Apply for Auryxia (Ferric Citrate) Copay Assistance, Patient Savings Card & Financial Help

Yes. QuickRx Specialty Pharmacy provides completely free support to help patients enroll in Auryxia copay assistance programs. We never charge service fees, and the assistance programs themselves are designed to reduce or eliminate your out-of-pocket medication costs.

What’s included at no cost:

• Application assistance for copay cards and patient programs
• Insurance verification and benefit checks
• Prior authorization support when needed
• Ongoing monitoring to ensure continuous savings
• Prescription coordination and delivery arrangements

Auryxia savings programs available:

For patients with commercial insurance, the manufacturer’s copay card can lower your prescription costs substantially, sometimes reducing copays to zero.

For Medicare and Medicaid patients, foundation-based assistance programs provide grants that help cover medication expenses. These programs are also free to apply for with QuickRx’s help.

For uninsured patients, manufacturer patient assistance programs may provide Auryxia at no cost or significantly reduced prices based on financial need.

Our team’s only goal is to make Auryxia more affordable so you can focus on managing your kidney health without financial stress.

Eligibility for Auryxia copay assistance depends on your insurance coverage and financial situation. Here’s how to get started:

Step 1: Contact QuickRx

Call us at (917) 830-2525 or toll-free at (800)-496-6111, or fill out our secure online form. A QuickRx specialist will reach out to you within one to two business days.

Step 2: Complete enrollment forms

We’ll help you fill out short forms with your insurance details and prescription information.

Step 3: Provide basic documentation

Submit simple paperwork so our team can verify your eligibility for available programs.

That’s it! From there, QuickRx handles everything—from confirming your eligibility to applying discounts directly at the pharmacy. We’ll also coordinate medication pickup or home delivery and continue monitoring your benefits so you never experience a lapse in copay assistance.

General eligibility guidelines:

Commercial insurance patients typically qualify for manufacturer copay cards if they have private insurance and a valid Auryxia prescription for an approved medical condition.

Medicare and Medicaid patients can access foundation grant programs that provide financial assistance based on need and medical necessity.

Uninsured patients may qualify for patient assistance programs that provide free or low-cost medication based on income and financial hardship.

Getting an Auryxia copay card is straightforward when you work with QuickRx. Here’s the simple process:

Step 1: Initial Contact

Call QuickRx at (917) 830-2525. or fill out our secure online application form. You can also reach us at (800) 496-6111

Step 2: Provide Information

Share your insurance details and prescription information with our team. We’ll need:

• Your insurance card information
• Your Auryxia prescription from your doctor
• Basic personal information for the application

Step 3: Application Submission

QuickRx completes and submits your copay card application to the manufacturer on your behalf. We handle all the paperwork so you don’t have to worry about it.

Step 4: Approval

Most patients receive approval within 24 to 48 hours. We’ll notify you as soon as your copay card is active.

Step 5: Start Saving

Once approved, your copay savings apply automatically at the pharmacy. You’ll see the reduced price when you pick up your next Auryxia prescription.

What happens next:

QuickRx continues monitoring your copay card status and handles any renewals needed. We’ll also coordinate your prescription refills and can arrange home delivery if you prefer.

If you’re initially denied for any reason, our team will help with the appeals process or connect you to alternative assistance programs.

Ready to apply? Contact us today for free help getting your Auryxia copay card.

Medicare patients cannot use manufacturer copay cards due to federal regulations, but you still have options for financial assistance.

Why Medicare patients can’t use copay cards:

Federal law prohibits pharmaceutical manufacturers from offering copay cards or direct financial assistance to Medicare beneficiaries. This includes Medicare Part D prescription coverage.

Alternative assistance for Medicare patients:

QuickRx connects Medicare patients to foundation-based patient assistance programs that provide copay grants specifically designed for people with Medicare coverage.

