SOLIQUA 100/33

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.

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]