Financial criteria for patient assistance

In order to meet the eligibility criteria for receiving medication at no cost, you must also meet the following financial criteria:

  • For all products except oncology: Annual household income of ≤250% of the current Federal Poverty Level
  • For oncology products: Annual household income of ≤500% of the current Federal Poverty Level

Sanofi Patient Assistance Program Financial Eligibility

Persons in family/household Poverty Guideline* Sanofi Patient Connection PAP Eligibility (for uninsured or functionally uninsured patients)
250% 500%
1$12,490$31,225$62,450
2$16,910$42,275$84,550
3$21,330$53,325$106,650
4$25,750$64,375$128,750
5$30,170$75,425$150,850
6$34,590$86,475$172,950
7$39,010$97,525$195,050
8$43,430$108,575$217,150
For families/households with more than 8 persons, add $4,420 for each additional person All products except Oncology Oncology products

*48 Contiguous States and District of Columbia Source: US Dept of Health & Human Services. Accessed January 11, 2019. Available at https://aspe.hhs.gov/poverty-guidelines



Persons in family/household Alaska Poverty Guideline* Sanofi Patient Connection PAP Eligibility (for uninsured or functionally uninsured patients)
250% 500%
1$15,600$39,000$78,000
2$21,130$52,825$105,650
3$26,660$66,650$133,300
4$32,190$80,475$160,950
5$37,720$94,300$188,600
6$43,250$108,125$216,250
7$48,780$121,950$243,900
8$54,310$135,775$271,550
For families/households with more than 8 persons, add $5,530 for each additional person All products except Oncology Oncology products

*Alaska Source: US Dept of Health & Human Services. Accessed January 11, 2019. Available at https://aspe.hhs.gov/poverty-guidelines



Persons in family/household Hawaii Poverty Guideline* Sanofi Patient Connection PAP Eligibility (for uninsured or functionally uninsured patients)
250% 500%
1$14,380$35,950$71,900
2$19,460$48,650$97,300
3$24,540$61,350$122,700
4$29,620$74,050$148,100
5$34,700$86,750$173,500
6$39,780$99,450$198,900
7$44,860$112,150$224,300
8$49,940$124,850$249,700
For families/households with more than 8 persons, add $5,080 for each additional person All products except Oncology Oncology products

*Hawaii Source: US Dept of Health & Human Services. Accessed January 11, 2019. Available at https://aspe.hhs.gov/poverty-guidelines

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