How foundation programs work:

• Independent charitable foundations provide grants to help cover medication costs
• These programs are legally allowed to help Medicare patients
• Grants can cover most or all of your out-of-pocket expenses for Auryxia
• Applications are free with QuickRx’s assistance

What you can expect:

• Grant awards vary based on your financial need and the foundation’s available funds
• Most programs cover three to twelve months of medication costs
• You may need to reapply periodically
• QuickRx handles the entire application and renewal process for you

Medicare Advantage plans:

If you have a Medicare Advantage plan (Medicare Part C), different rules may apply. Contact QuickRx to discuss your specific coverage situation.

Next steps:

Call QuickRx at (917) 830-2525 to speak with a specialist about Medicare-approved assistance options for Auryxia. We’ll identify which foundation programs you qualify for and handle all the paperwork on your behalf.

The cost of Auryxia varies depending on your insurance coverage and whether you use copay assistance programs.

Without insurance or assistance:

Auryxia can be expensive when paying out-of-pocket. Costs vary by pharmacy and dosage prescribed.

With insurance but no copay assistance:

Your out-of-pocket costs depend on your specific insurance plan, including your deductible, formulary tier, and plan design. Some plans may require prior authorization before covering Auryxia.

With copay assistance programs:

Commercial insurance + copay card:

Eligible patients with commercial insurance may significantly reduce their copay with the manufacturer’s copay card program. Many patients pay little to nothing out-of-pocket.

Medicare/Medicaid + foundation grant:

Foundation-based assistance programs can help cover most or all of your out-of-pocket costs for Auryxia. Grant amounts vary based on your financial need and available funding.

Uninsured + patient assistance program:

Patients without insurance may qualify to receive Auryxia at no cost or significantly reduced prices through manufacturer patient assistance programs.

Get a personalized cost assessment:

Contact QuickRx at (917) 830-2525  for a free assessment of your specific situation. We’ll explain exactly what assistance programs you qualify for and help you understand your expected costs.

Auryxia (ferric citrate) is a prescription medication that helps control phosphorus levels in adults with chronic kidney disease who are receiving dialysis treatment.

How chronic kidney disease affects phosphorus levels:

CKD is a progressive condition where the kidneys gradually lose their ability to filter waste products and excess minerals from the blood, including phosphorus. When phosphorus levels become too high—a condition called hyperphosphatemia—it can lead to serious health complications.

Complications of high phosphorus include:

• Bone disease and weakening (renal osteodystrophy)
• Increased risk of bone fractures
• Heart and blood vessel problems
• Calcification of arteries and soft tissues

How Auryxia works:

Auryxia binds to phosphorus from food in your digestive system, preventing it from being absorbed into your bloodstream. The bound phosphorus is then eliminated naturally through your stool. By keeping phosphorus levels under control, Auryxia helps reduce the risk of bone and cardiovascular complications in dialysis patients.

Additional benefit:

Auryxia also treats iron deficiency anemia in adult CKD patients who are not yet on dialysis. The ferric iron in Auryxia provides supplemental iron that your body can use to increase hemoglobin levels and improve anemia.

Important to know:

Auryxia is taken by mouth with meals, typically three times daily. While Auryxia is not a cure for chronic kidney disease or high phosphorus, it plays an important role in managing these conditions and improving quality of life when used as part of a comprehensive treatment plan under your doctor’s supervision.

Auryxia (ferric citrate) has two FDA-approved uses for adults with chronic kidney disease:

1. Controlling high phosphorus in CKD patients on dialysis

Auryxia helps lower elevated phosphorus levels (hyperphosphatemia) in adults with chronic kidney disease who are receiving dialysis treatment. High phosphorus can cause serious complications like bone disease and heart problems, so controlling these levels is an essential part of managing advanced kidney disease.

2. Treating iron deficiency anemia in CKD patients NOT on dialysis

For adults with chronic kidney disease who haven’t started dialysis yet, Auryxia provides supplemental iron to help increase hemoglobin levels and address anemia. Many CKD patients develop iron deficiency, which contributes to fatigue and other symptoms.

