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.

2022 POVERTY GUIDELINES FOR THE 48 CONTIGUOUS STATES AND THE DISTRICT OF COLUMBIA
Persons in family/household Poverty Guideline 400%
1$13,590$54,360
2$18,310$73,240
3$23,030$92,120
4$27,750$111,000
5$32,470$129,880
6$37,190$148,760
7$41,910$167,640
8$46,630$186,520
For families/households with more than 8 persons, add $4,720 for each additional person.

*48 Contiguous States and District of Columbia Source: US Dept of Health & Human Services. Accessed 01/12/22. Available at https://aspe.hhs.gov/poverty-guidelines.


2022 POVERTY GUIDELINES FOR ALASKA
Persons in family/household Poverty Guideline 400%
1$16,990$67,960
2$22,890$91,560
3$28,790$115,160
4$34,690$138,760
5$40,590$162,360
6$46,490$185,960
7$52,390$209,560
8$58,290$233,160
For families/households with more than 8 persons, add $5,900 for each additional person.

*Alaska Source: US Dept of Health & Human Services. Accessed 01/12/22. Available at https://aspe.hhs.gov/poverty-guidelines.


2022 POVERTY GUIDELINES FOR HAWAII
Persons in family/household Poverty Guideline 400%
1$15,630$62,520
2$21,060$84,240
3$26,490$105,960
4$31,920$127,680
5$37,350$149,400
6$42,780$171,120
7$48,210$192,840
8$53,640$214,560
For families/households with more than 8 persons, add $5,430 for each additional person.

*Hawaii Source: US Dept of Health & Human Services. Accessed 01/12/22. Available at https://aspe.hhs.gov/poverty-guidelines.