SOLIQUA 100/33

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 help control blood sugar levels in adults with type 2 diabetes when diet and exercise alone are not enough. The **Sanofi Patient Connection** program offers this and other Sanofi medications **at no cost** to eligible uninsured or underinsured patients who meet specific financial and other criteria.[1][2][5] ## About SOLIQUA 100/33 SOLIQUA 100/33 combines two proven diabetes treatments in one pen injector: **insulin glargine 100 units/mL**, a long-acting basal insulin that provides steady blood sugar control over 24 hours, and **lixisenatide 33 mcg/mL**, a GLP-1 receptor agonist that helps stimulate insulin release, slow digestion, and reduce appetite after meals. It's prescribed alongside diet and exercise to improve glycemic control in adults with type 2 diabetes. Common side effects include nausea, low blood sugar (hypoglycemia), and injection site reactions—always follow your doctor's instructions and read the full prescribing information.[1][5] This guide explains how to access SOLIQUA 100/33 through Sanofi Patient Connection, a free patient assistance program from **Sanofi** that connects eligible patients to medications and resources without any fees for processing, medication, or shipping.[2][4] ## Who Qualifies for Sanofi Patient Connection? To qualify, you must meet **all** these requirements: - Be a resident of the U.S. or U.S. territories (including Puerto Rico). - Be under the care of a licensed U.S. healthcare provider (HCP) authorized to prescribe, dispense, and administer medications. - Have **no insurance coverage**, or be **underinsured** (e.g., commercial insurance or Medicaid with no coverage/access to SOLIQUA 100/33, or Medicare Part B access without supplemental coverage). - Have an **annual household income at or below 400% of the Federal Poverty Level (FPL)**. - If potentially eligible for Medicaid, provide proof of denial. Medicare Part D patients may qualify but are enrolled only through the end of the calendar year and transitioned back to their plan afterward.[1][2][4][5][8][10] **Note:** SOLIQUA 100/33 is listed on the program application. Full details are in the official PDF—eligibility is not guaranteed and subject to verification.[1] ## Income Eligibility Breakdown Eligibility is based on **household income ≤400% FPL**. Use the table below for 2026 guidelines (FPL updates annually; check www.aspe.hhs.gov for exact figures). Add $5,500 per additional household member beyond the base. | Household Size | 100% FPL | 400% FPL (Eligibility Limit) | |---------------|----------|------------------------------| | 1 | $15,060 | **$60,240** | | 2 | $20,440 | **$81,760** | | 3 | $25,820 | **$103,280** | | 4 | $31,200 | **$124,800** | | 5 | $36,580 | **$146,320** | **Examples:** A single person earning $50,000/year may qualify; a family of 4 earning $130,000 likely does not. Income includes wages, Social Security, etc. Provide proof like W-2, 1040, or paystubs.[5][6] ## Insurance Requirements The program is for **uninsured or underinsured** patients: - **No insurance:** Fully eligible if other criteria met. - **Commercial insurance or Medicaid:** Eligible if no coverage/access to SOLIQUA 100/33. - **Medicare Part B:** Eligible if no supplemental coverage and meets other criteria. - **Medicare Part D:** Eligible through year-end; must transition back January 1. If Medicaid-eligible, submit denial letter. The program notifies your plan sponsor if approved.[1][2][8][10] ## Step-by-Step Application Process 1. **Download or Request Application:** Get the form from sanofipatientconnection.com (select your state), or call **1-888-847-4877** toll-free to have one mailed.[3][4] 2. **Complete Patient Section (Page 2):** Fill in personal info, sign/date HIPAA consent and income verification authorizations. Attach income proof (W-2, 1040, paystub)—do **not** include medical records.[1][2][6] 3. **HCP Completes Section (Page 3):** Bring to your doctor/pharmacy. They provide Tax ID, NPI, license, confirm prescription for SOLIQUA 100/33, and sign/date.[1][7] 4. **Submit:** HCP mails to **Sanofi Patient Connection, PO Box 222138, Charlotte, NC 28222-2138** or faxes to **1-888-847-1797**. Provider Portal at visitspconline.com also available.[1][2][4][10] **Tips:** Ensure completeness—missing info delays processing. No third-party fees required.[1][2] ## Timeline and Delivery - **Processing:** 5-7 business days for complete applications; longer if incomplete.[2][4][10] - **Approval Notice:** Letter to you, HCP, and Medicare plan (if applicable).[1][2] - **Enrollment:** Up to **12 months** (Medicare Part D: calendar year-end).[2][4] - **Delivery:** Medication ships **free** to your HCP's office in ~5-7 business days post-approval. Pick up there.[2][10] ## Alternatives if Denied or Ineligible - **Reapply:** Fix issues and resubmit; annual reapplication for continued need.[4] - **Other Resources:** Program may connect you via 'Resource Connection' to nonprofits/government aid.[7] - **Medicaid/Medicare:** Apply/appeal denials; check state programs. - **Manufacturer Savings Cards:** Commercial options at sanofi.com (not for government-insured). - **No biosimilars** for SOLIQUA combo; consider generics like insulin glargine alone if doctor advises. ## Disclaimer This guide summarizes publicly available info as of 2026 and is for educational purposes only—not medical/financial advice. Eligibility determined by Sanofi; criteria may change. Consult your HCP, review full application PDF, and verify FPL at aspe.hhs.gov. Sanofi not liable for application errors. Program offers no cost meds where eligible; third-party fees not affiliated.[1][2][4][5]

Program information last verified: March 30, 2026