Request samples

You may be able to obtain samples of Akebia medications for your appropriate patients.

Not an actual patient Not an actual patient

Thank You

You have successfully signed up
to request samples. An Akebia representative
will contact you within 72 hours.

Request samples

There are 3 ways you can request samples:

  1. 1. Call (888) 537-9948 (Toll-free)
    Monday-Friday 8:30AM-5:00PM ET
  2. 2. Email
  3. 3. Fill out the form below and click 'Submit'

An Akebia representative will contact you within 72 hours.

All fields are required unless otherwise noted.

Enter the Prescriber's First Name

Enter the Prescriber's Last Name

Enter a valid Professional Designation

Enter a valid Street Address

Enter a valid City

Enter a valid State

Enter a valid ZIP Code

Enter a valid phone number

Preferred Delivery Method

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Enter a valid Fax Number

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Submitting a request does not guarantee that you will receive the requested sample or quantity. Final eligibility will be determined after the request has been received by Akebia. Only practitioners who are licensed to prescribe can request available samples. Prescription drug samples may be provided, in accordance with state laws, PDMA guidelines, medical specialty, and at the discretion of Akebia.

Available samples are shipped as soon as the appropriate authorization has been received.

Eligible, validated MDs, DOs, and other licensed practitioners (depending on state-level requirements) can expect to receive samples within 3-5 business days.

By providing my information above, I agree to the Akebia Therapeutics, Inc. (“Akebia”) Privacy Policy and give an Akebia representative permission to contact me via email for the purpose of obtaining samples.