How to Afford Auryxia (Ferric Citrate): Copay Cards, Patient Assistance and Savings Programs (2025 Guide)

Last Updated: October 2025 | Reading Time: 12 minutes

Quick Answers: Auryxia Cost and Assistance

How much does Auryxia cost? The average retail price of Auryxia is $1,686 for 200 tablets, or approximately $8.40 per tablet. Most CKD patients on dialysis need 6 to 12 tablets daily, resulting in monthly costs ranging from $850 to $1,700 without insurance or assistance programs.

Can I get free Auryxia? Yes. The Auryxia Patient Assistance Program provides free medication to uninsured patients, Medicare beneficiaries who cannot afford copays, and those with financial hardship. QuickRx Specialty Pharmacy handles 100% of the application process at no cost to patients.

What is the Auryxia copay card? Generally, patients with commercial or private insurance may be eligible for copay cards through pharmaceutical manufacturers. This option may be confusing for some, which is why having a patient liaison review the type of assistance you may qualify for is essential. According to Medicare.gov, patients enrolled in government-funded programs like Medicare, Medicaid, TRICARE, or Veterans Affairs benefits are generally not eligible for manufacturer copay cards due to federal anti-kickback regulations.

Does Medicare cover Auryxia? Yes. According to the Centers for Medicare and Medicaid Services, most Medicare Part D plans cover Auryxia (ferric citrate), but place it in Tier 4 to 5 specialty tiers with copays ranging from $26 to $1,311 per month depending on the plan. QuickRx helps Medicare patients access patient assistance programs and Extra Help to reduce these costs.

How does QuickRx help with Auryxia costs? QuickRx Specialty Pharmacy identifies every available financial assistance program you qualify for, completes all enrollment paperwork on your behalf, follows up with manufacturers and programs until approval, monitors renewals to prevent coverage gaps, and delivers your medication nationwide at no additional cost.

Table of Contents

1. Understanding Auryxia Costs
2. How QuickRx Copay Assistance Works
3. Manufacturer Copay Card Programs
4. Patient Assistance Programs (Free Medication)
5. Medicare Extra Help and Low-Income Subsidy
6. State Pharmaceutical Assistance Programs
7. Step-by-Step: Getting Started
8. Frequently Asked Questions
9. Real Patient Success Stories
10. Take Action Today

Compassionate care and financial support for chronic kidney disease patients accessing affordable Auryxia treatment

Understanding Auryxia Costs: What You Need to Know

If you have been prescribed Auryxia (ferric citrate) for chronic kidney disease, understanding the true cost is therefore the first step toward finding affordable access to this essential phosphate-binding medication.

Why Auryxia (Ferric Citrate) Is So Expensive

Specifically, Auryxia is classified as a specialty medication for several reasons:

No Generic Equivalent Available: As of 2025, Auryxia remains under patent protection by Akebia Therapeutics. Currently, no generic ferric citrate phosphate binder is available in the United States, eliminating price competition.

Treats Complex Chronic Condition: Auryxia manages chronic kidney disease-mineral and bone disorder (CKD-MBD), a serious complication requiring specialized pharmaceutical formulation.

Dual Therapeutic Benefits: According to the FDA-approved prescribing information, Auryxia provides two benefits: it controls serum phosphorus levels in CKD patients on dialysis and treats iron deficiency anemia in CKD patients not yet on dialysis. This dual action justifies premium pricing.

Specialty Pharmacy Requirements: Auryxia requires specialized handling, storage, and patient monitoring available only through certified specialty pharmacies like QuickRx.

According to the National Kidney Foundation, specialty medications for chronic kidney disease account for 30% to 50% of a patient’s total healthcare costs, making financial assistance programs critical for medication adherence and patient outcomes.

How QuickRx Copay Assistance Works: Your Complete Solution

At QuickRx Specialty Pharmacy, we specialize in making Auryxia affordable for every chronic kidney disease patient, regardless of insurance status or income level.

