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For savings & support, call 1-888-437-4669

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SUPPORT AND SAVINGS

Caregiver corner

Are you a parent or caregiver for someone who has been diagnosed with iron deficiency anemia (IDA)?

See below for information on causes and symptoms, potential treatments, and valuable resources.

The person I am caring for is a:

  • ABC blocks icon

    Child (aged 1-17)

    Click to expand

  • Adult icon

    Adult (aged 18+)

    Click to expandAdult icon

What information would be most helpful to you as a caregiver?

(Select your top three)

Downloadable resource

If you have an Injectafer prescription, you may be able to get help with your out-of-pocket costs.

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IDA brochure

Read about how Injectafer can help you get the iron you need.

Download

Injectafer cost savings

If you have an Injectafer prescription, you may be able to get help with your out-of-pocket costs.

The Injectafer Savings Program*

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For eligible patients

  • Assistance of up to $500 per dose
  • Enrollment is valid for 2 courses of treatment per 12-month period

Patients receive EACH DOSE for as little as

$50†

*The Injectafer Savings Program is only available for patients who are commercially insured. Please see full Terms and Conditions.

†Insurance out-of-pocket payment must be over $50. Other restrictions may apply.

ARE YOU ELIGIBLE?

  • You have commercial insurance and you are a resident of the USA or its territories, including Puerto Rico
  • You have Medicare, Medicaid, or other federal or state healthcare insurance OR you have private indemnity or HMO insurance that reimburses patients for the entire cost of prescription drugs
  • You are Medicare-eligible and enrolled in an employer-sponsored health plan or medical or prescription drug benefit program for retirees

To see if you’re eligible, visit injectafercopay.com or call 866-4-DSI-NOW (1-866-437-4669).

Restrictions apply.

HOW TO GET YOUR SAVINGS

Ask your healthcare professional to enroll you. They will need the last 4 digits of your Social Security number to confirm you’re eligible.

If your healthcare professional cannot enroll you, you can enroll yourself in one of two ways:

  • Visit Injectafercopay.com OR
    Best way to submit EOBs along with CMS-1500/UB-04 forms
  • Call Daiichi Sankyo Access Central

Once you’re enrolled and receive your infusion of Injectafer, your healthcare professional will bill the Injectafer Savings Program for your co-pay requirement.

If the co-pay requirement is more than $500 for your infusion, your healthcare professional may bill you for the remaining amount that you’ll need to pay.

If your healthcare professional requires you to pay the co-pay when you receive your infusion, the Injectafer Savings Program will reimburse you via paper check. To do this, you will need a Check Request Form. The best place to get the form is online at Injectafercopay.com. If you have any questions throughout the process, please call Daiichi Sankyo Access Central (1-866-437-4669).

  • Website Injectafercopay.com OR
  • Phone: 866-4-DSI-NOW (1-866-437-4669)
  • Fax: 1-888-257-4673
  • Mail: Injectafer Savings Program
    100 Passaic Ave, Suite 245
    Fairfield, NJ 07004

Call or enroll online

To determine whether you are eligible for the program and to enroll, you can:

Qualifying patients are usually enrolled within a few minutes. Upon completion of the enrollment process, an Injectafer Savings Program virtual debit card number will be issued to you. You will receive a welcome letter in the mail, and your healthcare professional's office will receive a fax confirming your enrollment.

Download the Injectafer savings program brochure

Injectafer Savings Program Terms and Conditions

  1. This offer is valid for commercially insured patients. Uninsured and cash-paying patients are NOT eligible for this Program.
  2. Depending on insurance coverage, eligible patients may pay no more than $50 per dose for up to four doses per calendar year. There is a maximum savings limit of $500 per dose, with an overall program limit of $2,000 per calendar year. Check with your pharmacist or healthcare professional for your co-pay discount. Patient out-of-pocket expense may vary.
  3. This offer is not valid for patients enrolled in Medicare Part B or Medicare Part D, Medicaid, or other federal or state healthcare programs, or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. Patients may not use this card if they are Medicare-eligible and enrolled in an employer-sponsored health plan or medical or prescription drug benefit program for retirees.
  4. An explanation of benefits (EOB) statement must be faxed, uploaded in the portal, or mailed in prior to transacting on the account numbers for co-pay assistance.
  5. Offer is invalid for claims or transactions more than 180 days from the date on the EOB.
  6. Patients will be automatically re-enrolled in the next calendar year. If there is no co-pay claim activity for 18 months, the enrollment will be canceled.
  7. Daiichi Sankyo, Inc. reserves the right to rescind, revoke, or amend this offer without notice. Offer good only in the USA, including Puerto Rico, at participating pharmacies or healthcare professionals.
  8. Void if prohibited by law, taxed, or restricted.
  9. This account number is not transferable. The selling, purchasing, trading, or counterfeiting of this account number is prohibited by law.
  10. This account number is not insurance.
  11. By redeeming this account number, you acknowledge that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer.
  12. Qualified patients receiving Injectafer will be allowed a 180-day retroactive enrollment period from the date of EOB (eligibility of benefit form) to receive benefits under the program rules.