Forms and resources
Find informative resources and guides below to learn more
how to enroll your patients in AkebiaCares and help
them access their Akebia product.
AkebiaCares enrollment form
Fill out this form to get access to a dedicated Case Manager.
AkebiaCares enrollment form tips
Helpful tips to consider when filling out the AkebiaCares enrollment form.
Patient Assistance Program (PAP)
Download and fill out this form to keep patients enrolled in PAP.
Patient consent form
You do not need to fill out this form if you are completing an AkebiaCares enrollment form.
Resources to help access medication
Discover available resources for every type of insurance.
Find pharmacies that best fit your patients’ needs and get connected to a specialty pharmacy locator.
Help for patients with Medicare
Patients with government insurance may be able to receive financial assistance from independent third-party foundations, such as:
Prior Authorization and appeal guidelines
Considerations for submitting a Prior Authorization
What to know when submitting a Prior Authorization.
Considerations for composing an Appeal Letter
Helpful tips to write and submit an Appeal Letter.