What Makes QuickRx Different

Unlike traditional pharmacies that simply fill prescriptions, QuickRx provides comprehensive financial assistance services:

We Identify Every Available Program: Our patient navigators evaluate your unique situation and identify all assistance programs you qualify for, including manufacturer copay cards, patient assistance programs, Medicare Extra Help, state programs, and foundation grants.

We Handle 100% of the Paperwork: You never fill out confusing applications or gather documentation alone. We complete all forms, communicate with manufacturers and programs, and follow up until approval.

We Monitor Your Benefits: Additionally, copay assistance programs require annual renewals and have usage limits. We track everything and handle renewals automatically so you never experience coverage gaps.

We Deliver Your Medication: Finally, once approved, we coordinate delivery of your Auryxia directly to your home anywhere in the United States at no additional shipping cost.

Our Services Are Completely Free: In fact, we never charge enrollment fees, application fees, or consultation fees. Our mission is ensuring no CKD patient goes without medication due to cost.

Types of Assistance QuickRx Provides

The specific programs you qualify for depend on your insurance status, income, and other factors. Our patient navigators evaluate your unique situation and identify all assistance programs you qualify for, such as:

• Manufacturer copay card programs (for eligible patients)
• Patient assistance programs offering free medication
• Medicare Extra Help and Low-Income Subsidy enrollment
• State pharmaceutical assistance programs
• Non-profit foundation grants
• Pharmacy discount programs

How to Get Started with QuickRx Copay Assistance

Step 1: Contact Us

• Call direct: (917) 830-2525
• Fill out our online form: Auryxia Copay Assistance Application
• Email: info@quickrxspecialty.com

Step 2: Speak with a Patient Advocate Our patient navigators call patients who filled out online forms within 24 hours, often the same day. During this conversation, we review your insurance coverage, discuss available assistance programs, and explain next steps.

Step 3: We Handle Everything You provide basic information and documents. We complete applications, submit required paperwork, communicate with programs on your behalf, and follow up until approval.

Step 4: Receive Your Medication Once approved, your Auryxia ships directly to you with free nationwide delivery. Your financial assistance automatically applies at each refill.

Manufacturer Copay Card Programs for Auryxia

Manufacturer copay cards can significantly reduce out-of-pocket costs for eligible patients. Understanding how these programs work and who qualifies helps you determine if this option is right for you.

What Are Manufacturer Copay Cards?

Generally, patients with commercial or private insurance may be eligible for copay cards through pharmaceutical manufacturers. This option may be confusing for some, which is why having a patient liaison review the type of assistance you may qualify for is essential.

Essentially, copay cards work by reducing or eliminating your prescription copay at the pharmacy counter. When you fill your Auryxia prescription, the copay card covers a portion of your out-of-pocket cost, sometimes reducing it to as little as $0.

Who May Qualify for Copay Cards

Generally speaking, copay card eligibility varies by program, but typically includes:

• Patients with commercial or private health insurance
• United States residents, 18 years of age or older
• Valid prescription for Auryxia (ferric citrate)

Who Does NOT Qualify for Copay Cards

According to Medicare.gov, patients enrolled in government-funded programs like Medicare, Medicaid, TRICARE, or Veterans Affairs benefits are generally not eligible for manufacturer copay cards due to federal anti-kickback regulations.

Furthermore, uninsured patients typically cannot use copay cards since these programs require active prescription insurance coverage.

State-Specific Restrictions

Patients in California and Massachusetts should be aware that manufacturer copay cards cannot be used in these states due to state regulations. However, this does not mean assistance is unavailable. QuickRx identifies alternative programs and resources specific to your state to ensure you still receive financial support for your Auryxia treatment.

How QuickRx Helps with Copay Card Enrollment

Rather than navigating manufacturer websites and enrollment forms alone, our patient navigators:

• Verify your eligibility for copay card programs
• Complete enrollment applications on your behalf
• Ensure the card is properly activated before your first fill
• Coordinate with your pharmacy to apply maximum savings
• Monitor annual limits and renewal requirements
• Handle renewals automatically to prevent gaps

The specifics of what you receive depend on the type of assistance program you qualify for. Some programs provide approval letters or determination notices, while others use different confirmation methods.

