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Is the cost of your sevelamer too expensive?

You may qualify for programs where you can pay as little as $0 per fill, subject to income and insurance status.

This content is intended for US audiences only

NowPatient offers cost effective access to sevelamer for everyone including those who are uninsured, those who have commercial insurance as well as those who are enrolled into state or federal programs like Medicaid, Medicare Part D, full Low Income Subsidy (LIS, “Extra Help”), TRICARE or Veterans (VA) Benefits.

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Table of contents
OverviewWhat can I do if I am commercially insured but cannot afford my sevelamer?What can I do if I am uninsured and cannot afford my sevelamer?What can I do if I am insured with Medicare and cannot afford my sevelamer?Am I eligible for the Rx Advantage Card and how much does sevelamer cost without insurance?What will my out-of-pocket cost be for sevelamer when using the Rx Advantage Card?Is it legal for me to pay cash for sevelamer even though I have insurance?Does the Rx Advantage Card work with Medicare or any other federal or state insurance plans?Does the Rx Advantage Card work with Commercial Insurance?How do I check prices for sevelamer and how do I use the Rx Advantage Card?Do I need to pay for the Rx Advantage Card?Is there a sevelamer co-pay program?Is there a sevelamer Patient Assistance Program (PAP)?What should I do if I take too much sevelamer?What are the benefits of NowPatient?What is generic sevelamer?US brand name of sevelamer and manufacturerUK brand name of sevelamer and manufacturerIs sevelamer available in the UK on the NHS?Prescription requirement for sevelamerActive ingredient of sevelamer and mechanism of actionUses of sevelamerForms of sevelamerDosage of sevelamerContraindications and warnings for sevelamerSide effects of sevelamerInteractions with other drugsSourcesPeople also asked
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Medically reviewed by Navin Khosla, BPharm and written by Rajive Patel, BPharm - Updated on 25 Jan 2024
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What can I do if I am commercially insured but cannot afford my sevelamer?

If you are commercially insured and you cannot afford your copay or co-insurance you can opt for purchasing sevelamer outside of your plan using the Rx Advantage card, with costs that are usually lower than a typical plan copay. If you elect to use this method, out of pocket costs do not contribute towards your plan deductibles.

If you cannot afford the cash price possibly due to income constraints, then there is the option of applying to state assistance programs like Medicaid. Often, you may be able to receive your sevelamer without any costs at all. You can check Medicaid eligibility in your state by following this link HealthCare.gov. The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application.

What can I do if I am uninsured and cannot afford my sevelamer?

If you cannot afford the cash price of sevelamer using the Rx Advantage card then there is the option of applying to state programs like Medicaid. Often, you may be able to receive your sevelamer without any costs at all. You can check Medicaid eligibility in your state by following this link HealthCare.gov. The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application.

What can I do if I am insured with Medicare and cannot afford my sevelamer?

If you are insured with Medicare and have Part D or an Advantage drug plan but cannot afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you have a number of options:

Option

Savings Information

RX ADVANTAGE CARD

You can use the Rx Advantage to purchase the medication outside of your plan at prices that may be lower than you copay or co-insurance element. If you elect to use this method, out of pocket costs do not contribute towards your plan deductibles.

LOW INCOME SUBSIDY

If this is still too expensive or unaffordable then you can apply for federal support like Low Income Subsidy (LIS). To be eligible for Low Income Subsidy, you need to be resident in one of the 50 States or the District of Columbia. You can check eligibility online at SSA Medicare D Extra Help. You can also call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).

MEDICAID

Alternatively, you can check Medicaid eligibility in your state by following this link to the HealthCare.gov. The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.

Am I eligible for the Rx Advantage Card and how much does sevelamer cost without insurance?

Our website gives savings options to customers who wish to purchase sevelamer, as either a brand or generic, without the constraints of insurance. By using the Rx Advantage Card, users can save up to 90% on the cost of their medication. The card can be used at over 65,000 pharmacies nationwide, across America. Even if you are insured, in most cases the cash price will be significantly cheaper than your existing co-pay. NowPatient is able to negotiate discounts on bulk drug purchases with pharmacy owners meaning you can access lower medication prices at nearby pharmacies using our card that can be conveniently stored in your NowPatient account.

What will my out-of-pocket cost be for sevelamer when using the Rx Advantage Card?

Your out-of-pocket (OOP) cost will effectively be the discounted cash price you pay for sevelamer using the Rx Advantage Card. If you are insured, your OOP expense can not be used against your plan deductible, if your plan has a deductible.

Yes. The Rx Advantage card is especially useful for people who have High-deductible health plans (HDHPs). It can be used for insured, uninsured, and underinsured persons.

Does the Rx Advantage Card work with Medicare or any other federal or state insurance plans?

No. We do not bill any federal or state insurance including Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug benefit). When you purchase your medication using the NowPatient Rx Advantage Card, you will be doing so out of pocket. The spend will not count towards your plan deductibles or gaps in the event you have a plan with a deductible. The out-of-pocket sevelamer cash price you pay can be typically cheaper than your plan copay.

Does the Rx Advantage Card work with Commercial Insurance?

We do not bill your commercial insurance. When you purchase your medication using the Rx Advantage Card, from NowPatient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps in the event you have a plan with a deductible. The out-of-pocket sevelamer cash price you pay can be typically cheaper than your plan copay.

