Financial criteria for patient assistance

In order to meet the financial eligibility criteria for receiving Sanofi medication at no cost, you must have an annual household income of 400% of the current Federal Poverty Level.

Patient Assistance Connection Financial Eligibility
(for uninsured or functionally uninsured patients)

Determine the maximum household income requirement to be considered for Patient Assistance Connection by selecting your household size and then viewing the 400% column.

Contiguous United States
Persons in family/household Poverty Guideline* 400%
1$12,880$51,520
2$17,420$69,680
3$21,960$87,840
4$26,500$106,000
5$31,040$124,160
6$35,580$142,320
7$40,120$160,480
8$44,660$178,640
For families/households with more than 8 persons, add $4,540 for each additional person

*48 Contiguous States and District of Columbia Source: US Dept of Health & Human Services. Accessed 01/13/2021. Available at https://aspe.hhs.gov/poverty-guidelines.


Alaska
Persons in family/household Poverty Guideline* 400%
1$16,090$64,360
2$21,770$87,080
3$27,450$109,800
4$33,130$132,520
5$38,810$155,240
6$44,490$177,960
7$50,170$200,680
8$55,850$223,400
For families/households with more than 8 persons, add $5,680 for each additional person

*Alaska Source: US Dept of Health & Human Services. Accessed 01/13/2021. Available at https://aspe.hhs.gov/poverty-guidelines.


Hawaii
Persons in family/household Poverty Guideline* 400%
1$14,820$59,280
2$20,040$80,160
3$25,260$101,040
4$30,480$121,920
5$35,700$142,800
6$40,920$163,680
7$46,140$184,560
8$51,360$205,440
For families/households with more than 8 persons, add $5,220 for each additional person

*Hawaii Source: US Dept of Health & Human Services. Accessed 01/13/2021. Available at https://aspe.hhs.gov/poverty-guidelines.