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Cardiology

Ranexa

Generic: ranolazine

Manufacturer:  ·  Program: Ranexa Connect Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

Uninsured patients, Medicare Part D enrollees who cannot afford prescriptions

Residency

United States resident

Income Threshold

Up to 300% FPL

Income at or below 300% of Federal Poverty Level

Program Information

Processing Time

4–8 weeks

Delivery Method

Varies by program

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.

  • Patient name
  • Patient address
  • Telephone number
  • Social Security number
  • Proof of income

Indicated For

Chronic angina

About This Medication

# Ranexa Connect Patient Assistance Program: How to Get Ranexa at Low or No Cost ## About This Program The Ranexa Connect Patient Assistance Program is a free program offered by Sanofi, the manufacturer of Ranexa (ranolazine), to help patients who cannot afford their medication. If you have been prescribed Ranexa to manage chronic angina and are struggling with the cost, this program may be able to help you get your medication at little to no cost. ## What Is Ranexa? Ranexa (ranolazine) is a prescription medication used to treat chronic angina—chest pain or discomfort caused by reduced blood flow to the heart. Ranexa works differently than other angina medications and is often used along with other heart medications. It can help reduce how often you experience angina episodes and improve your ability to be active. ## Who Can Apply? You may qualify for the Ranexa Connect Patient Assistance Program if you meet one of these situations: - **You are uninsured** (have no health insurance coverage) - **You have Medicare Part D** and cannot afford your copay or coinsurance - **You have private insurance** but your copay or other out-of-pocket costs are unaffordable Additionally, your household income must fall below 300% of the Federal Poverty Level (FPL). See the income guidelines below for your household size. ## Income Eligibility Guidelines To qualify, your household income must be at or below these limits: | Household Size | Maximum Annual Income | |---|---| | 1 person | $38,640 | | 2 people | $52,260 | | 3 people | $65,880 | | 4 people | $79,500 | | 5 people | $93,120 | | 6 people | $106,740 | | 7 people | $120,360 | | 8 people | $133,980 | *Note: These guidelines are based on 300% of the Federal Poverty Level. Income limits increase by $13,620 for each additional family member.* ## What Documents Do You Need? Before you apply, gather these documents: 1. **Your name and contact information** (address, phone number, email) 2. **Social Security Number** 3. **Proof of income** such as: - Recent pay stubs (last 2 months) - Tax returns (most recent year) - Social Security statements - Unemployment benefits statements - Disability payment statements 4. **Insurance information** (if applicable): - Insurance card (front and back) - Medicare card (if you have Medicare) - Prescription drug plan information 5. **Prescription information**: - Your prescription for Ranexa from your doctor - Your pharmacy information ## How to Apply: Step-by-Step Instructions ### Step 1: Choose Your Application Method You can apply in multiple ways: - **Online:** Visit https://www.sanofipatientconnection.com - **By Phone:** Call 1-877-386-0206 (toll-free) - **With Help from Your Doctor or Pharmacy:** Ask your doctor's office or pharmacy if they can help submit your application ### Step 2: Complete the Application You will need to provide: - Personal information (name, date of birth, Social Security Number) - Household income information - Current insurance details (or confirmation that you're uninsured) - Your medical information (confirmation that Ranexa was prescribed by your doctor) - Contact information for your pharmacy ### Step 3: Submit Your Documents If applying online or by phone, you may be asked to: - Upload documents directly to the website, or - Mail copies to the program address provided, or - Fax documents if you have access to a fax machine Keep copies of everything you submit. ### Step 4: Wait for Approval The program will review your application and contact you. See the timeline section below for what to expect. ### Step 5: Receive Your Medication Once approved, your medication will be shipped directly to you or your pharmacy at no cost (or for patients who can afford a small copay, at a reduced cost). ## Timeline and What to Expect **Processing Time:** The Ranexa Connect program typically processes applications within **4-8 weeks**. This means you should expect to hear back within this timeframe. **How You'll Receive Your Medication:** Once approved, Ranexa will be **shipped directly to you** or to your pharmacy. You won't have to pick it up from a pharmacy counter. Delivery is usually within 7-10 business days after approval. **What If Your Doctor Needs You to Start Right Away?** Contact the program at 1-877-386-0206 to ask about expedited processing or to discuss options while you wait for approval. ## Reauthorization Your assistance is **not permanent**. You will need to reauthorize your enrollment **once per year**. The program will contact you when it's time to renew. Make sure to keep your contact information current so you don't miss renewal notices. ## What If Your Application Is Denied? If you don't qualify for the Ranexa Connect program, here are other options: 1. **Ask Your Doctor:** Your doctor may have free samples of Ranexa you can use while exploring other options. 2. **Talk to Your Pharmacy:** Some pharmacies have discount programs or can help you find lower-cost alternatives. 3. **Contact Sanofi Directly:** Call 1-877-386-0206 to ask if there are other assistance options available. 4. **Check for Generics:** Ask your doctor if a generic version of ranolazine might be available and more affordable. 5. **Look Into Government Programs:** Some states have pharmaceutical assistance programs. Visit NeedyMeds.org or call 211 to learn about programs in your area. 6. **Ask About Financial Hardship:** Some hospitals and community health centers have funds to help with medication costs. ## Important Things to Remember - **Be Honest on Your Application:** Provide accurate income and insurance information. The program relies on truthful information to help those who truly need assistance. - **Keep Your Contact Information Current:** If you move or change your phone number, notify the program immediately. - **Don't Stop Taking Your Medication:** While waiting for your application to be processed, talk to your doctor about how to continue treatment. - **Watch for Renewal Notices:** Your assistance expires after one year and must be renewed. - **Protect Your Information:** Only provide personal information through official Ranexa Connect channels. ## Need Help? If you have questions about the application process or your eligibility: **Phone:** 1-877-386-0206 (toll-free) **Website:** https://www.sanofipatientconnection.com You can also ask your doctor, nurse, or pharmacist for help understanding the program or completing your application. ## Legal Disclaimer This guide is for informational purposes only and does not constitute medical, legal, or financial advice. Program eligibility, benefits, and requirements are subject to change. The Ranexa Connect Patient Assistance Program is a charitable program offered by Sanofi and is subject to program rules and limitations. For complete and current program details, eligibility requirements, and terms, please visit https://www.sanofipatientconnection.com or call 1-877-386-0206. This program is available only to patients with valid U.S. prescriptions and is void where prohibited by law.

Program information last verified: March 25, 2026

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