Financial Support

Connecting your patients to access solutions

OPKO Connect is a patient reimbursement hub offering support for your office on behalf of your patients who have been prescribed Rayaldee®.
For more information, watch the financial support videos on the Rayaldee Videos page:
Browse video libraryIt's simple. We can help. We care.
OPKO Connect services
General Support/Assistance
OPKO Connect can provide general support services such as:
- Assisting with questions related to the product, program, or insurance coverage
- Finding non-profit financial assistance
- Resolving claims submission issues
Benefits Investigation
OPKO Connect will verify the patient’s insurance coverage for Rayaldee including identifying:
- Prior authorization requirements
- Deductible, co-insurance, and out-of-pocket costs
Prior Authorization (PA) Assistance
OPKO Connect will assist with any insurance-required PAs for Rayaldee by:
- Providing the appropriate insurance-specific PA form to the healthcare provider’s office with instructions on how to complete and submit the form to insurance
- Confirming insurance received the PA submission from the healthcare provider's office and following up with insurance to confirm status
- Communicating the insurance PA determination to the patient and their healthcare provider's office
Support for Appeals if the PA Is Denied
OPKO Connect will:
- Provide the healthcare provider's office a letter of medical necessity (LMN) template for the appeal with instructions on how to complete and submit the LMN to insurance
- Confirm insurance received the appeal submission from the healthcare provider's office and follow up with insurance to confirm status
- Communicate the insurance determination to the patient and their healthcare provider's office
Copay Assistance

Eligible commercially insured patients can fill their Rayaldee prescription for $0.*
* | Eligible commercially insured patients can fill their Rayaldee prescription for $0 with eVoucherRx™, a program from RelayHealth that automatically applies copay savings at the patient’s pharmacy. If the patient’s pharmacy does not work with RelayHealth eVoucherRx™, then OPKO Connect has a $0 copay program for eligible commercially insured patients. Call OPKO Connect at 1-844-414-OPKO (6756) for assistance. |
Patient Assistance Program (PAP)
For patients without Rayaldee pharmacy insurance coverage, OPKO Connect has a patient assistance program offering free medication. Eligibility criteria apply and annual reenrollment is required.
Download the application for patient assistance below.
How to enroll patients
Start by sending a completed Rayaldee Service Request Form (SRF) to OPKO Connect or sending a prescription to your preferred specialty pharmacy.
1-844-660-7083 (fax) |
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Contact us for assistance
OPKO Connect services are available
Monday – Friday, 8 am – 8 pm ET |
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Find the answers to some of the most frequently asked questions.
Forms and resources
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Rayaldee Service Request Form (SRF)Download |
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TRICARE coverage for Rayaldee flyerDownload |
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TRICARE Pharmacy Program medical necessity form for RayaldeeDownload |
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Attestation letter for patients with vitamin D insufficiencyDownload |
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Rayaldee letter of medical necessityDownload |
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Part D Low-Income Subsidy Patients identification flashcardDownload |
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OPKO Connect brochureDownload |
Frequently Asked Questions
Common questions related to OPKO Connect and financial assistance for Rayaldee.
OPKO Connect is a centralized resource dedicated to helping patients access Rayaldee as quickly and easily as possible.
OPKO Connect offers many services to patients, such as:
- Benefits investigation
- Prior Authorization (PA) assistance
- Appeals support
- Copay assistance
- Patient Assistance Program (PAP)
To further explore financial assistance options available, you can download a brochure or watch a video.
To receive support for your patients, start by completing a Rayaldee Service Request Form (SRF). Then email it to opkoconnect@rxallcare.com or fax it to 1-844-660-7083.
A patient’s out-of-pocket cost for Rayaldee depends on what type of coverage they have. At OPKO Connect, we can assist you with investigating a patient’s insurance coverage and benefit design for Rayaldee. Start by completing a Rayaldee Service Request Form (SRF) and emailing it to opkoconnect@rxallcare.com or faxing it to 1-844-660-7083.
Download a template for a letter of medical necessity to provide to your patient’s insurance company.
For patients without pharmacy insurance coverage or patients unable to afford their Rayaldee copay, OPKO Connect has a Rayaldee Patient Assistance Program (PAP) that offers free medication. Start by completing a Rayaldee Service Request Form (SRF) and emailing it to opkoconnect@rxallcare.com or faxing it to 1-844-660-7083.