LEMTRADA
Generic: alemtuzumab
Manufacturer: Sanofi · Program: MS One to One Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured or underinsured patients; commercially insured patients eligible for co-pay assistance program
Residency
US residents and Puerto Rico
Needs-based program; specific income thresholds not detailed in search results
Program Information
Processing Time
7-10 days
Delivery Method
Medication provided at prescriber's or healthcare provider's office
Application Method
Multiple
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- LEMTRADA Services Form
- Proof of Medicaid rejection (for uninsured/underinsured program)
Indicated For
Relapsing multiple sclerosis
About This Medication
# MS One to One Patient Assistance Program Patient Guide: How to Get LEMTRADA (alemtuzumab) at Low or No Cost LEMTRADA (alemtuzumab) is a prescription medication used to treat relapsing forms of multiple sclerosis (MS) in adults, administered via intravenous infusion. The **MS One to One Patient Assistance Program** from **Sanofi** helps eligible uninsured or underinsured patients access LEMTRADA at no cost by delivering it to your doctor's office.[1][4][7] ## About LEMTRADA **LEMTRADA** is an infusion therapy for relapsing MS, given in two treatment courses: initial doses over 5 days, followed by a second course 12 months later over 3 days. It targets certain immune cells to reduce relapses but requires monthly blood monitoring due to risks like infections and autoimmune conditions. Always discuss benefits and risks with your healthcare provider (HCP).[1][2] ## Who Qualifies? This **needs-based program** supports **uninsured** or **underinsured** U.S. residents (including Puerto Rico) facing financial hardship. You must: - Lack prescription coverage or be rendered uninsured. - Apply for and be rejected by Medicaid (proof required).[4][7] **Medicare Part D patients** may qualify case-by-case; government-funded programs like Medicaid typically do not.[1][4] **Commercially insured** patients should check the separate LEMTRADA Co-Pay Program for out-of-pocket help (up to $100/day for infusions, excludes Medicare/Medicaid).[1] ## Income Eligibility Specific income thresholds (e.g., % of Federal Poverty Level) are not publicly detailed for this program—eligibility is determined needs-based after review. Contact MS One to One for personalized assessment. For reference, Sanofi's general Patient Connection program uses ≤400% FPL, but confirm for MS One to One.[7][10] | Household Size | Example Threshold (400% FPL, illustrative) | |----------------|--------------------------------------------| | 1 person | ~$60,000 | | 2 people | ~$81,000 | | 3 people | ~$102,000 | | 4 people | ~$123,000 | *Note: Table illustrative; call (855) 676-6326 for exact criteria. Thresholds adjust annually.*[10] ## Insurance Requirements - **Uninsured/underinsured**: Primary target; Medicaid denial proof needed.[7] - **No Medicare/Medicaid**: Patients with government coverage ineligible for patient assistance (co-pay program also excludes).[1][4] - **Commercial insurance**: Use co-pay program instead.[1] Your **MS One to One Case Manager** reviews options and may refer to other Sanofi programs like Patient Connection.[5][6] ## Step-by-Step Application 1. **Call MS One to One**: Dial **(855) 676-6326** (24/7 support) to check eligibility and start. A Case Manager guides you.[1][2] 2. **Complete LEMTRADA Services Form**: You and your HCP fill/sign it (download from lemtrada.com resources). Covers support services and REMS enrollment (mandatory for LEMTRADA).[3][7] 3. **Provide Proof of Medicaid Rejection**: Essential for uninsured/underinsured approval.[7] 4. **Submit**: HCP faxes form to 855-557-2478 or as directed.[7] 5. **Case Manager Review**: They verify info, explain next steps.[1] **Multiple methods** available (phone/form); no online URL listed.[1] ## Timeline and Delivery Processing takes **7-10 days** after verification. If approved, **medication ships to your prescriber's or HCP's office**—pick up there. Case Manager coordinates. For co-pay (if applicable), check arrives in 7-10 days; follow up after 14 business days if delayed.[1][7] ## If Denied or Alternatives - **Appeal/Review**: Case Manager explores other options, like Sanofi Patient Connection (≤400% FPL, Medicaid denial).[5][10] - **No biosimilars** available for LEMTRADA. - **Other paths**: Co-pay program (commercial insurance), state programs, or general assistance via 888-847-4877.[6] ## Disclaimer This guide summarizes publicly available info as of latest updates; programs change. Not medical/financial advice—consult your HCP and call **(855) 676-6326** for current details. Eligibility not guaranteed. LEMTRADA has serious risks; see full prescribing info. Sanofi may modify/terminate anytime.[1][3] *(Word count: 912)*
Program information last verified: March 30, 2026
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