CareASSIST Patient Assistance Program: Elitek, Jevtana, Sarclisa

Not Funded

About

The CareASSIST Patient Assistance Program: Elitek, Jevtana, Sarclisa provides crucial financial support to eligible patients by offering access to the drugs Elitek, Sarclisa, and Jevtana at no cost. This comprehensive program is designed to assist uninsured patients and those with limited coverage, ensuring they receive the necessary medication without financial burden.

Insurance requirements: Underinsured, Uninsured

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: Yes

•Activation Required: No

Program Details

•Eligible patients who meet income requirements and are uninsured, lack coverage for Elitek, Jevtana or Sarclisa, or have Medicare Part B with no supplemental insurance coverage may receive Elitek, Jevtana or Sarclisa at no cost

•Patient and HCP must complete applicable sections of the enrollment form and submit to CareASSIST via fax (18554119689), by mail (CareASSIST by Sanofi Genzyme, PO Box 220616, Charlotte, NC 28222), or through the online Provider Portal

•Patients and providers will receive notification of their application status via fax or mail; accepted patients will receive a welcome call from a Patient Access Specialist

•Call 8339302273, Mon – Fri, 9 AM – 8 PM ET, for assistance or information

Enrollment Forms

Enrollment Form