How Auryxia provides dual benefits:

The medication works by binding to dietary phosphorus in your digestive tract, which reduces how much phosphorus gets absorbed into your blood. At the same time, the iron component helps replenish your body’s iron stores and support healthy red blood cell production.

Clinical evidence:

Multiple medical studies have demonstrated Auryxia’s effectiveness in reducing phosphorus levels in dialysis patients and improving iron status in non-dialysis CKD patients. These studies showed meaningful improvements in laboratory values and safety over several weeks to months of treatment.

While Auryxia doesn’t cure chronic kidney disease, it can be an important long-term therapy to help patients better manage symptoms and maintain quality of life. Your nephrologist will determine if Auryxia is appropriate for your specific situation based on your lab results and overall health status.

Auryxia should be taken exactly as your doctor prescribes. Here are general guidelines for taking this medication safely and effectively:

Timing and administration:

Take Auryxia three times daily with meals—typically with breakfast, lunch, and dinner. Taking it with food is important because it maximizes the medication’s ability to bind phosphorus from your diet.

Swallow the tablets whole with water. Don’t crush, chew, or break the tablets, as this can affect how the medication works.

Standard dosing:

For high phosphorus (dialysis patients): Your doctor will likely start you on two tablets three times daily with meals. They may adjust your dose up or down by one or two tablets per meal based on your phosphorus blood test results. The maximum dose is twelve tablets per day.

For iron deficiency anemia (non-dialysis patients): The typical dose is one tablet three times daily with meals. Your doctor will monitor your hemoglobin and iron levels to see how you’re responding.

If you miss a dose:

Take your missed dose with your next meal. Don’t double up on doses to make up for the one you missed. Just continue with your regular schedule.

Storage:

Keep Auryxia tablets at room temperature, away from excessive heat and moisture.

Important side effect to expect:

Auryxia may cause your stools to appear dark or black. This is completely normal and happens because of the iron content in the medication. It’s not harmful and doesn’t mean anything is wrong.

Key reminders:

Continue taking Auryxia as prescribed even if you feel fine. Chronic kidney disease management requires consistent, long-term treatment, and it may take time to see the full benefits. Never stop taking Auryxia or change your dose without talking to your doctor first. If you have questions about how to take your medication, contact QuickRx or speak with your pharmacist.

Auryxia can interact with several other medications by affecting how well they’re absorbed in your digestive system. It’s essential to tell your doctor and pharmacist about all medications you’re taking, including prescription drugs, over-the-counter medicines, and supplements.

Important drug interactions:

Antibiotics: Auryxia may reduce the absorption of certain antibiotics like doxycycline and ciprofloxacin. If you need to take these antibiotics, separate the doses by at least two hours before or after taking Auryxia.

Thyroid medication (levothyroxine): Auryxia can decrease levothyroxine absorption, so take your thyroid medication at least four hours before or after Auryxia to avoid this interaction.

Calcium and magnesium supplements: These may interfere with Auryxia’s effectiveness or absorption. Take them at least two hours apart from your Auryxia doses.

Bone medications (bisphosphonates): Timing is important when taking medications like alendronate, ibandronate, or risedronate along with Auryxia. Follow your doctor’s specific instructions about spacing these medications—usually two hours or more apart.

Additional iron supplements: Don’t take extra iron supplements unless your doctor specifically tells you to. Auryxia already contains iron, and taking more could lead to dangerous iron overload in your body.

Antacids: Some antacids may reduce Auryxia’s effectiveness. Talk to your doctor before using antacids regularly while on Auryxia.

What you should do:

Always inform your healthcare team about everything you’re taking before starting Auryxia. Your doctor or pharmacist can review your medication list and advise you on proper timing to avoid interactions. They’ll also monitor you for any signs of reduced effectiveness or side effects that might indicate an interaction is occurring.

Like all medications, Auryxia can cause side effects, though not everyone experiences them. Many patients tolerate Auryxia well when taken as prescribed.

