Clolar

Indicated For

Acute lymphoblastic leukemia (ALL), relapsed or refractory

About This Medication

# Sanofi Patient Connection Patient Guide: How to Get Clolar (clofarabine) at Low or No Cost Clolar (clofarabine) is a chemotherapy medication used to treat relapsed or refractory acute lymphoblastic leukemia (ALL) in children and adults when other treatments have not worked. The **Sanofi Patient Connection** program by **Sanofi** helps eligible patients in the U.S. get Clolar at no cost if they meet financial and insurance criteria, including household income at or below **400% of the Federal Poverty Level (FPL)**. ## Who Qualifies for Sanofi Patient Connection? This program supports **uninsured or underinsured patients** who cannot afford their medication. Key eligibility rules include: - **Residency**: You must live in the U.S. or U.S. Territories. - **Healthcare Provider**: You need to be under the care of a licensed U.S. healthcare provider (HCP) authorized to prescribe, dispense, and administer medicine. - **Insurance Status**: No insurance coverage, or commercial insurance/Medicaid with no access to Clolar, or Medicare Part B access without supplemental coverage. - **Financial Need**: Annual household income ≤ **400% FPL**. If potentially eligible for Medicaid, provide denial documentation. - **Other**: U.S. citizen or resident with a Social Security Number (in some cases); no fees for application, processing, medication, or shipping. The program enrolls you for up to **12 months** (Medicare Part D through calendar year end).[1][2][3][5][8] ## About Clolar (clofarabine) **Clolar** is an intravenous chemotherapy drug approved for pediatric patients 1-21 years old with relapsed or refractory ALL after at least two prior treatment regimens. It works by interfering with cancer cell DNA replication to stop leukemia growth. Administered in a hospital or clinic by your HCP, common side effects include nausea, vomiting, fever, and low blood counts—discuss risks with your doctor. This guide focuses on assistance; always follow your HCP's dosing instructions.[5] ## Income Eligibility Breakdown Sanofi Patient Connection requires financial criteria, specifically household income at or below **400% of the current FPL**. Exact dollar thresholds vary by household size and year—check the latest FPL guidelines (e.g., via ASPE.hhs.gov). Provide income proof like tax returns or pay stubs. | Household Size | 100% FPL (2026 est.) | 400% FPL Threshold | |----------------|----------------------|---------------------| | 1 | ~$15,060 | ~$60,240 | | 2 | ~$20,440 | ~$81,760 | | 3 | ~$25,820 | ~$103,280 | | 4 | ~$31,200 | ~$124,800 | *Notes: Estimates based on prior FPL; add ~$5,380 per additional person for 100% FPL. Specific thresholds not always disclosed—submit docs for review. Does not cover >400% FPL.*[5][8] ## Insurance Requirements - **Uninsured**: Fully eligible if other criteria met. - **Commercially Insured or Medicaid**: Must prove no coverage/access to Clolar (e.g., denial letter). - **Medicare Part D**: Eligible through year-end; plan sponsor notified. Part B with no supplemental OK. - **Medicaid Applicants**: Submit denial first. Include insurance verification docs. Program ships to HCP's office.[1][2][5][8] ## Step-by-Step Application Process 1. **Download or Request Form**: Get the application from sanofipatientconnection.com (select state), call **(888) 847-4877**, or have it mailed.[3][4] 2. **Complete Patient Section (Page 2)**: Fill personal info, sign **HIPAA consent** and **income verification** authorizations. Gather: income docs (e.g., W-2s, 1099s), insurance info/denials.[1][2] 3. **HCP Completes Page 3**: Doctor fills prescription details, signs/dates. They confirm Tax ID, NPI, license.[1][3] 4. **Submit (Pages 2-3 Only)**: - **Mail**: Sanofi Patient Connection, PO Box 222138, Charlotte, NC 28222-2138 - **Fax**: 1-888-847-1797 - Provider Portal: visitspconline.com[1][2][3][6] 5. **Authorized Help**: Family/third-parties OK, but no fees charged.[1] Missing info delays processing—double-check![1][3] ## Timeline and Delivery - **Processing**: 5-7 business days for complete apps; longer if incomplete.[2][3] - **Approval Notice**: Letter to you and HCP (Medicare plan too). Enrolled up to 12 months.[1][2][3] - **Delivery**: Medication ships free to HCP's office in ~5-7 business days post-approval.[2] - **Refills**: HCP faxes refill form; reapply yearly with new financials.[3][9] ## Alternatives if Denied - **Reapply**: Fix issues (e.g., more docs) and resubmit. - **Appeal**: Contact program at (888) 847-4877. - **Other Options**: PAN Foundation, HealthWell Foundation, or state programs for leukemia meds. Check rxassist.org or NeedyMeds. Co-pay cards if insured. Medicaid/Medicare Extra Help. - **Biosimilars**: None available for Clolar. ## Disclaimer This guide summarizes Sanofi Patient Connection based on available info as of 2026. Eligibility/rules change—verify at sanofipatientconnection.com or call (888) 847-4877. Not medical/financial advice; consult HCP/financial advisor. Sanofi may update FPL or criteria. Program not guaranteed; applies to Clolar where eligible.

Program information last verified: March 30, 2026