Forms and tools
Instructions for Renassist Insurance Verification & Patient Assistance Application
Renassist Insurance Verification Form & Patient Assistance Application*
Verification of Benefits formLinks to other resources and information
Healthwell FoundationMedicare Part D Program for Prescription Bone Medications Limited Income Subsidy Assistance American Kidney Fund Kidney Drug Coverage*The Renassist Insurance Verification Form and Patient Assistance Application and the Verification of Benefits form must be filled out and submitted to Renassist via fax or email to 877-363-6732 or PAP@genzyme.com.
*If you do not have Adobe Reader version 9.0 or higher, be sure to save the application onto your desktop before electronically entering information to ensure that your work is captured and saved.