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APPLICATIONSanofi Patient Connection is a program (the Program) to help you get access to the medications and resources you need at no cost. Patient Assistance Connection is part of the Program that

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How to fill out sanofi patient connection application

01

Visit the Sanofi Patient Connection website

02

Select the medication that you have been prescribed

03

Fill out the application form with your personal information, including name, address, and contact details

04

Provide information about your healthcare provider and prescription details

05

Submit the completed application either online or by mail as instructed on the website

Who needs sanofi patient connection application?

01

Patients who have been prescribed Sanofi medications and are looking for assistance with their prescription costs

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What is sanofi patient connection application?

Sanofi Patient Connection is a program designed to help eligible patients receive their prescribed medication at no cost or a reduced cost.

Who is required to file sanofi patient connection application?

Patients who are prescribed medication from Sanofi and are experiencing financial hardship may be required to file a Sanofi Patient Connection application.

How to fill out sanofi patient connection application?

To fill out the application, patients need to provide personal and financial information, details of the prescribed medication, and any supporting documentation requested.

What is the purpose of sanofi patient connection application?

The purpose of the Sanofi Patient Connection application is to assist patients who are unable to afford their prescribed medication due to financial constraints.

What information must be reported on sanofi patient connection application?

Patients must report personal and financial information, details of the prescribed medication, income verification, and any other supporting documentation requested.

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