Patient Assistance Programs: Free Auryxia for Eligible Patients

For patients who cannot use copay cards or cannot afford their medication costs, patient assistance programs (PAPs) provide completely free medication.

What Are Patient Assistance Programs?

Essentially, patient assistance programs are compassionate use programs offered by pharmaceutical manufacturers that provide free medication to eligible patients who meet specific financial and insurance criteria. According to Akebia Therapeutics.  the Auryxia PAP ships medication directly to patients or their pharmacy at no cost.

Who Qualifies for Free Auryxia Through PAPs

Patient assistance programs typically serve:

• Uninsured patients with no prescription drug coverage
• Medicare Part D beneficiaries who cannot afford copays
• Patients whose commercial insurance does not cover Auryxia
• Patients with financial hardship who meet program requirements

Notably, the specifics of eligibility requirements depend on the individual program. For example, some programs have income limits, while others focus on insurance coverage gaps or financial hardship regardless of income level.

Income Considerations

Some patient assistance programs consider household income when determining eligibility. According to the U.S. Department of Health and Human Services Federal Poverty Level guidelines, income thresholds vary by household size and program.

QuickRx patient navigators review your specific situation and identify programs you qualify for based on your unique circumstances.

Required Documentation

Typically, application requirements vary by program but may include:

• Completed application form
• Proof of income (tax return, pay stubs, or financial hardship documentation)
• Proof of insurance status (coverage denial letter or confirmation of no coverage)
• Valid prescription from your nephrologist or treating physician
• Photo identification

You never handle this paperwork alone. Our patient navigators gather required documentation, complete all forms, and submit everything on your behalf.

QuickRx maintains a 95% approval rate for patient assistance applications by ensuring documentation is complete and accurate before submission.

Annual Renewals

Importantly, patient assistance programs require renewal each fiscal year. QuickRx sends reminders well before your renewal date and handles the entire process to ensure there are no gaps in your medication coverage.

Medicare Extra Help and Low-Income Subsidy Programs

Medicare beneficiaries facing high Auryxia copays have additional assistance options through federal programs designed specifically to help with prescription costs.

What Is Medicare Extra Help?

For instance, Extra Help, also called the Low-Income Subsidy (LIS), is a federal program that assists Medicare Part D beneficiaries with:

• Monthly Part D premiums
• Annual deductibles
• Prescription copayments

According to the Social Security Administration, this program can save eligible beneficiaries $5,000 or more annually on prescription drug costs.

How to Apply for Extra Help

Application Methods:

1. Online: Visit SSA.gov/extrahelp
2. By phone: Call Social Security at 1-800-772-1213
3. In person: Visit your local Social Security office
4. Through QuickRx: Our patient navigators can guide you through the application process

Processing time: 2 to 6 weeks

According to the Centers for Medicare and Medicaid Services, approximately 12 million Americans qualify for Extra Help, but only 8 million are enrolled. If you are eligible, applying can dramatically reduce your Auryxia costs.

How QuickRx Helps Medicare Patients

Our team assists Medicare beneficiaries by:

• Determining Extra Help eligibility
• Guiding you through the application process
• Identifying patient assistance programs for Medicare beneficiaries
• Exploring foundation grants and charitable assistance
• Coordinating multiple programs to maximize savings

State Pharmaceutical Assistance Programs (SPAPs)

Some states offer additional prescription assistance for residents, particularly those with chronic illnesses like chronic kidney disease.

What Are State Pharmaceutical Assistance Programs?

SPAPs are state-funded programs that help residents afford prescription medications. However, not all states have these programs, and coverage varies by state.

States with Active SPAPs

States currently offering pharmaceutical assistance programs include:

• Pennsylvania (PACE/PACENET)
• New Jersey (Senior Gold)
• New York (EPIC)
• Delaware (DPCAP)
• And several others

To determine if your state offers assistance, visit the Medicare.gov SPAP finder.

