Prescription assistance programs for common kidney medicines

Managing kidney disease often means taking several medicines to help control blood pressure, diabetes and other related conditions. This page lists prescription assistance programs (PAPs) and resources that may help lower medicine costs for people living with chronic kidney disease (CKD) and end-stage kidney disease (ESKD). 

This resource is for informational purposes only; always talk with your doctor before making any changes to your medicines.

What are Prescription Assistance Programs (PAPs)?

Prescription Assistance Programs (PAPs) help people afford their medicines by offering discounts or coupons for free or low-cost prescriptions. These programs are usually provided by drug companies, nonprofit organizations or foundations if you meet certain income or eligibility requirements. PAPs can be helpful if you are uninsured, underinsured, or have high out-of-pocket costs. 

What's the difference between brand name vs generic medicines

Many medicines come in both brand-name and generic versions: 

  • Brand-name medicines are made and sold under a company name 
  • Generic medicines have the same active ingredients (the part of the medicine that makes it work) and work the same way but usually cost less.  

A common example is Advil® (brand) and ibuprofen (generic). Both medicines contain the same active ingredient and work the same way, but they may still look different. This is because the inactive ingredients may vary between different manufacturers. Therefore, the pill's color, shape or size may change depending on who makes it.  

Talk with your doctor about whether the brand-name or the generic version of your medicine is best for you. 

Some generic medicines (like metformin which is used to treat type 2 diabetes) may not have a specific manufacturer assistance program. 

You can use resources like GoodRxNeedyMeds, RxAssist, FindHelp and the Partnership for Prescription Assistance for discounts and savings on many different generic medicines.  

How do I access prescription medicines?  

If you have Medicare, prescription drugs are usually covered under Medicare Part D. This part of Medicare helps pay for prescription drugs, but you may have some out-of-pocket costs depending on your plan. Talk to your social worker or doctor about available programs. They can also help you with the application process.  

The American Kidney Fund's need-based financial assistance programs help patients with health insurance premiums, transportation costs, prescription medications, and many other necessities related to health care. 

To learn more about insurance options, coverage and tips for managing healthcare costs, visit our health insurance page.  

A doctor holding a prescription bottle

How to read your prescription bottle

Your prescription label includes important information to help you safely take your medicine: 

  • Your full name and the medicine name (brand and/or generic) 
  • Instructions for use (how much to take and how often) 
  • Number of refills and expiration date 
  • Contact information of the pharmacy and the doctor who prescribed the medicine

If you’re unsure about what’s on your label or how to take your medicine, ask your pharmacist or doctor to explain it. 

Which kidney medicines have assistance programs?

This list includes examples of commonly used medicines and prescription assistance programs for people living with kidney disease. NOTE: This list may not include every medicine or assistance program available. Program details, eligibility and contact information may change over time.

This resource is for informational purposes only; always talk with your doctor before making any changes to your medicines. 

Anemia medicines

These medicines include Erythropoiesis-Stimulating Agents (ESAs) and intravenous (IV) iron infusions to help your body make more red blood cells and improve iron levels.

MedicineType of medicineAssistance Information

Aranesp® (darbepoetin alfa) 

ESA 

Amgen SupportPlus 
(may be covered by Medicare Part B if administered in a dialysis unit) 

Epogen® (epoetin alfa) 

ESA 

Ferrlecit® (sodium ferric gluconate complex) 

IV Iron 

Feraheme® (ferumoxytol) 

IV Iron 

Bone and mineral balance medicines

Calcimimetics are medicines to help control parathyroid (PTH) levels in people with kidney disease to keep bones strong and control calcium levels. 

Medicine 

Type of medicine 

Assistance Information 

Cinacalcet® (Sensipar) 

calcimimetic 

Parsabiv® (etelcalcetide) 

calcimimetic 

High blood pressure (hypertension) and heart health medicines

These medicines include angiotensin II receptor blockers (ARBs) and diuretics (water pills) to help control blood pressure and swelling, and nonsteroidal mineralocorticoid receptor antagonists (MRA) to reduce inflammation and scarring. 

Diabetes medicines 

These medicines include glucagon-like petitde-1 receptor agonists (GLP-1) and sodium-glucose cotransporter 2 inhibitor (SGLT-2) which can help control your blood sugar and blood glucose levels to protect your kidneys and heart. 

Medicine 

Type of medicine 

Assistance Information 

Farxiga® (dapagliflozin) 

 SGLT-2 

Invokana® (canagliflozin) 

SGLT-2 

Jardiance® (empagliflozin) 

SGLT-2 

Mounjaro® (tirzepatide) 

GLP-1 

Ozempic® (semaglutide) 

GLP-1 

Rybelsus® (semaglutide) 

GLP-1 

Steglatro® (ertugliflozin) 

SGLT-2 

Trulicity® (dulaglutide) 

GLP-1 

Victoza® (liraglutide) 

GLP-1 

Zepbound® (tirzepatide) 

GLP-1 

High Potassium (hyperkalemia) medicines

These potassium binders help remove extra potassium from your body.

High Phosphorus (hyperphosphatemia) medicines

These medicines are phosphate binders and absorption inhibitors which help remove extra phosphorus from your body.

Medicine

Type of medicine 

Assistance Information 

Auryxia® (ferric citrate) 

Phosphate Binder 

Fosrenol® (lanthanum carbonate) 

Phosphate Binder 

Renvela® (sevelamer carbonate) 

Phosphate Binder 

Velphoro® (sucroferric oxyhydroxide) 

Phosphate Binder 

Xphozah® (tenapanor) 

phosphate absorption inhibitor 

Transplant medicines

These medicines control the immune system and treat viral infections to help protect your new kidney and keep it healthy. These include immunosuppressants to help prevent transplant rejection and monoclonal antibodies to help your immune system fight infections and diseases. 

Medicine

Type of medicine 

Assistance Information 

Cellcept® (mycophenolate mofetil) 

Immunosuppressant 

Envarsus XR® (Tacrolimus extended release 

Immunosuppressant 

Gengraf® (cyclosporin) 

Immunosuppressant 

Myfortic® (mycophenolic acid) 

Immunosuppressant 

Neoral® (cyclosporin) 

Immunosuppressant 

Prograf® (tacrolimus) 

Immunosuppressant 

Rituxan® (Rituximab) 

monoclonal antibody  

Sandimmune® (cyclosporin) 

Immunosuppressant 

Valcyte® (valganciclovir hydochloride) 

Antiviral 

Zortress® (everolimus) 

Immunosuppressant 

Other commonly used medicines 

Medicine 

Type of medicine 

Use 

Assistance Information 

Acthar® Gel (repository corticotropin injection) 

adrenocorticotropic hormone (ACTH): helps to reduce inflammation 

inflammatory and autoimmune conditions 

Cortrophin® (repository corticotropin injection USP) 

ACTH 

anti-inflammatory 

Korsuva® (difelikefalin) 

kappa opioid receptor  (KOR): helps with pain relief  

Treats pruritus (itchy skin) 

Krystexxa® (pegloticase) 

Antigout agent/PEGylated uric acid specific enzyme: lowers uric acid levels in body to treat gout 

Gout infusion therapy 

This resource is for informational purposes only; always talk with your doctor before making any changes to your medicines.