Eloxatin

Indicated For

colorectal cancer, gastric cancer, adjuvant treatment

About This Medication

# Sanofi Patient Connection Patient Guide: How to Get Eloxatin (oxaliplatin) at Low or No Cost Eloxatin (oxaliplatin) is a chemotherapy medication used to treat advanced colorectal cancer, often in combination with other drugs like 5-fluorouracil and leucovorin. The **Sanofi Patient Connection** program helps eligible patients get Eloxatin at no cost if they meet financial and insurance criteria. ## About Eloxatin (oxaliplatin) **Eloxatin** is an intravenous platinum-based chemotherapy drug approved for treating metastatic colorectal cancer in adults, either as first-line therapy with infusional 5-fluorouracil/leucovorin or as second-line after other treatments fail. It works by damaging cancer cell DNA to stop their growth. Administered every 2 weeks in cycles by a healthcare provider (HCP), common side effects include peripheral neuropathy (numbness/tingling in hands/feet), nausea, fatigue, diarrhea, and low blood counts. Always discuss risks and benefits with your oncologist, as dosing is based on body surface area (typically 85 mg/m²). This guide explains the **Sanofi Patient Connection** program, which provides Eloxatin free to qualifying patients without adequate insurance coverage. Sanofi manufactures Eloxatin and supports access through this program for patients facing financial hardship.[1][2][3] ## Who Qualifies for the Program? Eligibility focuses on financial need, insurance status, and U.S. residency. Key requirements include: - **U.S. resident** with a valid prescription from a licensed U.S. HCP. - **Household income ≤400% of the Federal Poverty Level (FPL)**. For 2026, this means up to about $60,000 for an individual or $124,800 for a family of 4 (exact amounts vary by household size; check current FPL guidelines). - **No or inadequate insurance coverage** for Eloxatin. Patients without insurance are prime candidates. Medicare Part D patients may qualify through year-end if coverage gaps exist. - If potentially eligible for Medicaid, provide denial documentation first.[3] - Not eligible if enrolled in government programs like Medicaid (unless denied) or certain state aid. The program confirms **no strict income documentation** is always required upfront, but income verification via authorization is needed. Applications are reviewed holistically.[1][2] ## Income Eligibility Breakdown Income limits are at **≤400% FPL**. Use this table for 2026 estimates (based on 2025 HHS FPL; confirm current at aspe.hhs.gov): | Household Size | 100% FPL | 400% FPL (Max Eligible) | |----------------|----------|-------------------------| | 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: Annual gross household income before taxes. Include all sources. No assets test mentioned. Medicaid-eligible applicants need denial proof.*[3] ## Insurance Requirements - **Uninsured patients** or those without Eloxatin coverage are eligible. - **Medicare Part D**: Approved through calendar year-end; transitions back to plan annually. Plan sponsor notified.[2][6] - **Private insurance**: Must lack coverage; provide proof if requested. - **Medicaid/State programs**: Denial letter required before program consideration.[3] - Program ships to HCP, not directly to patients on government insurance. ## Step-by-Step Application Process 1. **Call or Download Application**: Contact **(888) 847-4877** toll-free to request a form or download from sanofipatientconnection.com. Select your state if prompted.[5][6] 2. **Complete Patient Section (Page 2)**: Fill personal info, sign HIPAA consent and income verification authorization. No medical records needed.[1][2] 3. **HCP Completes Page 3**: Your doctor provides prescribing info, Tax ID, NPI, license. Confirms medical necessity for Eloxatin.[1] 4. **Submit**: HCP faxes to **1-888-847-1797** or mails to Sanofi Patient Connection, PO Box 222138, Charlotte, NC 28222-2138. Only pages 2-3 required; incomplete apps delay processing.[1][2][6] 5. **Await Review**: Program assesses eligibility. You'll get notification letters if approved. **Tip**: Start early; involve your oncologist promptly. ## Timeline and Delivery - **Processing**: Approximately **5-7 business days** after receipt if eligible.[2] - **Approval Duration**: Up to **12 months**. Medicare Part D: Through calendar year-end.[2][6][7] - **Delivery**: Medication ships **free of charge** directly to your treating physician's office for administration. No patient shipping.[1] - **Reauthorization**: Required annually. Reapply before expiration; same process.[6] ## Alternatives if Denied or Ineligible - **Appeal**: Contact program at (888) 847-4877 for reasons and resubmission options. - **Other Assistance**: Check NeedyMeds.org, RxAssist.org, or Partnership for Prescription Assistance (1-888-477-2669). - **Manufacturer Copay Cards**: Sanofi may offer for commercially insured (check sanofi.us). - **Generic Oxaliplatin**: Available; ask HCP about cost/availability. - **Hospital/Charity Programs**: 340B clinics, CancerCare, or Patient Access Network (PAN) Foundation. - **State Programs**: Varies; e.g., Minnesota Safety Net for specific drugs.[4] No biosimilars listed for Eloxatin. ## Important Disclaimer This guide is for informational purposes based on publicly available program details as of 2026. Eligibility, terms, and availability can change; always verify directly with **Sanofi Patient Connection** at (888) 847-4877 or sanofipatientconnection.com. Not medical/financial advice. Consult your HCP for treatment decisions. Sanofi not liable for guide content. Income/FPL subject to annual updates.

Program information last verified: March 30, 2026