How do you pay?

How to pay the least

Ask for the cash price

Vanrafia

We didn’t find one.

  1. Ask your pharmacy for Vanrafia’s cash price, and one or two other pharmacies too.
  2. Vanrafia’s savings card works only with insurance from a job or one you bought.

Free from the maker, if you qualify Novartis Patient Assistance Foundation (NPAF). Patients must have a household income of less than or equal to $81,760 (for a household size of two) to be considered for NPAF. Or call 1-800-277-2254.

See if you qualify 

Compare every option

Question
Brand nameVanrafia
Authorized genericatrasentan
Regular genericatrasentan
What you’d pay
Cash priceAsk the pharmacy
Not soldThere isn’t one
Not soldNone found
Same as Vanrafia?
The original
–
–

Brand nameThe maker’s card

VANRAFIA Co-Pay Plus (Novartis Patient Support)

Savings card from Novartis

No insuranceNeeds insuranceNo cash price listed.
Insurance · as little as $0 a prescription

The card takes up to $15,000 a year off your co-pay.

Sign up on vanrafia.com 

Or call 1-844-482-6723.

In the maker’s words

“Pay as little as $0…”

From the maker’s offer on vanrafia.com, checked November 2, 2026. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

Maker’s card or discount card?

A discount card like GoodRx lowers the pharmacy’s cash price, but for a brand-name drug that price often stays high. Compare it with the maker’s card above. You can usually use one or the other on a fill, not both.

Authorized genericNot sold

There isn’t one. An authorized generic is Vanrafia itself, from the same company, sold without the brand name, and usually for less. For now Vanrafia is the only choice; its maker’s savings card can lower what you pay.

See the brand name →

Regular genericNot sold

We didn’t find one. Generics usually come once the brand’s patents and exclusivity end. Until then, the maker’s savings card is the way to pay less.

See the brand name →

What it’s used for

What the FDA label says

VANRAFIA is an endothelin receptor antagonist indicated to reduce proteinuria in adults with primary immunoglobulin A nephropathy (IgAN) at risk of rapid disease progression, generally a urine protein-to-creatinine ratio (UPCR) ≥ 1.5 g/g.

This indication is approved under accelerated approval based on a reduction of proteinuria. It has not been established whether VANRAFIA slows kidney function decline in patients with IgAN. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory clinical trial.

Source: the FDA label for Vanrafia (Novartis Pharmaceuticals Corporation), June 12, 2026. Full label on DailyMed 

Good to know