Mozobil
Generic: plerixafor
Manufacturer: Sanofi · Program: Sanofi Patient Connection
Apply for AssistanceEligibility 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] 1. **Check Eligibility:** Use the online tool at sanofipatientconnection.com or call **1-888-847-4877** (M-F, 9am-8pm ET).[2][6][8] 2. **Download or Request Application:** Get the form online (select your state), or have one mailed.[2][3] 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] 4. **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] 5. **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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