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Oncology

Sarclisa

Generic: isatuximab-irfc

Manufacturer: Sanofi  ·  Program: CareASSIST Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

Uninsured, underinsured, or patients with Medicare Part B coverage with no supplemental insurance coverage may be eligible

Residency

US resident or resident of US territories/possessions; under care of US licensed healthcare provider

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

Multiple myeloma (relapsed/refractory)

About This Medication

# CareASSIST Patient Assistance Program Patient Guide: How to Get Sarclisa (isatuximab-irfc) at Low or No Cost Sarclisa (isatuximab-irfc) is a prescription medication used to treat adults with multiple myeloma who have received at least two prior therapies, including lenalidomide and a proteasome inhibitor. The **CareASSIST Patient Assistance Program** from **Sanofi** helps eligible patients receive Sarclisa at no cost if they are uninsured, underinsured, or have Medicare Part B without supplemental coverage, and meet income guidelines.[1][5][7] ## About Sarclisa (isatuximab-irfc) Sarclisa is a targeted immunotherapy called a CD38-directed antibody that helps your immune system fight multiple myeloma cancer cells. It's given as an intravenous (IV) infusion by a healthcare professional, typically in combination with other drugs like pomalidomide and dexamethasone. Treatment usually starts with weekly doses for the first month, then every other week.[10] **Why is Sarclisa expensive without assistance?** As a biologic therapy, Sarclisa can cost tens of thousands of dollars per treatment cycle. Programs like CareASSIST bridge this gap for those who qualify, ensuring access to life-saving treatment.[1][2] ## Who Qualifies for CareASSIST Patient Assistance Program? This program is designed for patients facing financial barriers to Sarclisa. Key eligibility criteria include: - **Residency**: You must live in the United States, its territories, or possessions and be under the care of a U.S.-licensed healthcare provider.[5][7] - **Insurance status**: Uninsured, underinsured, or Medicare Part B patients with **no supplemental insurance** (like Medigap). Government programs like Medicaid may have separate options, but this PAP focuses on those without full coverage.[3][5][8] - **Income limits**: Your annual household income must not exceed the **greater of $100,000 or 500% of the federal poverty level (FPL)**.[5][7][9] - **Prescription**: Valid U.S. prescription for an approved indication from your doctor.[4] **Note**: A separate **CareASSIST Copay Program** exists for commercially insured patients, offering up to $25,000 annually in copay help (not for government insurance).[2][4] ## Income Eligibility Breakdown Income eligibility is based on household size and the greater of $100,000 or **500% FPL**. The FPL changes yearly; check current guidelines via the program or HHS.gov. Here's an example table using 2026 FPL estimates (always verify latest figures): | Household Size | 500% FPL (approx.) | Maximum Income (greater of this or $100k) | |----------------|---------------------|-------------------------------------------| | 1 | $75,300 | $100,000 | | 2 | $102,000 | $102,000 | | 3 | $128,600 | $128,600 | | 4 | $155,300 | $155,300 | | Add per person | +$26,700 | Varies | **How to calculate**: Add all household income (wages, benefits, etc.). Exclude certain deductions. Your Case Manager can help verify.[5][7] ## Insurance Requirements - **Uninsured or underinsured**: Ideal candidates—no insurance or coverage denied for Sarclisa.[3][8] - **Medicare Part B**: Eligible **only if no supplemental coverage** (Part D or Medigap). Medicare Part B covers infusions, but this program helps with medication costs if income-qualified.[5][8] - **Not eligible**: Full Medicaid, VA, TRICARE, or similar federal/state programs. Copay program excludes government insurance.[2][3] Your Case Manager will review your insurance details during enrollment.[1] ## Step-by-Step Application Process CareASSIST offers **multiple application methods** for convenience:[1][8] 1. **Visit the website**: Go to [sanoficareassist.com](https://www.sanoficareassist.com), select Sarclisa, and start online enrollment.[1] 2. **Call for help**: Dial **(833) 930-2273** (1-833-WE+CARE), Mon-Fri 9 AM-6 PM ET (or 8 PM per some sources). Spanish available.[1][5] 3. **Provider portal/fax/mail**: Your doctor completes sections; submit via fax (1-855-411-9689), mail (PO Box 220616, Charlotte, NC 28222), or portal.[8] **What to prepare**: - Proof of income (tax returns, pay stubs, etc.—exact docs confirmed by Case Manager). - Prescription from your doctor. - Insurance info (or proof of none). Once submitted, expect a **welcome call** if approved. Enrollment pairs you with a dedicated Case Manager for ongoing support.[2][8] ## Timeline and Delivery Processing time varies but aims to be prompt—patients notified via fax/mail, with a call for approvals. Medication is **shipped directly to you** (or your home) at no cost while eligible.[1][8] **Refills/reauthorization**: Likely required periodically; your Case Manager handles renewals, income recertification, and prescription updates. Stay in touch to avoid gaps.[4] ## Alternatives if Denied or Ineligible - **Copay Program**: If commercially insured ($0 copays up to $25k/year).[2] - **Other resources**: Case Manager connects to alternate funding, emotional/logistical support.[3] - **State programs**: Check PAN Foundation, HealthWell, or state AIDS Drug Assistance. - **Appeal**: Contact Case Manager to review denial reasons (e.g., income, residency). - **Generic/biosimilars**: None currently available for Sarclisa.[1] ## Important Disclaimer This guide is for informational purposes based on publicly available program details as of 2026. Eligibility, terms, and FPL change; **always verify directly with CareASSIST at (833) 930-2273 or sanoficareassist.com**. Not medical advice—consult your doctor. Program not valid where prohibited by law. Sanofi reserves rights to modify/amend.[1][5] **Word count: 950**

Program information last verified: March 30, 2026

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