Common side effects:

The most frequently reported side effects in clinical studies include:

• Diarrhea
• Dark or black-colored stools (this is normal and not harmful—it’s due to the iron content)
• Constipation
• Nausea
• Stomach pain or discomfort
• Cough
• Vomiting

Most of these side effects are mild and may improve as your body adjusts to the medication.

Serious side effects—contact your doctor immediately if you experience:

Iron overload: This happens when too much iron builds up in your body, which can be dangerous. Your doctor will monitor your iron levels with regular blood tests to prevent this. Symptoms might include fatigue, joint pain, or changes in skin color.

Severe gastrointestinal problems: Persistent severe nausea, vomiting, or intense abdominal pain that doesn’t go away should be reported right away.

Allergic reactions: Though rare, some people may develop rash, itching, swelling of the face or throat, or difficulty breathing. This requires immediate medical attention.

CRITICAL WARNING about children:

Accidental iron overdose is a leading cause of fatal poisoning in young children under six years old. Keep Auryxia completely out of reach of children at all times. If a child accidentally swallows Auryxia, call 911 or the Poison Control Center immediately at 1-800-222-1222.

What to do about side effects:

If you experience bothersome but not severe side effects, talk to your doctor. They may be able to adjust your dose or suggest ways to manage symptoms. Never stop taking Auryxia without consulting your doctor first.

You can report side effects to the FDA at 1-800-FDA-1088.

Certain people should not take Auryxia due to safety concerns. Always discuss your complete medical history with your doctor before starting this medication.

Do not take Auryxia if you have:

Iron overload disorders: Conditions like hemochromatosis or hemosiderosis, where your body already stores too much iron, mean Auryxia would be dangerous for you.

Allergies to ingredients: If you’re allergic or hypersensitive to ferric citrate or any other ingredient in Auryxia tablets, you shouldn’t take this medication.

Use with caution if you have:

• Gastrointestinal disorders or a history of bowel obstructions
• Any current signs of iron overload (your doctor will check with blood tests)

Before starting Auryxia, tell your doctor if you:

• Have ever had iron storage problems
• Are pregnant, planning to become pregnant, or breastfeeding (Auryxia hasn’t been extensively studied in these situations)
• Have inflammatory bowel disease, Crohn’s disease, or ulcerative colitis
• Have had stomach or intestinal surgery
• Take any other medications or supplements

Required monitoring:

Your doctor will need to check your blood regularly while you’re on Auryxia to monitor:

• Serum ferritin (measures stored iron)
• Transferrin saturation (shows how much iron is in your blood)
• Serum phosphorus levels
• Hemoglobin (if you’re being treated for anemia)

These tests ensure Auryxia is working properly without causing iron to build up to dangerous levels.

Special considerations:

The safety and effectiveness of Auryxia haven’t been established in children under 18. Elderly patients may be more sensitive to side effects and should be monitored carefully.

The time it takes to see results from Auryxia depends on which condition you’re treating and how your body responds to the medication.

For high phosphorus (dialysis patients):

Clinical studies showed that Auryxia begins reducing serum phosphorus levels within the first few weeks of treatment. Most patients see significant improvement within four to twelve weeks.

Your doctor will check your phosphorus levels regularly—usually every one to two weeks at first—and may adjust your Auryxia dose until your levels reach the target range. Once your phosphorus is under control, you’ll continue taking Auryxia long-term to maintain those results.

For iron deficiency anemia (non-dialysis patients):

Improvements in hemoglobin and iron stores typically take longer—several weeks to a few months. Your body needs time to rebuild its iron reserves and produce healthier red blood cells.

Your doctor will monitor your blood work regularly to track your progress and may adjust your treatment plan based on how you’re responding.

Important reminders:

• Take Auryxia exactly as prescribed every day, even if you don’t notice any immediate changes
• Kidney disease management requires consistent, ongoing treatment
• Don’t skip doses, as this can affect how well the medication works
• Auryxia works best as part of a complete treatment plan that may include dietary changes, other medications, and regular monitoring
• Never stop taking Auryxia without consulting your doctor

The safety of Auryxia during pregnancy and breastfeeding is not fully established, so it’s important to have a detailed discussion with your doctor.

