Adlyxin

Indicated For

Type 2 Diabetes

About This Medication

# Sanofi Patient Connection Patient Guide: How to Get Adlyxin (lixisenatide) at Low or No Cost Adlyxin (lixisenatide) is a prescription medication used to help control blood sugar levels in adults with type 2 diabetes, alongside diet and exercise. The **Sanofi Patient Connection** program offers this medication at no cost to eligible patients who meet specific income and insurance criteria.[1][5] ## About Adlyxin (lixisenatide) **Adlyxin** is a once-daily injectable GLP-1 receptor agonist that helps the pancreas release more insulin when blood sugar is high, reduces glucagon (a hormone that raises blood sugar), and slows digestion to prevent spikes after meals. It's typically prescribed for adults with type 2 diabetes who need better blood sugar control. Common side effects include nausea, vomiting, and low blood sugar (hypoglycemia) if used with other diabetes meds. Always follow your doctor's instructions and report side effects.[1] This guide explains how to access **Adlyxin** through Sanofi Patient Connection, a free assistance program from manufacturer **Sanofi**. It's designed for uninsured or underinsured patients struggling with costs. No fees for application, processing, medication, or shipping.[1][2] ## Who Qualifies? To qualify, you must: - Be a legal resident of the U.S. or U.S. Territories (including Puerto Rico).[5][6] - Be under the care of a U.S.-licensed healthcare provider (HCP).[1][3] - Have **household income at or below 400% of the Federal Poverty Level (FPL)**.[5] - Have **no insurance coverage** or **no access to Adlyxin through your insurance** (e.g., not covered by commercial insurance, Medicaid, or Medicare).[1][8] If potentially eligible for Medicaid, provide denial documentation.[5] Medicare Part D patients may qualify but get coverage through year-end.[2][6] ## Income Eligibility Breakdown Eligibility is based on **annual household income ≤400% FPL**. Use the table below for 2026 guidelines (FPL updates annually; check www.aspe.hhs.gov for latest).[5] | Household Size | 100% FPL | 400% FPL (Max Eligible Income) | |---------------|----------|-------------------------------| | 1 | $15,060 | $60,240 | | 2 | $20,440 | $81,760 | | 3 | $25,820 | $103,280 | | 4 | $31,200 | $124,800 | | +1 person | +$5,380 | +$21,520 | *Notes: Include all household income sources. Provide proof like tax returns or pay stubs. Income thresholds apply regardless of insurance status, but insurance limits are strict.*[5][1] ## Insurance Requirements **No insurance coverage or access to Adlyxin via insurance** is required. This means: - Uninsured patients qualify if income-eligible. - Insured patients qualify only if their plan denies coverage for Adlyxin specifically.[8][1] - Medicare Part B with no supplemental: Possible if meets other criteria.[8] - Medicare Part D: Eligible through calendar year-end.[2] Submit proof if Medicaid was denied.[5] Program notifies your plan if approved.[2] ## Step-by-Step Application Process 1. **Contact the program**: Call **(888) 847-4877** toll-free to request an application or download from sanofipatientconnection.com.[3][4] 2. **Complete patient section**: Fill page 2 with personal info, sign HIPAA consent and income verification authorizations.[1][2] 3. **Visit your HCP**: Have your doctor complete page 3 (prescription, provider details), sign/date it.[1][3] 4. **Gather documents**: Proof of income (e.g., 2025 tax return, W-2s, pay stubs), prescription, proof of residency (utility bill).[1] 5. **Submit**: HCP faxes to **1-888-847-1797** or mails to **Sanofi Patient Connection, PO Box 222138, Charlotte, NC 28222-2138**. Provider Portal option available.[1][3][6] Family or reps can assist, but no fees charged.[1] Avoid medical records.[1] ## Timeline and Delivery - **Processing**: 5-7 business days for complete apps; longer if missing info.[3][2] - **Approval notice**: Letter to you and HCP (Medicare plan notified).[1][2] - **Enrollment**: Up to **12 months**; Medicare Part D through year-end.[2][6] - **Delivery**: Medication shipped free to **HCP's office** in 5-7 business days post-approval (some sources say to patient).[2][6][1] **Reauthorization required** annually; reapply before expiration.[1] ## Alternatives if Denied - **Appeal**: Contact program at (888) 847-4877 for missing info or reconsideration.[3] - **Other programs**: Check NeedyMeds.org, RxAssist.org, or state assistance. Medicaid reapply/appeal denial.[5] - **Manufacturer co-pay cards**: CareASSIST for insured (call 1-833-930-2273).[9] - **Generic/GLP-1 alternatives**: Discuss with HCP (no biosimilars listed).[1] - **Community clinics**: Sliding-scale options or 340B pharmacies. ## Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility, guidelines, and FPL change; confirm with Sanofi Patient Connection at (888) 847-4877 or sanofipatientconnection.com. Not medical/financial advice. Consult your HCP for treatment. Sanofi not liable for errors. Program availability subject to change.[1][5]

Program information last verified: March 30, 2026