How QuickRx Helps with State Programs

Our team is familiar with state-specific assistance programs and can:

• Determine if your state offers pharmaceutical assistance
• Verify your eligibility for state programs
• Complete enrollment applications on your behalf
• Coordinate state benefits with other assistance programs

Step-by-Step Guide: Getting Started with Auryxia Copay Assistance

Ready to lower your Auryxia costs? Here is exactly what to do.

Step 1: Determine Your Insurance Type

Your insurance status determines which assistance programs you may qualify for:

• Commercial or private insurance? May be eligible for manufacturer copay cards and patient assistance programs
• Medicare Part D? May qualify for Extra Help, patient assistance programs, or foundation grants
• No insurance? May qualify for patient assistance programs providing free medication

Step 2: Gather Basic Information

Have this information ready when you contact QuickRx:

• Your current prescription for Auryxia
• Insurance card (if applicable)
• List of current medications
• Contact information for your prescribing doctor

However, additional documentation requirements vary by program. QuickRx patient navigators will guide you on specific needs based on the programs you qualify for.

Step 3: Contact QuickRx Specialty Pharmacy

Phone (Recommended for Immediate Assistance):

• Direct line: (917) 830-2525
• Hours: Monday to Friday, 9 AM to 6 PM EST

Online Application: Fill out our secure form: Auryxia Copay Assistance Application

Patient navigators call within 24 hours—often the same day—after you submit online forms.

Email: info@quickrxspecialty.com

Visit Our Contact Page: Contact QuickRx

Step 4: Speak with a Patient Advocate

In your initial conversation, a patient navigator will:

• Review your insurance coverage and medication needs
• Explain which assistance programs you may qualify for
• Answer all your questions about costs, timelines, and processes
• Begin enrollment in appropriate programs with your authorization

This consultation is always free and confidential.

Step 5: We Handle the Rest

After you authorize enrollment, our team:

• Completes all application paperwork
• Gathers required documentation
• Submits applications to appropriate programs
• Follows up until approval
• Notifies you of approval status
• Coordinates medication delivery

You do not fill out forms, make phone calls, or navigate program requirements. We handle everything.

Step 6: Receive Your Medication with Savings Applied

After approval:

• Your Auryxia ships directly to your home
• Financial assistance automatically applies at each refill
• QuickRx monitors renewals and alerts you before programs expire
• No surprise bills or coverage gaps

Frequently Asked Questions About Auryxia Copay Help

Can I use manufacturer copay cards with Medicare?

No. According to federal anti-kickback regulations, Medicare beneficiaries cannot use manufacturer copay cards. However, Medicare patients have other options including patient assistance programs, Extra Help, and foundation grants. QuickRx identifies all available alternatives for Medicare beneficiaries.

Is there a generic version of Auryxia or ferric citrate?

Not yet. Auryxia remains under patent protection and no generic ferric citrate phosphate binder is available in the United States as of 2025. This is why assistance programs are critical for making the medication affordable.

What if I live in California or Massachusetts?

Manufacturer copay cards cannot be used in California and Massachusetts due to state regulations. However, QuickRx identifies alternative assistance programs available in these states to ensure you still receive financial support for your Auryxia treatment.

How long do assistance programs last?

Most assistance programs renew annually. Program specifics vary, but QuickRx tracks your benefit status and handles renewals automatically to ensure continuous coverage with no gaps.

What if I get denied?

Often, denials result from incomplete applications or missing documentation. QuickRx maintains a 95% approval rate because we ensure applications are complete and accurate before submission. If a denial occurs, we work with you to address the issue and resubmit.

Does QuickRx charge for copay assistance services?

No. All QuickRx copay assistance services are completely free. We never charge enrollment fees, application fees, or consultation fees. Our revenue comes from serving as your specialty pharmacy, not from charging fees for paperwork assistance.

