Adlyxin

Indicated For

Type 2 diabetes

About This Medication

# Sanofi Patient Connection Program Guide: How to Get Adlyxin at Low or No Cost ## About This Program The Sanofi Patient Connection program is a prescription assistance program (PAP) designed to help uninsured and underinsured patients access Adlyxin (lixisenatide) at little to no cost. Sanofi, the manufacturer of Adlyxin, created this program to ensure that cost is not a barrier to getting the diabetes medication you need. ## What is Adlyxin? Adlyxin (lixisenatide) is a GLP-1 receptor agonist—a type of injectable medication used to help control blood sugar levels in adults with type 2 diabetes. It works by helping your pancreas release the right amount of insulin when your blood sugar is high. Adlyxin is typically prescribed alongside diet and exercise, and sometimes with other diabetes medications. ## Who Can Apply? You may qualify for the Sanofi Patient Connection program if you meet ALL of these criteria: - You have been prescribed Adlyxin by your doctor - You are a U.S. resident - You are uninsured, OR your commercial insurance does not cover Adlyxin, OR you have been denied coverage by Medicaid - Your household income falls within the program's limits (see income table below) - You are willing to provide proof of income and residency **Important:** If you are currently enrolled in Medicare, Medicaid, VA, or other government insurance programs, you may not be eligible for this PAP. However, you should still contact the program to ask about your specific situation. ## Income Eligibility The Sanofi Patient Connection program sets income limits based on the Federal Poverty Level (FPL). Eligibility is set at 400% of the FPL. Below is a quick reference for maximum household income by family size: | Household Size | Maximum Annual Income | |---|---| | 1 person | $75,000 | | 2 people | ~$101,000 | | 3 people | ~$127,000 | | 4 people | ~$153,000 | | 5 people | ~$179,000 | | 6 people | ~$205,000 | | 7 people | ~$231,000 | | 8+ people | ~$257,000+ | *Note: Income limits are updated annually. Contact the program directly for the most current thresholds.* ## Insurance Requirements To qualify, you must have one of the following situations: 1. **No health insurance** – You do not have commercial health insurance coverage 2. **Insurance that doesn't cover Adlyxin** – Your commercial insurance plan specifically excludes Adlyxin 3. **Medicaid denial** – You applied for Medicaid coverage of Adlyxin and were denied If you have Medicaid and were denied, you'll need to provide a copy of the denial letter as part of your application. ## What Documents Do You Need? Before you start, gather these documents: - **Proof of income** – Recent pay stubs (last 30 days), tax return, W-2, or a signed statement from your employer - **Proof of residency** – Utility bill, lease agreement, mortgage statement, or other official document showing your current address - **Current prescription** – A prescription from your doctor for Adlyxin - **Medicaid denial letter** – ONLY if you were denied Medicaid coverage (photocopy is fine) ## How to Apply: Step-by-Step **Step 1: Choose Your Application Method** Sanofi Patient Connection accepts applications through multiple methods: - Online application at https://www.sanofipatientconnection.com - Phone: (888) 847-4877 - Mail or fax (check website for current mailing address) **Step 2: Start Your Application** If applying online, go to https://www.sanofipatientconnection.com and select Adlyxin. If applying by phone, a representative will guide you through the questions. Have your information ready. **Step 3: Answer the Questions** You'll be asked about: - Your household size and income - Your current insurance status - Your medical condition and prescription - Your contact information **Step 4: Submit Documentation** You can submit supporting documents: - **Online:** Upload scans or photos of documents - **Phone:** Ask where to mail or fax documents - **Mail:** Send originals or copies to the address provided **Step 5: Wait for Approval** Typical processing time is 4–8 weeks from the date your complete application is received. You'll be notified of approval or denial by mail and/or phone. **Step 6: Receive Your Medication** Once approved, Adlyxin will be shipped directly to you or to your doctor's office. Most patients receive their first shipment within 1–2 weeks after approval. ## What Happens After Approval? **How Long Does Coverage Last?** Once approved, the program typically covers your medication for 12 months. You will need to reapply annually to continue receiving assistance. **Reapplication Reminder** About 30 days before your coverage expires, you should receive a reauthorization notice. Complete the renewal process quickly to avoid interruption in your supply. **Important:** Do not miss your reapplication deadline. If coverage lapses, you may need to wait for processing time again. ## Additional Savings Options Even if you don't qualify for the full PAP program, Sanofi offers: **Sanofi Savings Card** Check the manufacturer website at https://www.sanofipatientconnection.com for current savings card offers. This card may reduce your out-of-pocket costs if you have commercial insurance. ## What If Your Application Is Denied? If you're denied for Adlyxin assistance, you have options: 1. **Ask why you were denied** – Contact the program to understand the reason. You may be able to provide additional information or reapply if your situation has changed. 2. **Explore other resources:** - Ask your doctor about other diabetes medications or manufacturers' PAPs - Visit NeedyMeds.org for a database of assistance programs - Contact your state pharmaceutical assistance program - Ask your doctor about samples or trial programs 3. **Check for Medicaid eligibility** – If you haven't applied yet, contact your state's Medicaid office 4. **Look into health insurance** – Healthcare.gov offers information about affordable insurance plans ## Questions? Contact Sanofi Patient Connection **Phone:** (888) 847-4877 **Website:** https://www.sanofipatientconnection.com **Hours:** Monday–Friday, typically 8 AM–8 PM ET A patient advocate can answer questions about eligibility, the application process, and what to do if you're denied. ## Legal Disclaimer This guide is for informational purposes only and should not replace official program information. Program details, including income limits, eligibility requirements, and application procedures, are subject to change without notice. Always verify current requirements directly with Sanofi Patient Connection or visit https://www.sanofipatientconnection.com for the most up-to-date information. This guide does not constitute medical advice. Always consult your healthcare provider about your diabetes treatment options.

Program information last verified: March 25, 2026