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Oncology

ZALTRAP

Generic: ziv-aflibercept

Manufacturer: Sanofi  ·  Program: Sanofi Patient Connection

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Free to apply. Service from $40/month, payable only when your application is ready to submit.

Eligibility Criteria

Insurance Requirement

Uninsured or underinsured; not valid with Medicare, Medicaid, etc.

Residency

US resident

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
  • proof of residency
  • Medicaid denial if applicable

Indicated for

metastatic colorectal cancer

About This Medication

Sanofi Patient Connection Patient Guide: How to Get ZALTRAP at Low or No Cost

ZALTRAP (ziv-aflibercept) is a prescription medication used to treat metastatic colorectal cancer (mCRC) that has progressed after an oxaliplatin-containing regimen, typically in combination with FOLFIRI (fluorouracil, leucovorin, and irinotecan). The Sanofi Patient Connection program offers this and other Sanofi medications at no cost to eligible uninsured or underinsured patients struggling with expenses.[1][3][9]

About ZALTRAP

ZALTRAP is a vascular endothelial growth factor (VEGF) inhibitor delivered as an intravenous infusion. It works by blocking proteins that promote blood vessel growth in tumors, helping to slow cancer progression in patients with mCRC resistant to prior treatments.[7][9] Administered by a healthcare professional (HCP) in a clinical setting, it requires careful monitoring due to potential serious side effects like bleeding, high blood pressure, or impaired wound healing. Always discuss risks and benefits with your doctor.[9]

This guide explains how to access ZALTRAP through Sanofi Patient Connection's Patient Assistance Connection—a free program providing medications to those meeting strict financial and residency criteria. No purchase is required, and it's designed for patients facing barriers to care.[1][2][3]

Who Qualifies?

Eligibility focuses on financial need, residency, insurance status, and medical necessity. Key requirements include:

  • U.S. residency: You must live in the U.S. or U.S. territories.
  • Under HCP care: A licensed U.S. healthcare provider must prescribe and oversee your treatment.[1][2]
  • Income limits: Household income at or below 400% of the Federal Poverty Level (FPL).
  • Insurance status: Uninsured or underinsured; not eligible if enrolled in Medicare, Medicaid, or similar government programs (Medicaid denial letter required if applicable).[1][3]
  • No alternatives: You've exhausted other assistance options where required.[3]

Income Eligibility Breakdown

Income thresholds are based on ≤400% FPL for your household size. Use recent pay stubs, tax returns, or benefit statements for proof. Here's a simplified table (based on 2026 FPL guidelines; check sanofipatientconnection.com for exact current figures):

Household SizeMax Annual Income (400% FPL)
1 (Individual)$60,000
2 (Couple)$81,000
3$102,000
4$122,400
+1 per member+$20,400

Notes: Medicaid-eligible applicants need a denial letter. Income includes all household sources.[1][3] Visit the program site for a financial eligibility tool.[3]

Insurance Requirements

The program is for uninsured or underinsured patients only. You cannot participate if you have:

  • Medicare (Part D enrollment limits aid to calendar year end).[1][2][6]
  • Medicaid, VA, Tricare, or state programs.
  • Employer or commercial insurance covering the drug fully.

Underinsured patients with high copays/deductibles may qualify if income criteria are met and no other aid applies. Provide proof like Explanation of Benefits (EOB).[1]

Step-by-Step Application Process

Applications are straightforward but require your doctor's involvement. Multiple methods available: download online, call 1-888-847-4877, or request mailing.[6][8]

  1. Download or get the form: Visit sanofipatientconnection.com, select your state, and print pages 2-3.[1][3][8]
  2. Fill patient section (Page 2): Enter personal details, sign HIPAA/income verification authorizations. Attach proof of income (e.g., tax return, W-2), residency (utility bill, lease), and Medicaid denial if needed.[1][2]
  3. Doctor completes Page 3: Your HCP verifies diagnosis, prescribes ZALTRAP, signs/dates.[1][6]
  4. Submit: HCP faxes to 1-888-847-1797 or mails to Sanofi Patient Connection, PO Box 222138, Charlotte, NC 28222-2138. No medical records needed.[1][2][6]
  5. Avoid delays: Ensure completeness—missing info triggers follow-up.[1][6]

Timeline and Delivery

  • Processing: 5-7 business days for complete apps; longer if incomplete.[2][5][6]
  • Approval notice: Letters to you, HCP, and insurer (if applicable) within 10 business days.[2][5]
  • Enrollment: Up to 12 months; Medicare Part D through year-end.[1][2][6]
  • Delivery: Medication shipped free to your doctor's office in ~5-7 business days post-approval—not directly to you.[2]
  • Pick up: Coordinate with your HCP for infusion scheduling.[1]

Alternatives if Denied

  • Reapply: Fix issues (e.g., update income) and resubmit.[6]
  • State programs: Check Minnesota Safety Net or Maine insulin aid for parallels (ZALTRAP not specified).[4][5]
  • Other resources: Patient Advocate Foundation (1-800-532-5274) or general copay cards.[7]
  • No biosimilars available for ZALTRAP currently.[program data]

Reauthorization

Reauthorization required annually. Reapply before 12 months end (or calendar end for Medicare). Same process; updated income proof needed.[1][6]

Important Disclaimer

This guide is for informational purposes based on publicly available program details as of latest updates. Eligibility, guidelines, and FPL change—always verify at sanofipatientconnection.com or call 1-888-847-4877. Sanofi may update terms. Not legal/medical advice; consult your doctor. Program not valid with government insurance. Third-party fees not affiliated.[1][3][6]

Program information last verified: March 30, 2026

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