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Autoimmune

Kevzara

Generic: sarilumab

Manufacturer: Sanofi US and Regeneron Pharmaceuticals, Inc.  ·  Program: KevzaraConnect Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

Uninsured, underinsured, certain Medicare Part D patients

Residency

US residents (50 states, DC, Puerto Rico)

Household income limitations requirements; needs-based

Program Information

Processing Time

4–8 weeks

Delivery Method

shipped to patient

Application Method

Fax

Reauthorization

Required — annual

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • Completed enrollment form signed by patient and prescriber
  • Proof of income
  • Proof of residency
  • Insurance information

Indicated For

Rheumatoid Arthritis (RA), Polymyalgia Rheumatica (PMR), polyarticular juvenile idiopathic arthritis (pJIA)

About This Medication

# KevzaraConnect Patient Assistance Program Patient Guide: How to Get Kevzara (sarilumab) at Low or No Cost KevzaraConnect Patient Assistance Program, offered by Sanofi US and Regeneron Pharmaceuticals, Inc., provides **Kevzara (sarilumab)** injection at no cost for up to 12 months to eligible patients who are uninsured, underinsured, or certain Medicare Part D enrollees meeting household income limits.[3][8] This guide explains eligibility, the application process, and support options in simple terms to help you access this important medication for conditions like rheumatoid arthritis (RA), polyarticular juvenile idiopathic arthritis (pJIA), or polymyalgia rheumatica (PMR).[2][4] ## About Kevzara (sarilumab) **Kevzara** is a prescription biologic medication used to treat moderate to severe **rheumatoid arthritis** in adults when other treatments haven't worked well enough, either alone or with methotrexate. It's also approved for **polyarticular juvenile idiopathic arthritis (pJIA)** in children 1 year and older, and **polymyalgia rheumatica (PMR)** in adults. Administered as a subcutaneous injection every two weeks, Kevzara works by blocking interleukin-6 (IL-6), a protein involved in inflammation, helping reduce joint pain, swelling, and fatigue.[1][3] Always follow your doctor's instructions, as it requires monitoring for side effects like infections or lab changes.[1] ## Who Qualifies for the Program? To qualify, you must: - Have a valid prescription for Kevzara from a U.S. licensed healthcare provider. - Live in the 50 United States, District of Columbia, or Puerto Rico.[2][3] - Be **uninsured, underinsured, or a certain Medicare Part D patient** without coverage for Kevzara.[1][3][7] - Meet **household income limitations** (needs-based; exact Federal Poverty Level (FPL) percentage not specified, but based on household size—call for details).[1][3] The program is **needs-based** with household income requirements, but specific thresholds like 400% FPL or exact dollar amounts for individuals, couples, or families are not publicly detailed. Contact KevzaraConnect at **(844) 538-9272** to verify your household income eligibility based on size and circumstances.[1][2] | Household Type | Income Threshold | Notes | |---------------|------------------|-------| | Individual | Not specified | Needs-based; call (844) 538-9272 for exact limits based on current FPL[1][3] | | Couple | Not specified | Household income considered[1] | | Family of 3 | Not specified | Includes all household members[1] | | Family of 4+ | Not specified | Scaled by family size[1] | This table summarizes available info; programs update thresholds yearly, so confirm directly.[3] ## Insurance Requirements The program targets those without adequate coverage: - **Uninsured**: No prescription insurance. - **Underinsured**: Insurance doesn't cover Kevzara or costs are unaffordable. - **Certain Medicare Part D patients**: Eligible if income criteria met and no/low coverage for the drug.[1][3][8] You're ineligible if covered by government programs like Medicaid (except specified Medicare Part D cases) or if you have commercial insurance that covers Kevzara—consider the separate **KevzaraConnect Copay Program** for commercial patients (as low as $0/month, up to $15,000/year).[3] Provide full insurance details on the form; the program verifies coverage.[1] ## Step-by-Step Application Process 1. **Download the Form**: Get the official **KevzaraConnect Patient Assistance Program Application** from kevzara.com or call (844) 538-9272.[1][3] 2. **Complete with Your Doctor**: Fill out patient and prescriber sections. Both **patient and prescriber must sign page 1**.[1][2] 3. **Gather Required Documents**: - Proof of income (e.g., tax returns, pay stubs). - Proof of residency (e.g., utility bill). - Insurance information (cards, policy details). - Prescription details.[1][5] 4. **Submit Page 1**: - **Fax to 1-844-538-8960**.[1][2][3] - Or **upload to Patient Support Portal**: www.patientsupportnow.org (enter code 8445388960).[1][2][3] 5. **Sign Authorizations**: Agree to share health/insurance info for eligibility check (expires after 5 years or as revoked).[1] 6. **Wait for Approval**: Program reviews and contacts you.[3] **Phone support**: (844) 538-9272 for help.[1][2] ## Timeline and Delivery Processing time isn't specified, but approvals enable free medication shipped **directly to you** (or your pharmacy in some cases) for up to **12 months**.[3][8] **Reauthorization is required** after 12 months—your doctor resubmits.[1] Refills follow the same process; stay in touch with KevzaraConnect.[1] Medication arrives via mail or specialty pharmacy.[5] ## If Denied or Need Alternatives If denied (e.g., income too high, insured), appeal or explore: - **KevzaraConnect Copay Program** for commercial insurance ($0 copay possible).[3] - State assistance, generic alternatives (no biosimilars listed), or other nonprofits like RxAssist.org.[8] - Quick Start options while seeking coverage (HCP must pursue insurance).[6] - Call (844) 538-9272 to discuss reasons and next steps.[1] No biosimilar alternatives for Kevzara are currently available.[program data] ## Important Disclaimer This guide is for informational purposes based on publicly available program details as of March 2025 (form v8.0).[1] Eligibility, benefits, and terms can change; Sanofi/Regeneron may modify or end the program anytime.[1][3] It's not a guarantee of approval. Consult your doctor or call **(844) 538-9272** for personalized advice. Not affiliated with the manufacturer. Always verify with official sources. Word count: 1028.

Program information last verified: March 25, 2026

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