Once your doctor prescribes you VANRAFIA, they will send the prescription to one of the two limited network specialty pharmacies.

*CareMed is a subsidiary of Onco360^®.

The specialty pharmacy will ship VANRAFIA to your door every month. There is no need to pick up your prescriptions.

Novartis does not recommend or require the use of any particular pharmacy.

Specialty pharmacies can typically help you with:

Steps to receive VANRAFIA:

Just one pill. Once a day.
VANRAFIA is an add-on to your current blood pressure medication, like an ACEi or ARB.

Each tablet contains 0.75 mg of VANRAFIA	Swallow the tablets whole
Take once a day with or without food	Do not cut, crush, or chew

If a dose or doses are missed, take the prescribed dose at the next scheduled time. The dose should not be doubled to make up for a missed dose.

Before beginning treatment with VANRAFIA, your doctor will order a liver enzyme and pregnancy test. Your doctor may decide to order follow-up testing during treatment. 

Do not take VANRAFIA if you are pregnant, plan to become pregnant, or become pregnant during treatment with VANRAFIA. Do not take VANRAFIA if you are allergic to atrasentan or any of the ingredients in VANRAFIA.

VANRAFIA can cause serious birth defects if taken during pregnancy. Females should not be pregnant when they start taking VANRAFIA, become pregnant during treatment, or for 2 weeks after stopping treatment. Females who can become pregnant should have a negative pregnancy test before starting VANRAFIA.

Talk to your health care provider to find out about options for effective forms of birth control that you may use to prevent pregnancy before, during, and for two weeks after treatment with VANRAFIA. Please see the Medication Guide for additional important safety information about VANRAFIA.

*Risk Evaluation and Mitigation Strategy.