Nexviazyme
Generic: avalglucosidase alfa-ngpt
Manufacturer: Sanofi · Program: CareConnect Patient Support Services
Apply for AssistanceEligibility Criteria
Insurance Requirement
Patient must not have insurance coverage or not have access to NEXVIAZYME under the terms of the patient’s insurance plan(s)
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
Indicated For
late-onset Pompe disease
About This Medication
# CareConnect Patient Support Services Patient Guide: How to Get Nexviazyme (avalglucosidase alfa-ngpt) at Low or No Cost Nexviazyme (avalglucosidase alfa-ngpt) is an enzyme replacement therapy used to treat Pompe disease, a rare genetic disorder that causes muscle weakness and breathing problems due to a deficiency in the enzyme acid alpha-glucosidase. **CareConnect Patient Support Services**, sponsored by **Sanofi**, offers the Patient Assistance Program to provide Nexviazyme at no cost to eligible uninsured patients or those unable to access it through their insurance.[5] This guide explains eligibility, application steps, and support options in simple terms to help you get started on your treatment journey. ## About Nexviazyme and Pompe Disease Pompe disease affects about 1 in 40,000 people and can appear in infancy (classic form) or later in life (non-classic form). Symptoms include progressive muscle weakness, fatigue, difficulty breathing, and heart problems in severe cases. **Nexviazyme** replaces the missing enzyme, helping break down glycogen buildup in muscles and improving strength and respiratory function. It's given as an intravenous (IV) infusion every two weeks, typically in a clinic or hospital.[1][5] Clinical studies show it can improve walking distance and lung function compared to other treatments. Always consult your doctor to see if it's right for you. ## Who Qualifies for CareConnect Patient Assistance Program? The program targets patients with rare diseases like Pompe who face barriers to treatment. Key requirements include: - U.S. residency (including territories). - Under the care of a licensed healthcare provider (HCP). - **No health insurance coverage, or unable to access Nexviazyme under your insurance terms** (e.g., denied coverage or non-covered).[5][1] **Income eligibility**: No specific income thresholds or Federal Poverty Level (FPL) limits are listed. Qualification focuses on insurance status rather than finances, making it accessible for uninsured patients regardless of income.[1] This is a temporary bridge until insurance coverage is secured.[5] ### Income Eligibility Breakdown | Household Size | Income Threshold | FPL % | Notes | |---------------|------------------|-------|-------| | Individual | None specified | None | Focus on lack of insurance access[1] | | Couple | None specified | None | No income caps mentioned[1] | | Family of 3 | None specified | None | Insurance status primary criterion[5] | | Family of 4 | None specified | None | Temporary aid until coverage obtained[5] | This table reflects the program's emphasis on insurance gaps over strict income rules, unlike many programs with FPL caps.[1][5] ## Insurance Requirements **You must not have insurance coverage or be unable to obtain Nexviazyme through your plan.** This includes commercial, private, Medicare, or Medicaid patients denied access. Medicare patients are typically ineligible for free drug programs due to federal anti-kickback laws, but call to confirm if your plan denies coverage.[1][2][5] The program verifies this during enrollment. If insured, explore CareConnect's separate **Copay Program** for out-of-pocket costs like deductibles (up to a maximum).[3] ## Step-by-Step Application Process CareConnect offers **multiple application methods** for flexibility. Start by enrolling in CareConnect Personalized Support Services, then apply for assistance.[1][5] 1. **Enroll in CareConnect**: Visit the enrollment page or call **(888) 847-4877** (English: press 3; Spanish: press 7). Available Mon-Fri, 8AM-6PM EST. Select Nexviazyme as your product. Spanish speakers can toggle language online.[1] A dedicated Case Manager will guide you. 2. **Discuss with Your Doctor**: Your HCP must confirm your diagnosis, prescribe Nexviazyme, and complete application sections.[4][7] 3. **Submit Application**: - **Online**: Enroll at careconnectpss.com/enrollment and request Patient Assistance.[1] - **Phone**: Call (888) 847-4877 for help, paper forms, or if not on treatment yet.[1][9] - **Mail/Fax**: Download forms; mail to addresses like Sanofi Patient Connection PO Box 222138, Charlotte, NC 28222-2138 or fax 1-888-847-1797.[4][7] Provide patient details (name, DOB, address, phone), HCP signature, and HIPAA consent.[4] 4. **Case Manager Support**: They'll investigate benefits, explain options, and handle paperwork. No fees to enroll.[1][5] ## Timeline and Delivery Processing takes **5-7 business days** for complete applications; incomplete ones delay due to follow-ups.[7] Your Case Manager contacts you and your doctor within 1-2 business days of enrollment.[10] If approved, **Nexviazyme is shipped at no cost** to your doctor's office, infusion center, or pharmacy for administration. Delivery method isn't specified but coordinated by your team. Refills require reapplication or HCP reauthorization (details below).[4][5] ## Alternatives if Denied or Ineligible - **Copay Program**: For insured patients; covers copays, coinsurance, deductibles up to max. Apply online or call.[3] - **Appeal Denial**: Contact your Case Manager to review insurance denial or resubmit.[1] - **Other Resources**: State programs, nonprofits like Patient Access Network (PAN), or generic/biosimilar options (none currently for Nexviazyme).[1][5] - **Sanofi Patient Connection**: Separate program at (888) 847-4877.[7][9] No biosimilars listed for Nexviazyme.[1] ## Important Disclaimer This guide is for informational purposes based on publicly available program details as of March 2026. **Eligibility, terms, and availability can change.** Contact CareConnect at (888) 847-4877 or your Case Manager for personalized advice. Not legal/medical advice—consult your healthcare provider. Program excludes Medicare/Medicaid typically; federal laws apply. Sanofi reserves rights to modify/amend.[1][4][5][7] (Word count: 1028)
Program information last verified: March 30, 2026
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