The Sanofi PAP Has Changed!

Photo credit: Cathy Kaplan

Our mission at SCBN is to help as many people access free medication as we possibly can. To help us reach that goal, we post instructions for enrollment in various patient assistance programs (PAPs) here in our blog. Today, we are going to help you get into the Sanofi Patient Connection PAP (SPC). Their program has recently undergone a great deal of change and it’s a bit more tricky now so we want to make sure you have the most accurate information. To begin with, the medication list for SPC includes:

Apidra Solostar Pens

Apidra U-100

Auvi-Q 0.15mg auto injector

Auvi-Q 0.3mg auto injector

Jevtana

Lantus Solostar Pens

Lantus Vials U-100

Leukine

Mozobil Injection

Multaq

Priftin

If you take any of these medications, you are a U.S. resident, and your gross household income is equal to or less than 250% of the Federal Poverty Level (FPL), you might qualify for SPC. Instead of requesting financial documents to affirm your income level, SPC will run a “soft credit check” through a third party company, which pulls a "revenue management projection" based on information from TransUnion. SPC’s description of the process is that they look at your expenditures (bills) and extrapolate your income from there. It might not be the most accurate way to determine eligibility but it’s the way SPC is operating now.

If you have insurance, you will not automatically be disqualified. It is possible to be accepted into the SPC program if you have prescription coverage but your Sanofi medication or the drug class isn’t covered or if you were denied coverage due to a pre-existing condition. Veterans receiving VA benefits will still qualify as long as they are not receiving prescription coverage; you just need a letter from the VA confirming that you do not have prescription coverage. In all of these cases, you need to fill out segment 1 of the application completely and send a copy of the front and back of your insurance card with the rest of your paperwork. SPC will conduct a benefits verification and make their decision based on the information that you provide.

Medicare complicates the enrollment process somewhat but doesn’t necessarily disqualify you. SCP will do a benefit investigation to verify your coverage. If you have Medicare Part D, you will also need to have paid out the equivalent of 5% of your household income on medication. You should be able to verify this on your monthly Explanation of Benefits (although you don’t have to send in any paperwork since Sanofi will be running the benefit investigation). The one exception to this process is if you are taking the medication Lovenox - people taking Lovenox cannot have Medicare Part D.

To get an application for the SCP program, go to: http://www.sanofipatientconnection.com/media/pdf/SPC_Application.pdf

Once you download the form, you can either click into each answer field to type in your responses or you can print out the form and write in your responses. If you fill out the form by hand, be sure to use black ink and print neatly. If you make any mistakes, you can use whiteout to correct them. Don’t leave blank spaces, if you have any questions about the form, you can call the help line at 1-888-visitSPC (847-4877). Be sure your doctor fills out their section of the form completely as well. When your application is totally filled out, you can fax the paperwork to SCP at 1-888-847-1797. If you and your doctor do not have access to a fax machine, you can also mail the enrollment paperwork. Luckily, SPC has a processing time of about 3 - 5 days, so you won’t have to wait too long to hear about your enrollment either way.

If you are accepted into the program, your shipments of free medication will be sent to your doctor’s office. You will need to register with SPC online at https://www.visitspconline.com/Registration/Registration.aspx to have access to the tools and information to continue your enrollment. To order refills, your doctor has to fax in a refill request every 60 days. It’s a good idea to keep track of the dates so you can call your doctor’s office and make sure they have ordered your refills or that they have received your medication. Remember that your doctor’s office is a busy and stressful place, so be sure to cultivate a good relationship with the support staff.

The Sanofi Patient Connection PAP is a little complex but, with experience and support from the SPC helpline, you can navigate it. You can always contact SCBN at www.SCBN.org or 1-888-331-1002 if you need assistance with managing your application and enrollment with Patient Assistance Programs.

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