How do I know which programs I qualify for?

QuickRx patient navigators evaluate your specific situation (insurance status, income, medication needs) and identify all programs you may qualify for. We explain options clearly and help you make informed decisions about which programs to pursue.

What happens after I am approved?

Approval processes vary by program type. Some programs provide approval letters or determination notices, while others use different confirmation methods. Regardless of the program, QuickRx notifies you of approval and coordinates medication delivery. Your benefits apply automatically at each refill.

Real Patient Success Stories

Maria, 62, Miami, FL

“I paid $280 per month for Auryxia with my insurance. QuickRx enrolled me in assistance programs and now I pay $0. They handled everything. I did not fill out a single form. I just talked to my advocate on the phone and she took care of the rest.”

James, 58, Phoenix, AZ

“I am on Medicare and could not afford my $400 copay. QuickRx got me into a patient assistance program and I have been getting free Auryxia for 8 months now. They even handle renewals automatically so I never worry about running out.”

Linda, 67, Chicago, IL

“I did not know I qualified for Medicare Extra Help until QuickRx told me. Now my Auryxia costs $10 instead of $300. Their patient advocate walked me through the entire application over the phone. Life-changing.”

Robert, 55, Dallas, TX

“My insurance denied coverage for Auryxia three times. I was ready to give up. QuickRx filed an appeal with my doctor’s help and got approval in two weeks. They fought for me when I had no energy left to fight myself.”

Additional Resources for CKD Patients

Educational Resources

• National Kidney Foundation: Financial Help
• American Kidney Fund: Treatment Assistance
• Medicare.gov: Prescription Drug Coverage

CKD Support Groups

• DaVita Kidney Care Community
• American Association of Kidney Patients (AAKP)
• NKF Peers Program

Financial Assistance Organizations

• HealthWell Foundation
• Patient Access Network (PAN) Foundation
• Patient Advocate Foundation

Take Action Today: Do Not Let Cost Prevent Treatment

Chronic kidney disease requires consistent medication management. Missing doses of Auryxia because of cost concerns can lead to:

• Uncontrolled phosphorus levels
• Increased cardiovascular risk
• Bone disease progression
• Higher hospitalization rates

According to research published in the American Journal of Kidney Diseases, patients who do not take phosphate binders as prescribed have a 45% higher mortality risk.

You have options. Let QuickRx help you access them.

Get Started in 3 Minutes

1. Fill out our online form: Auryxia Copay Assistance Application

2. Call us directly:

• Direct: (917) 830-2525
• Monday to Friday, 9 AM to 6 PM EST

3. Email us: info@quickrxspecialty.com

4. Visit our contact page: Contact QuickRx

Summary: Your Auryxia Affordability Roadmap

No matter your situation, QuickRx Specialty Pharmacy finds a solution. Our patient navigators identify every available resource, handle all paperwork, and ensure you never go without medication due to cost.

Related Resources

• Learn more about Auryxia and how it works
• Browse copay assistance for other CKD medications
• Contact our CKD medication specialists

Disclaimer: This article is for informational purposes only and does not constitute medical or financial advice. Copay card and patient assistance program eligibility, benefits, and terms are subject to change. Always verify current program details with the manufacturer or your specialty pharmacy. QuickRx Specialty Pharmacy is an independent pharmacy and is not affiliated with or endorsed by Akebia Therapeutics, Inc., the manufacturer of Auryxia. Eligibility for financial assistance programs depends on multiple factors including insurance coverage, state of residence, income, and program-specific requirements.

Last Updated: October 2025 | Next Review: January 2026

QuickRx Specialty Pharmacy is a licensed, HIPAA-compliant specialty pharmacy serving chronic kidney disease patients nationwide. We help thousands of patients access affordable medications through comprehensive copay assistance services. Our patient navigators identify every available financial assistance program, complete all enrollment paperwork, and coordinate with manufacturers and insurance providers on your behalf. Our mission: No CKD patient should go without medication due to cost.