Medical Affairs Request

This form is ONLY for requesting Veltassa related questions, or for general disease state information (e.g., hyperkalemia, diabetic kidney disease) by a US healthcare professional.

Patients should always talk with their healthcare team first if there are any questions about their individual treatment.

Attention

Adverse Effects Reporting: This form is not for reporting information about any medication side effects. To report suspected adverse reactions, contact Relypsa, Inc. at 1-844-735-9772 (1-844-RELYPSA). If you prefer you may contact the U.S. Food and Drug Administration directly at www.fda.gov/medwatch or call 1-800-FDA-1088.

Please complete all required fields below. Your request will be submitted to Relypsa Medical Affairs, and you will be contacted accordingly.

Thank You

For your submissions. You will hear from us within 3 business days. If you do not hear from us within that time frame, please consider re-contacting us (or check spam email folder).