Cerdelga

Indicated For

Gaucher disease type 1

About This Medication

# CareConnectPSS Patient Assistance Program Patient Guide: How to Get Cerdelga (eliglustat) at Low or No Cost Cerdelga (eliglustat) is an oral capsule medication approved for adults with Gaucher disease type 1 to reduce disease progression by inhibiting substrate accumulation in cells. The **CareConnectPSS Patient Assistance Program** from **Sanofi** helps **underinsured** or **uninsured** U.S. residents access Cerdelga at low or no cost if they meet needs-based eligibility criteria.[1][8] ## About Cerdelga and Gaucher Disease Type 1 **Cerdelga (eliglustat)** is a substrate reduction therapy (SRT) taken as capsules, typically twice daily with food, to manage Gaucher disease type 1—a rare lysosomal storage disorder causing spleen and liver enlargement, bone pain, fatigue, and anemia due to glucocerebroside buildup.[3] Unlike enzyme replacement therapies given via infusion, Cerdelga is a convenient oral option for eligible patients with compatible CYP2D6 metabolism (normal or intermediate metabolizers).[1][3] Always consult your doctor to confirm if Cerdelga suits your treatment plan, as it's not for those with poor CYP2D6 metabolism or taking strong CYP2D6 inhibitors. Sanofi's CareConnectPSS provides comprehensive support beyond medication, including disease education, insurance navigation, and financial aid through dedicated Case Managers and Patient Education Liaisons (PELs).[5][9] Enrollment is free, voluntary, confidential, and open even if you're not yet diagnosed or on treatment.[5] ## Who Qualifies for the Program? The program targets **underinsured** or **uninsured** patients facing financial hardship. Key requirements include: - U.S. or U.S. territory resident.[3][8] - Prescription for Cerdelga from a licensed physician.[1] - **Needs-based eligibility**: Assessed individually; specific income thresholds (e.g., Federal Poverty Level percentages) are not publicly detailed—contact CareConnect for personalized review.[8] - Not enrolled in government programs like Medicare, Medicaid, VA, TRICARE, or active military dependents for copay assistance (patient assistance may still apply for uninsured).[3][8] **Income Eligibility Breakdown** | Household Size | Threshold | Notes | |---------------|-----------|-------| | Individual | Needs-based (FPL % not specified) | Call for assessment; proof like tax returns may be required. | | Couple | Needs-based (FPL % not specified) | Individual review process. | | Family of 3 | Needs-based (FPL % not specified) | Factors household income and expenses. | | Family of 4+ | Needs-based (FPL % not specified) | Contact Case Manager for details. | *Table note: Eligibility is needs-based without fixed FPL cutoffs listed publicly. A Case Manager will guide you.[2][8]* ## Insurance Requirements - **Underinsured**: Commercial/private insurance with high out-of-pocket costs (copay program covers copays, coinsurance, deductibles up to a maximum).[1][2] - **Uninsured**: No insurance coverage; free medication possible via patient assistance.[8] - **Exclusions**: Medicare Part D, Medicaid, VA, TRICARE, or government-funded programs disqualify from copay aid, but explore patient assistance options.[3] Your Case Manager helps review plan details, contact insurers, or handle transitions like job changes.[1][9] ## Step-by-Step Application Process 1. **Enroll in CareConnectPSS**: Call **(800) 745-4447** (Option 3 for English, 7 for Spanish), Mon-Fri 8AM-6PM EST, or email info@CareConnectPSS.com. No diagnosis or treatment required to start.[5][10] 2. **Speak to a Case Manager**: They'll assess eligibility, explain options, and send forms. Mention Cerdelga.[2][7] 3. **Complete Enrollment Form**: Download from CareConnectPSS site or request paper version. Include patient info, physician details, insurance status.[3][8] 4. **Gather Documents**: Primarily the **enrollment form**; may need proof of income/residency for needs-based review.[8] 5. **Submit**: Fax to 1-800-750-9839, mail to P.O. Box 52040, Phoenix, AZ 85072-2040, or apply online for copay.[1][3] 6. **Physician Involvement**: Provide HCP contact; they may need to confirm prescription.[3] Patient reps or guardians can apply on behalf of patients.[1][3] Spanish support available.[1][2] ## Timeline and Delivery Processing times vary; expect a dedicated team assignment upon enrollment for quick support.[5][7] Medication is **shipped directly to the patient** free of charge if approved.[8] Copay cards activate promptly for pharmacy use.[1] Your Case Manager tracks status and coordinates refills.[9] ## Alternatives if Denied - **Appeal**: Contact Case Manager to discuss reasons and resubmit.[2] - **Other Sanofi Programs**: Copay if commercially insured; explore via CareConnect.[2] - **No Biosimilars**: Cerdelga has none listed.[8] - **External Aid**: State programs, nonprofits like Patient Access Network (PAN), or Gaucher-specific foundations. - **Reapply**: Circumstances change (e.g., insurance loss).[9] ## Important Disclaimer This guide summarizes publicly available info as of latest sources and is not official advice. Eligibility, benefits, and terms can change—**always verify with CareConnectPSS at (800) 745-4447 or your healthcare provider**.[1][2] Program not for government-insured patients in some cases. Not a substitute for medical advice. Sanofi reserves rights to modify/amend.[3] (Word count: 942)

Program information last verified: March 30, 2026