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 or hematology: Annual household income of ≤250% of the current Federal Poverty Level
  • For oncology or hematology 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$12,060$30,150$60,300
2$16,240$40,600$81,200
3$20,420$51,050$102,100
4$24,600$61,500$123,000
5$28,780$71,950$143,900
6$32,960$82,400$164,800
7$37,140$92,850$185,700
8$41,320$103,300$206,600
For families/households with more than 8 persons, add $4,180 for each additional person All products except Oncology/Hematology Oncology/Hematology products

*48 Contiguous States and District of Columbia Source: US Dept of Health & Human Services. Accessed January 25, 2017. 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$15,060$37,650$75,300
2$20,290$50,725$101,450
3$25,520$63,800$127,600
4$30,750$76,875$153,750
5$35,980$89,950$179,900
6$41,210$103,025$206,050
7$46,440$116,100$232,200
8$51,670$129,175$258,350
For families/households with more than 8 persons, add $5,230 for each additional person All products except Oncology/Hematology Oncology/Hematology products

*Alaska Source: US Dept of Health & Human Services. Accessed January 25, 2017. 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$13,860$34,650$69,300
2$18,670$46,675$93,350
3$23,480$58,700$117,400
4$28,290$70,725$141,450
5$33,100$82,750$165,500
6$37,910$94,775$189,550
7$42,720$106,800$213,600
8$47,530$118,825$237,650
For families/households with more than 8 persons, add $4,810 for each additional person All products except Oncology/Hematology Oncology/Hematology products

*Hawaii Source: US Dept of Health & Human Services. Accessed January 25, 2017. Available at https://aspe.hhs.gov/poverty-guidelines

Frequently Asked Questions

Find answers to questions from people like you seeking assistance

See Facts