablets to take.
What are the most common side effects with Velphoro?
Velphoro can cause side effects. The most common side effects are discolored feces and diarrhea.
Can I take Velphoro with other medications?
Many medicines can be taken with Velphoro, but some cannot.
What if I miss a dose of Velphoro?
If you miss a dose, remember to take Velphoro the next time you eat.
Will my insurance plan cover the cost of Velphoro?
Talk to your care team—they can work with you and your insurance provider to find out if you are eligible for a program that can make Velphoro affordable for you.
Resources

Dining Out With Confidence
Brochure from the National Kidney Foundation about how to eat on special diets for patients with chronic kidney disease.

Understanding Food Labels
Brochure from the National Kidney Foundation to help patients on dialysis read and understand food labels to detect ingredients they should limit, such as phosphorus.