How do I check prices for sevelamer and how do I use the Rx Advantage Card?

You can search for the prices at nearby pharmacies using our website. Simply search your medication and enter your ZIP Code and we will show you the price of your drug at nearby pharmacies. If you are happy with the quote, you need to create an account with NowPatient and generate your card. Next, simply go to the pharmacy and fill your sevelamer Rx. Ask the pharmacy to run the card and check the price, even if they tell you they have another card they use. Your card is stored safely in your NowPatient account.

Do I need to pay for the Rx Advantage Card?

No. The Rx Advantage prescription savings card is FREE to use and store for NowPatient users.

Is there a sevelamer co-pay program?

Generic medications like sevelamer do not have co-pay card savings options. A Copay program, if available, would normally be for the brand name version of sevelamer. You can search the brand name of sevelamer and check to see if a co-pay program exists. Co-pay cards are programs run by pharmaceutical companies that offer you a direct way to lower your out-of-pocket costs for prescription drugs for eligible patients. The copay cards essentially allow physicians to prescribe medications that are clinically preferred.

Is there a sevelamer Patient Assistance Program (PAP)?

Generic medications like sevelamer do not have PAP savings options. A Patient assistance program, if available would normally be for the brand name version of sevelamer. You can search the brand name of sevelamer and check to see if a co-PAP exists. PAPs are programs that are run and sponsored by pharmaceutical companies. They offer uninsured, insured, or underinsured individuals access to high-cost brand-name medications, which may otherwise be unaffordable.

What should I do if I take too much sevelamer?

Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using sevelamer. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource if you think you've used too much sevelamer. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.

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What is generic sevelamer?

US brand name of sevelamer and manufacturer

Sevelamer is available in the US under the brand name Renvela and Renagel. It is manufactured by Genzyme Corporation.

UK brand name of sevelamer and manufacturer

Sevelamer is available in the UK under the brand name Revela and Renagel. The only difference is Renagel is sevelamer hydrochloride, and Renvela is sevelamer carbonate.

Is sevelamer available in the UK on the NHS?

Yes, sevelamer is available in the UK on the NHS as a prescription medication.

Prescription requirement for sevelamer

Sevelamer is a prescription medication and requires a prescription from a healthcare provider.

Active ingredient of sevelamer and mechanism of action

The active ingredient in sevelamer is sevelamer hydrochloride or sevelamer carbonate. It belongs to a class of medications known as phosphate binders. Sevelamer works by binding to dietary phosphate in the digestive tract, preventing its absorption into the bloodstream. This helps to lower elevated levels of phosphate in the body, particularly in individuals with chronic kidney disease.

Uses of sevelamer

Sevelamer is a polymer, primarily used for the treatment of hyperphosphatemia (high serum phosphorus levels) in patients with chronic kidney disease (CKD patients) who are on dialysis. It helps to control phosphate levels and prevent complications associated with elevated phosphate levels, such as bone problems. Sevelamer is also used to reduce low-density lipoprotein and total cholesterol levels.

Forms of sevelamer

Sevelamer is available in various dosage forms, including sevelamer HCl 800 mg tablets and oral powder for suspension. The specific form and strength will depend on the intended use and the formulation of the medication.

Dosage of sevelamer

The daily dose of sevelamer will vary depending on individual patient factors, including the severity of hyperphosphatemia and the prescribed treatment regimen. It is important to follow the dosage instructions provided by a healthcare professional. The tablets should be taken with meals and the powder for suspension should be mixed with water and consumed as directed. If you are switching from calcium acetate to sevelamer, your doctor will decide the best dose for you.

Contraindications and warnings for sevelamer

  • Sevelamer should be used with caution if you have gastrointestinal problems, such as a history of bowel obstruction or blockage, swallowing disorders, inflammatory bowel disease, have had surgery on your stomach or intestines, or have constipation
  • Inform your healthcare provider about any other medications you are taking, as sevelamer may interact with certain drugs
  • It is important to adhere to dietary and fluid restrictions as advised by your healthcare provider while taking sevelamer
  • Regular monitoring of phosphate, calcium, bicarbonate and chloride levels may be necessary during sevelamer therapy
  • You may be advised to take vitamins D, E, and K and folic acid supplements during treatment with sevelamer if you are pregnant
  • It is not known if sevelamer passes into breast milk. Speak to your doctor before breast-feeding

Side effects of sevelamer

In clinical trials common side effects of sevelamer may include:

  • Nausea
  • Vomiting
  • Stomach pain
  • Diarrhea
  • Flatulence
  • Abdominal pain
  • Constipation

Serious side effects are rare but can occur. Promptly report any concerning adverse effects to a healthcare provider.

Interactions with other drugs

Sevelamer may interact with certain medications, including ciprofloxacin, mycophenolate mofetil, levothyroxine sodium, drugs used to treat heart conditions, and seizures. It is important to inform your healthcare provider about all the prescription drugs, over the counter nonprescription medication, supplements, and vitamins you are taking to avoid potential adverse events and drug interactions.

Sources

  • Renvela Prescribing Information – Genzyme Corporation. 
  • Renagel 800 mg film-coated tablets – electronic Medicines Compendium (eMC).
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