Patient connection program

Please return the completed application to the program as instructed on the form. Am I eligible? Can I get help from this program if I have Medicare?

Proof of Income Proof of U. Citizenship or Legal Resident. Did You Know? BenefitsCheckUp can help you find programs that can save you thousands of dollars on the basic costs of living. Definition s : This is for fillable forms.

Please download the application to see if assistance is available for your medication. Please visit our Medications Available page to see if assistance is available for medication. Sanofi For U. Residents Only. For U. Healthcare Professionals For U. Please download the application to see if assistance is available for your medication. Please visit our Medications Available page to see if assistance is available for medication. Sanofi For U. Residents Only. For U.

Healthcare Professionals For U. Healthcare Professionals English. Frequently Asked Questions Looking for information? Q: What does Patient Assistance Connection do? Q: What does Reimbursement Connection do? Services include: Insurance verification Prior authorization assistance Appeals assistance Alternate coverage research and assistance. Q: What does Resource Connection do? Some examples of different types of resources and support that may be available include: Clinical support services Nutritional supplements groceries, food banks, etc.

Download the Application Medications Available. Q: What is the Temporary Access Program? In order to be eligible, you must be a resident of the U. Download the Application. Q: Why do I need to have my healthcare provider involved in the application process? Q: How can I check the status of my application? Q: How long does it take to process an application? Q: What is a soft credit inquiry?

Q: How is the medicine distributed from Patient Assistance Connection? Medicines are shipped directly to your healthcare provider's office.