What you need to enroll
Your doctor needs to sign part of the application
This program requires a prescriber signature. The easiest path: download the application, bring it to your next appointment, and have the office fax it in for you.
Coverage Eligibility How to use Terms & limits
Lantus (insulin glargine) Toujeo (insulin glargine U-300) Apidra (insulin glulisine) Admelog (insulin lispro) Soliqua 100/33 (insulin glargine + lixisenatide)
Need a prescription? Yes — written by a licensed prescriber for the medications below.
Insurance required? Uninsured patients only — not for anyone with insurance.
State restrictions? Available nationwide.
Income limits? Yes — household income limits apply. Verify with the program. Who qualifies
US resident, age 18+ Household income at or below 400% FPL Uninsured, OR Medicare Part D enrollee not eligible for/enrolled in LIS ("Extra Help") Prescribed a Sanofi medicine covered under the program HCP signature on the application Accepted
US resident, age 18+ Household income at or below 400% federal poverty level Uninsured, or insured but unable to afford Medicare Part D patients who are not eligible for or enrolled in the Low Income Subsidy (LIS) Has a Sanofi Rx Not accepted
Commercial insurance with adequate Sanofi drug coverage Above 400% FPL Non-Sanofi medications Visit sanofipatientconnection.com Phone: 1-888-847-4877 This is patient assistance — Sanofi ships your medication directly to you. No pharmacy handoff.
Fills per year 4 fills per year, per covered drug Not all Sanofi products are covered under the Sanofi Patient Assistance program — confirm coverage for your specific Rx before applying.
Be first when we launch — we'll save these matches and remind you to renew.
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