PhosLo Patient Assistance Program
Fresenius Medical Ca
Up to a 60-day supply is sent to the patient's home. The doctor/doctor's office must fill out a replacement form to get refills. Every 6 months a new application is needed.
Contact Information
Fresenius PhosLo PAP
10350 Ormsby Park Place, Ste#500
Louisville, KY 40223
1-(877) 774-6756 (phone)
1-(866) 496-8638 (fax)
1-877-7PHOSLO (vanity_phone)
Fresenius PhosLo PAP
10350 Ormsby Park Place, Ste#500
Louisville, KY 40223
1-(877) 774-6756 (phone)
1-(866) 496-8638 (fax)
1-877-7PHOSLO (vanity_phone)
How to Apply:
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.
Eligibility:
The patient must have no prescription coverage for any medications and meet income guidelines that are not disclosed. The patient must also have a diagnosis of ESRD and be on dialysis. The patient must also be a US citizen. Patients who have Medicare Part D and are in the donut hole may also be eligible for this program, depending on the ratio of household income and amount of out-of-pocket medical expenses (a pharmacy can provide a printout of medication expense information).
The patient must have no prescription coverage for any medications and meet income guidelines that are not disclosed. The patient must also have a diagnosis of ESRD and be on dialysis. The patient must also be a US citizen. Patients who have Medicare Part D and are in the donut hole may also be eligible for this program, depending on the ratio of household income and amount of out-of-pocket medical expenses (a pharmacy can provide a printout of medication expense information).
