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$12,140$30,350$60,700
2$16,460$41,150$82,300
3$20,780$51,950$103,900
4$25,100$62,750$125,500
5$29,420$73,550$147,100
6$33,740$84,350$168,700
7$38,060$95,150$190,300
8$42,380$105,950$211,900
For families/households with more than 8 persons, add $4,320 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 22, 2018. 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$15,180$37,950$75,900
2$20,580$51,450$102,900
3$25,980$64,950$129,900
4$31,380$78,450$156,900
5$36,780$91,950$183,900
6$42,180$105,450$210,900
7$47,580$118,950$237,900
8$52,980$132,450$264,900
For families/households with more than 8 persons, add $5,400 for each additional person All products except Oncology/Hematology Oncology/Hematology products

*Alaska Source: US Dept of Health & Human Services. Accessed January 22, 2018. 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$13,960$34,900$69,800
2$18,930$47,325$94,650
3$23,900$59,750$119,500
4$28,870$72,175$144,350
5$33,840$84,600$169,200
6$38,810$97,025$194,050
7$43,780$109,450$218,900
8$48,750$121,875$243,750
For families/households with more than 8 persons, add $4,970 for each additional person All products except Oncology/Hematology Oncology/Hematology products

*Hawaii Source: US Dept of Health & Human Services. Accessed January 22, 2018. Available at https://aspe.hhs.gov/poverty-guidelines

Frequently Asked Questions

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