Toujeo Max

Indicated For

Diabetes mellitus

About This Medication

# Sanofi Patient Connection Patient Guide: How to Get Toujeo® at Low or No Cost ## About This Program Sanofi Patient Connection is a **free medication assistance program** designed to help uninsured and underinsured patients access Sanofi medications, including Toujeo® (insulin glargine), at no cost. If you struggle to afford your insulin, this program may help you receive your medication for up to 12 months without paying out of pocket. ## About Toujeo® (Insulin Glargine) Toujeo® is a long-acting insulin used to help control blood sugar in people with diabetes. It is injected once daily and works throughout the day and night to help manage your condition. This program can help you access this essential medication if you meet eligibility requirements. ## Who Qualifies for Sanofi Patient Connection? To be eligible for this program, you must meet ALL of the following requirements: ### Residency and Healthcare Provider - You must be a **resident of the U.S. or U.S. Territories** - You must be **under the care of a licensed healthcare provider** (doctor, nurse practitioner, or physician assistant) authorized to prescribe and dispense medicine ### Insurance Status You qualify if you are in one of these situations: - **Uninsured**: You have no health insurance coverage - **Underinsured**: You have insurance but cannot access Toujeo® through your plan, or your coverage is inadequate - **Commercially insured**: You have no insurance coverage or access to Toujeo® through your current insurance ### Income Eligibility Your **annual household income must not exceed 400% of the Federal Poverty Level (FPL)**. Use this table to determine if you may qualify: | Household Size | 400% of Federal Poverty Level (Annual Income Limit) | |---|---| | 1 person | Approximately $18,735 | | 2 people | Approximately $25,520 | | 3 people | Approximately $32,305 | | 4 people | Approximately $39,090 | | Each additional person | Add approximately $6,785 | *Note: These figures are approximate and based on 2026 guidelines. Contact the program for exact current limits.* ### Medicaid Consideration If you may be eligible for Medicaid, you must provide **documentation of Medicaid denial** before the program will assess your eligibility for patient assistance. ## Step-by-Step Application Process ### Step 1: Get Your Application You have two options: - **Download online**: Visit the Sanofi Patient Connection website and select your state to download the application - **Call for a mailed copy**: Call **1-888-847-4877** (toll-free) and request an application be mailed to you ### Step 2: Complete Your Section Fill out all required information on **page 2** of the application, including: - Your full name, date of birth, and contact information - Your household income information - Your current insurance status - **Sign and date** the required HIPAA consent and income verification authorizations ### Step 3: Have Your Doctor Complete Their Section Bring the application to your healthcare provider and ask them to: - Complete **page 3** with treatment and prescribing information - Verify that Toujeo® is medically appropriate for you - **Sign and date** the form **Important**: Your healthcare provider's signature is required for all applications. ### Step 4: Submit Your Application Your healthcare provider can submit the completed application (pages 2 and 3 only) using one of these methods: - **Fax**: 1-888-847-1797 - **Mail**: Sanofi Patient Connection, PO Box 222138, Charlotte, NC 28222-2138 - **Provider Portal**: Through the online provider portal at visitspconline.com **Do not include medical records** with your application. ## Timeline and What to Expect ### Processing Time - **Fully completed applications**: Usually processed within **5-7 business days** - **Incomplete applications**: May take longer if the program needs to contact your healthcare provider for missing information ### After Approval If you are eligible: 1. You and your healthcare provider will receive a **letter notifying you of enrollment** 2. If you have Medicare Part D, your plan sponsor will also receive notification 3. Your medication will be **shipped directly to your healthcare provider's office in approximately 5-7 business days** 4. You will be **enrolled for 12 months** (Medicare Part D patients are enrolled through the end of the calendar year) ## Temporary Access Program If you need medication while your application is being processed, you may qualify for the **Temporary Access Program**, which provides a **30-day supply** of Toujeo® immediately: 1. Submit your completed application 2. Call **1-888-847-4877** and tell the representative you've submitted your application 3. Ask about the Temporary Access Program and answer eligibility questions 4. If approved, you'll receive a **voucher ID and pharmacy numbers** 5. Take your voucher ID, pharmacy numbers, and valid prescription to your pharmacy to receive your 30-day supply ## What Happens If Your Application Is Denied If you do not qualify for Sanofi Patient Connection, ask your healthcare provider about: - Other patient assistance programs from pharmaceutical manufacturers - State or local prescription assistance programs - Community health center resources - Prescription discount cards or programs like GoodRx - Your state's pharmaceutical assistance program ## Reauthorization and Renewal Your enrollment lasts for **12 months**. Before your enrollment ends, contact Sanofi Patient Connection at **1-888-847-4877** to discuss renewal options and whether you need to reapply. ## Important Reminders - **Your healthcare provider must be involved**: The program requires your doctor's participation and signature - **Complete all information**: Missing information delays processing - **Income verification required**: Be prepared to provide proof of household income - **Insurance documentation**: Have your insurance information or proof of being uninsured ready - **Keep your enrollment letter**: You'll need it when picking up your medication ## Contact Information **Sanofi Patient Connection** - **Phone**: 1-888-847-4877 (toll-free) - **Fax**: 1-888-847-1797 - **Mailing Address**: PO Box 222138, Charlotte, NC 28222-2138 - **Website**: sanofipatientconnection.com ## Disclaimer This guide provides general information about Sanofi Patient Connection. Program eligibility, requirements, and benefits may change. For the most current and complete information, contact the program directly or visit the official website. This guide is not a guarantee of eligibility or enrollment. Always consult with your healthcare provider about your treatment options.

Program information last verified: March 30, 2026