Pregnancy:

Auryxia has not been extensively studied in pregnant women, so the potential effects on an unborn baby are not fully known. Women who can become pregnant should discuss the risks and benefits with their doctor before starting Auryxia.

Important considerations if you’re pregnant:

• Managing kidney disease during pregnancy requires careful monitoring
• Your body’s iron needs increase when you’re pregnant
• Controlling phosphorus is still important for CKD management

If you’re currently pregnant or planning to become pregnant, talk to your doctor immediately. They’ll evaluate whether Auryxia is appropriate for your situation or if alternative treatments would be safer.

Breastfeeding:

It’s not known whether Auryxia passes into human breast milk or what effects it might have on a nursing infant. Research shows that iron levels in breast milk generally remain relatively stable regardless of the mother’s iron intake, but the specific impact of ferric citrate hasn’t been studied.

If you’re breastfeeding, your doctor will help you decide whether to:

• Continue breastfeeding while taking Auryxia
• Stop taking Auryxia while you’re nursing
• Temporarily stop breastfeeding during Auryxia treatment
• Use alternative medications

Never start or stop any medication during pregnancy or while breastfeeding without medical guidance. Your kidney doctor and OB-GYN should work together to create the safest treatment plan for both you and your baby.

Auryxia offers unique advantages compared to traditional phosphate binders used in chronic kidney disease management.

Dual-action benefit:

Unlike most phosphate binders that only control phosphorus, Auryxia does two jobs at once:

1. Controls phosphorus levels (like other binders)
2. Provides supplemental iron to help with anemia

This dual benefit means many CKD patients can manage both problems with one medication instead of needing separate treatments.

How Auryxia compares to alternatives:

vs. Calcium-based binders (like calcium acetate or calcium carbonate):

• Auryxia contains no calcium, which helps avoid the risk of calcium buildup in blood vessels
• Provides iron supplementation that calcium binders don’t offer
• May be easier on the stomach for some patients

vs. Sevelamer (Renagel, Renvela):

• Auryxia supplies iron; sevelamer doesn’t
• May reduce or eliminate the need for IV iron infusions
• Different side effect profile that some patients tolerate better

vs. Lanthanum (Fosrenol):

• Auryxia offers the iron benefit; lanthanum doesn’t
• Different mechanism of action and tolerability

Clinical evidence:

Medical studies have demonstrated Auryxia’s effectiveness in:

• Significantly reducing serum phosphate in hemodialysis patients
• Treating both high phosphorus AND iron deficiency anemia in CKD patients
• Maintaining safety and tolerability in long-term use

Who benefits most from Auryxia:

• Dialysis patients who need better phosphorus control
• CKD patients with both high phosphorus and low iron
• Patients who want to avoid calcium-containing binders
• Anyone looking to simplify their medication regimen

Your nephrologist will determine the best phosphate binder for your individual situation based on your lab values, other medications you’re taking, and your overall health picture.

Auryxia (ferric citrate) works locally in the gastrointestinal tract to bind dietary phosphate, which is then excreted in the stool. The iron component is absorbed into the bloodstream to address iron deficiency.

Once absorbed, iron from Auryxia is incorporated into hemoglobin and stored in the body. The half-life of iron in the body varies, but excess iron can remain stored for extended periods.

After you stop taking Auryxia, it may take time for phosphorus levels and iron stores to adjust. Your doctor will monitor your labs regularly.

It is important to follow your doctor’s instructions carefully when taking Auryxia, including when to stop the medication if necessary. If you are considering stopping Auryxia or switching to a different medication, talk to your doctor about the appropriate timeline and any necessary monitoring or testing during the transition period.

Never skip doses or stop a medication without the supervision of your healthcare professional. If you need help affording your Auryxia, call us—we are always here to help with financial assistance programs.