Mozobil
Generic: plerixafor
Manufacturer: Sanofi · Program: Sanofi Patient Connection
Apply for assistanceFree to apply. Service from $40/month, payable only when your application is ready to submit.
Eligibility Criteria
Insurance Requirement
Patients without insurance or who meet financial need; separate copay program for insured
Residency
US resident
Income Threshold
Up to 400% FPL
Individual Income Limit
$58,320/year
Most programs require uninsured or underinsured status
Program Information
Processing Time
2–4 weeks
Delivery Method
shipped to patient, physician office, or participating pharmacy
Application Method
Multiple
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.
- Patient information
- Healthcare provider information
- HIPAA consent
- Income verification
Indicated for
non-Hodgkin’s lymphoma, multiple myeloma
About This Medication
Sanofi Patient Connection Patient Guide: How to Get Mozobil (plerixafor) at Low or No Cost
Mozobil (plerixafor) is a prescription medication used to help collect stem cells from the blood for transplants in patients with certain blood cancers, like multiple myeloma or lymphoma. The Sanofi Patient Connection program provides Mozobil at no cost to eligible uninsured or underinsured patients who meet specific income and residency requirements.[1][7][9]
About Mozobil (plerixafor)
Mozobil is an injection given under the skin to mobilize hematopoietic stem cells (blood-forming cells) into the bloodstream. This allows doctors to collect these cells for a stem cell transplant, which can treat conditions such as non-Hodgkin's lymphoma or multiple myeloma when combined with other treatments like G-CSF (granulocyte colony-stimulating factor).[9] It's typically used in a hospital or clinic setting by healthcare professionals. If you or a loved one has been prescribed Mozobil, high costs can be a barrier—but programs like Sanofi Patient Connection make it accessible at no cost for those who qualify.[1][5]
This guide explains everything you need to know about applying, from eligibility to next steps. Always consult your doctor for personalized medical advice.
Who Qualifies for Sanofi Patient Connection?
To get Mozobil through this program, you must meet all these criteria:
- Be a resident of the U.S. or U.S. Territories.
- Be under the care of a licensed U.S. healthcare provider (HCP) who can prescribe and administer the medication.
- Have no insurance coverage for Mozobil, or be "functionally uninsured" (e.g., commercial insurance or Medicaid denies coverage/access, or Medicare Part B coverage without supplemental insurance).[1][3][8]
- Have an annual household income at or below 400% of the Federal Poverty Level (FPL).[1][4]
Important: If you're potentially eligible for Medicaid, you must provide proof of denial before program approval.[1] Medicare Part D patients get special handling—see FAQ section for details.[3][6]
The program does not cover patients with adequate insurance coverage. Insured patients may qualify for a separate copay savings program via Sanofi Patient Connection.[6][10]
Income Eligibility Breakdown
Eligibility hinges on your household income compared to 400% of the Federal Poverty Level (FPL). FPL guidelines update yearly; check the program's financial eligibility tool for current figures.[4] Here's a sample table based on 2026 FPL estimates (always verify with the program as levels adjust annually):
| Household Size | 100% FPL | 400% FPL (Max Income for Eligibility) |
|---|---|---|
| 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: Income includes all household earnings (e.g., wages, Social Security). Assets may factor in. Use the program's online tool or call 1-888-847-4877 for exact 2026 thresholds.[1][4][9]
Insurance Requirements
This program is for uninsured or functionally uninsured patients:
- No insurance: Fully eligible if other criteria met.[1]
- Commercial insurance/Medicaid: Must prove no coverage or access to Mozobil.[8]
- Medicare Part B: Eligible if no supplemental coverage and other criteria met.[8]
- Medicare Part D: Eligible through year-end; transitions back to Medicare annually.[3][6]
A separate Sanofi Savings Card helps commercially insured patients with copays—register at the program site.[6][10] The application process includes insurance verification via Sanofi Coverage Connection.[6]
Step-by-Step Application Process
Applying is straightforward and free. Your doctor must participate.[3][6]
- Check Eligibility: Use the online tool at sanofipatientconnection.com or call 1-888-847-4877 (M-F, 9am-8pm ET).[2][6][8]
- Download or Request Application: Get the form online (select your state), or have one mailed.[2][3]
- Gather Documents:
- Patient info (name, address, income details).
- Healthcare provider section (completed by your doctor).
- HIPAA consent and income verification (e.g., tax returns, pay stubs).[3]
- Proof of insurance status or Medicaid denial if applicable.[1]
- Sign and Submit: Both you and your HCP sign. Fax to 1-888-847-1797 or mail to Sanofi Patient Connection, PO Box 222138, Charlotte, NC 28222-2138.[3][6][9]
- Wait for Review: Program reviews complete applications promptly.[3]
Pro Tip: Bring the form to your next doctor's visit for HCP completion.
Timeline and Delivery
- Processing: Not specified, but medications ship 5-7 business days after approval to your doctor's office or home.[9]
- Enrollment: Up to 12 months of free Mozobil. Reapply yearly if needed.[3][6][9]
- Medicare Part D: Coverage through calendar year-end.[6]
Your doctor coordinates refills/reauthorization.[3]
Alternatives if Denied
- Appeal: Contact the program for reasons and resubmit with more docs.[6]
- Copay Assistance: If insured, try Sanofi Savings Card.[10]
- Other Resources: Sanofi Resource Connection links to state programs, generics, or nonprofits. Call for help.[6]
- Medicaid/Medicare: Reapply or appeal denials.[1]
- No biosimilars for Mozobil currently.[program data]
Disclaimer
This guide is for informational purposes only and based on publicly available program details as of 2026. Eligibility, terms, and FPL levels can change—always verify directly with Sanofi Patient Connection at 1-888-847-4877 or their website. Not medical advice; consult your healthcare provider. Sanofi may amend the program anytime. Income estimates are illustrative; official 400% FPL applies.[1][3][4][6]
Word count: ~950
Program information last verified: March 30, 2026
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