Imovax Rabies

Indicated For

Rabies pre-exposure and post-exposure prophylaxis

About This Medication

# Sanofi Patient Connection Patient Guide: How to Get Imovax Rabies at Low or No Cost ## About This Program Sanofi Patient Connection is a **no-cost medication program** designed to help eligible patients access Imovax Rabies (Rabies Vaccine [Human Diploid Cell]) when they cannot afford it or lack insurance coverage. This guide explains who qualifies, how to apply, and what to expect throughout the process. ## About Imovax Rabies Imovax Rabies is a vaccine used to prevent rabies, a serious viral infection transmitted through animal bites or scratches. The vaccine is administered by a healthcare provider and is critical for post-exposure prophylaxis (after potential rabies exposure) or pre-exposure protection for people at high risk. Sanofi Patient Connection covers this vaccine at no cost for eligible patients. ## Who Qualifies? To be eligible for Imovax Rabies through Sanofi Patient Connection, you must meet ALL of the following requirements: - **Age:** You must be **19 years of age or older** (Imovax Rabies is the exception to the standard vaccine age requirement) - **U.S. Residency:** You must be a U.S. citizen or resident with a valid Social Security Number - **Healthcare Provider:** You must be under the care of a licensed healthcare provider authorized to prescribe, dispense, and administer vaccines in the U.S. - **Insurance Status:** You must have no insurance coverage, OR if you have commercial insurance, you must have no access to Imovax Rabies through your insurance plan - **Income Level:** Your household income must be at or below **250% of the Federal Poverty Level (FPL)** - **Medicaid Status:** If you may be eligible for Medicaid, you must provide documentation of Medicaid denial before being assessed for patient assistance ## Income Eligibility Breakdown Your household income must not exceed 250% of the Federal Poverty Level. Use the table below to determine if you qualify based on your household size: | Household Size | 250% FPL Annual Income Limit | |---|---| | 1 person | ~$35,625 | | 2 people | ~$47,875 | | 3 people | ~$60,125 | | 4 people | ~$72,375 | | 5+ people | Contact program for details | *Note: These figures are approximate and based on 2026 Federal Poverty Level guidelines. For exact current limits, visit http://aspe.hhs.gov.* ## Insurance Requirements You are eligible if: - You have **no insurance coverage**, OR - You have **commercial insurance but cannot access Imovax Rabies through your plan** If you have Medicaid or Medicare, special rules may apply. Contact the program at **(888) 847-4877** to discuss your specific situation. ## Step-by-Step Application Process ### Step 1: Gather Required Documents Before starting your application, collect the following: - **Proof of Income:** One of the following: - Most recent U.S. Income Tax Return - Most recent W-2 form - Most recent Social Security statement - Form 4506-T (IRS transcript request) - **Proof of Residency:** Documentation showing your current U.S. address - **Healthcare Provider Information:** Your doctor's name, office address, phone number, fax number, NPI, Tax ID, and State License Number ### Step 2: Obtain the Application You can get the application in two ways: 1. **Download Online:** Visit www.sanofipatientconnection.com and download the application form 2. **Call the Program:** Call **(888) 847-4877** toll-free to request an application be mailed to you ### Step 3: Complete Your Section Fill out all patient information on the application, including: - Your full name, date of birth, and Social Security Number - Current address and contact information - Insurance information (if applicable) - Income verification details - Sign and date the **HIPAA consent** and **income verification authorization** forms **Important:** Do not include medical records with your application. ### Step 4: Have Your Healthcare Provider Complete Their Section Bring the completed application to your healthcare provider's office. Your provider must: - Complete the provider section of the application - Verify the prescription for Imovax Rabies - Sign and date the form - Provide their NPI, Tax ID, and State License Number ### Step 5: Submit Your Application Your healthcare provider can submit the completed application using one of these methods: - **Fax:** 1-888-847-1797 - **U.S. Mail:** Sanofi Patient Connection, PO Box 222138, Charlotte, NC 28222-2138 - **Secure Provider Portal:** www.visitspconline.com (if your provider uses this option) **Tip:** Make sure all sections are complete and signed. Missing information will delay processing. ## Timeline and Delivery ### Processing Time - **Fully completed applications:** Usually processed within **5-7 business days** - **Incomplete applications:** May take longer as the program will contact your healthcare provider to gather missing information ### Medication Delivery Once approved, your Imovax Rabies vaccine will be **shipped directly to your healthcare provider's office in approximately 5-7 business days**. Your provider will administer the vaccine according to the rabies prevention protocol. ### Enrollment Duration You will be enrolled in the program for **12 months** from the date of approval. After 12 months, you must reapply with updated financial information to continue receiving assistance. ## What Happens After You Apply? 1. **Eligibility Review:** Sanofi Patient Connection will review your application to determine if you qualify 2. **Approval Notification:** If eligible, you will receive a letter confirming your enrollment 3. **Medication Shipment:** Your vaccine will be sent to your healthcare provider's office 4. **Administration:** Your provider will administer the vaccine as prescribed ## Refills and Reauthorization - **Refills:** To request additional doses, your healthcare provider must submit a reorder form via fax to **(888) 847-1797** - **Annual Reauthorization:** A new application is required every 12 months with updated income documentation ## What If Your Application Is Denied? If you are not approved, the program will provide information about why. Common reasons include: - Income exceeds 250% FPL - You have insurance coverage for the vaccine - Incomplete application information - You may be eligible for Medicaid (you must apply for Medicaid first) **Next Steps:** - Contact the program at **(888) 847-4877** to discuss your situation - Ask about alternative resources or programs that may help - Explore whether your income situation has changed - Inquire about Medicaid eligibility ## Important Reminders - **Each patient needs a separate application** - **Your healthcare provider must be involved** in the application process - **Income documentation is required** for all applicants - **Medication is shipped to your provider's office**, not your home - **Reapply annually** to continue receiving assistance - **Contact Medicaid first** if you may be eligible, as you must be denied before applying for patient assistance ## Contact Information **Sanofi Patient Connection** - **Phone:** 1-888-847-4877 (toll-free) - **Fax:** 1-888-847-1797 - **Mailing Address:** PO Box 222138, Charlotte, NC 28222-2138 - **Website:** www.sanofipatientconnection.com - **Provider Portal:** www.visitspconline.com ## Disclaimer This guide provides general information about Sanofi Patient Connection's Imovax Rabies assistance program. Program eligibility, requirements, and benefits may change. For the most current and complete information, contact the program directly or visit the official website. This guide is not a guarantee of eligibility or enrollment. All eligibility determinations are made by Sanofi Patient Connection based on individual circumstances and program guidelines.

Program information last verified: March 30, 2026