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Sanofi Patient Connection Patient Assistance Program

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The Sanofi Patient Connection Patient Assistance Program (formerly Sanofi-Aventis U.S. Patient Assistance Program) provides certain medications at no cost to you. This is a temporary assistance program that looks at your financial and medical needs. You will not need to pay any co-pays or enrollment fees to get help from this program. Once enrolled, you will receive a supply of the medication in the amount needed for your treatment or as determined by the program. In addition, the program will work with you and/or your physician to determine where your medication will be shipped.

How do I apply?


To apply for this program, print and fill out the application form. Please return the completed application to the program as instructed on the form.

Frequently Asked Questions

Am I eligible?

You can get help from this program if you have limited income and are a citizen or resident of the United States. You cannot have health insurance that can cover the cost of your treatment.

Can I get help from this program if I have Medicare?

If you have Medicare, but do not enroll in Medicare Prescription Drug Coverage, you may still get help from this program. However, once you enroll in Medicare Prescription Drug Coverage, you can no longer get help from this program. An exception is made if your out-of-pocket costs for the drugs offered through this program exceed 5% or more of your income. Please contact the program for more information.

What will I need?
Who should I contact?

Sanofi Patient Connection Patient Assistance Program
P.O. Box 222138
Charlotte, NC 28222
Toll-Free: (888) 847-4877
Fax: (888) 847-1797

Did You Know?
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Quick Links Application Form in English
Program Website

Definition(s):


This is for fillable forms.