Soliqua 100/33
Generic: insulin glargine and lixisenatide
Manufacturer: Sanofi · Program: Sanofi Patient Connection
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured or underinsured; not for government insurance like Medicare/Medicaid
Residency
US resident or US territories
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.
- Proof of income
- Healthcare provider prescription
- HIPAA consent
Indicated For
type 2 diabetes
About This Medication
# Sanofi Patient Connection Patient Guide: How to Get Soliqua 100/33 at Low or No Cost Soliqua 100/33 (insulin glargine and lixisenatide) is a once-daily injectable medication used to control blood sugar in adults with type 2 diabetes when diet and exercise alone are not enough. The **Sanofi Patient Connection** program provides this and other Sanofi medications **at no cost** to eligible patients who meet specific income, residency, and insurance criteria[1][4]. This guide explains everything you need to know about qualifying for free Soliqua 100/33 through the program, applying step-by-step, and what to do next. It's designed to be straightforward so you can focus on your health. ## About Soliqua 100/33 **Soliqua 100/33** combines two diabetes medicines in one pen: **insulin glargine** (a long-acting insulin that helps control blood sugar over 24 hours) and **lixisenatide** (a GLP-1 receptor agonist that boosts insulin release after meals and slows digestion). It's prescribed for adults with type 2 diabetes to improve glycemic control alongside diet and exercise. Common side effects include low blood sugar (hypoglycemia), nausea, and injection site reactions—always follow your doctor's instructions and read the full prescribing information[1][7]. Sanofi Patient Connection confirms Soliqua 100/33 is among the medications available at no cost for qualifying patients[7]. ## Who Qualifies for Sanofi Patient Connection? To get Soliqua 100/33 for free, you must meet **all** these requirements: - **Residency**: Live in the U.S. or U.S. Territories (including Puerto Rico). - **Healthcare Provider**: Be under the care of a licensed U.S. healthcare provider (HCP) who can prescribe Soliqua 100/33. - **Income**: Household income at or below **400% of the Federal Poverty Level (FPL)**. - **Insurance**: Uninsured, underinsured (no coverage for Soliqua 100/33 through commercial insurance), or specific Medicare Part B access without supplemental coverage. **Not eligible** if you have government insurance like Medicare Part D or Medicaid (unless you provide proof of denial)[1][4][8]. If you're on Medicaid, submit a denial letter first[1]. ## Income Eligibility Breakdown Eligibility is based on your **total annual household income** (before taxes) compared to **400% FPL**. Use the table below for 2026 guidelines (FPL updates annually; check the program's site for the latest). Select your household size and ensure income ≤ the 400% amount. | Household Size | 100% FPL | 400% FPL (Max Eligible Income) | |---------------|----------|-------------------------------| | 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: Figures are approximate for 2026 continental U.S.; Alaska/Hawaii differ slightly. Include all household members' income. Verify exact amounts at sanofipatientconnection.com/financial-eligibility[4].* ## Insurance Requirements - **Uninsured**: Fully eligible if other criteria met. - **Commercially Insured**: Must have **no coverage** for Soliqua 100/33 (program verifies via Coverage Connection)[6][8]. - **Medicare Part D**: Generally ineligible; approved patients transition back to Part D at year-end[3][6]. - **Medicare Part B**: Possible if no supplemental coverage and meets other rules[8]. - **Medicaid**: Provide denial proof[1]. The program offers **Sanofi Coverage Connection** to check your insurance during application[6]. ## Step-by-Step Application Process Applying is free and straightforward. Both you and your doctor must complete parts[3][6]. 1. **Contact the Program**: Call **(888) 847-4877** (M-F, 9am-8pm ET) to request an application by mail, or download from sanofipatientconnection.com[2][6]. 2. **Fill Out Patient Section**: Provide personal info, income details, sign **HIPAA consent** and income verification on page 2[3]. 3. **Doctor Completes HCP Section**: Your healthcare provider fills prescription and certification parts. 4. **Gather Documents**: - **Proof of income** (tax returns, pay stubs, W-2s, SSI/SSD award letters). - **Healthcare provider prescription** for Soliqua 100/33. - **HIPAA consent** (included in app). - Medicaid denial if applicable[1][3]. 5. **Submit**: - **Fax**: 1-888-847-1797 - **Mail**: Sanofi Patient Connection, PO Box 222138, Charlotte, NC 28222-2138 - HCPs can use Provider Portal[6][9]. **Multiple methods** available—no online URL for patients[6]. ## Timeline and Delivery - **Processing**: 5-7 business days after approval notice[9]. - **Approval Notice**: Mailed to you, your HCP, and Medicare plan (if applicable)[3]. - **Enrollment**: Up to **12 months**; Medicare Part D through calendar year-end[3][6]. - **Delivery**: Medication **shipped free to your doctor's office** (not directly to you); pick up there[9]. Patient address used for shipping coordination[1]. **Reauthorization**: Required yearly—reapply before expiration[6]. ## Alternatives if Denied - **Appeal**: Contact (888) 847-4877 for review reasons and resubmit if possible. - **Savings Cards**: Commercially insured? Check Sanofi savings options at sanofipatientconnection.com/savings-registration ($35 copay for some insulins, may apply)[10]. - **Other Resources**: Sanofi Resource Connection links to state programs, generics, or nonprofits[6]. No biosimilars listed for Soliqua[ ]. - **Government Aid**: Apply for Medicaid/Medicare Extra Help. - **Manufacturer Bridge**: Ask your doctor about Sanofi samples. ## Important Disclaimer This guide is for informational purposes based on Sanofi Patient Connection details as of 2026 and is not medical or legal advice. Eligibility can change; **always verify with the program at (888) 847-4877 or sanofipatientconnection.com**. Sanofi may update rules without notice. Consult your healthcare provider before starting Soliqua 100/33. No guarantee of approval—third-party fees for app help are not program-affiliated[3]. Program void where prohibited.
Program information last verified: March 30, 2026
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