Rare Disease

Cerdelga (eliglustat)

Patient Assistance Program Guide — Sanofi Patient Connection

Verified: February 27, 2026
Sanofi Patient Connection
Program name
7-10 business days
Processing time
shipped to patient
Medication delivery
$75,300
1-person income limit

Do You Qualify?

Income

Up to $75,300 for a single person

Insurance

Uninsured, functionally uninsured, or underinsured; patients with Medicare Part D may qualify if they meet financial criteria and can demonstrate high out-of-pocket costs.

Residency

U.S. resident with valid address

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Income Limits (500% FPL)

Household SizeMax Annual Income
1 person$75,300
2 persons$102,200
3 persons$129,100
4 persons$156,000

Cerdelga falls under Sanofi Genzyme's rare disease portfolio which typically utilizes a 500% FPL threshold for financial eligibility.

Based on 2025 HHS Federal Poverty Level guidelines.

# How to Get Cerdelga (Eliglustat) Through the Sanofi Patient Connection Program

Who Qualifies for the Sanofi Patient Connection?

If you have Gaucher disease type 1 and struggle to afford Cerdelga (eliglustat), you may be able to get it at no cost through the Sanofi Patient Connection program. This program is run directly by Sanofi Genzyme, the drug's manufacturer. For a single-person household, the maximum annual income limit is $75,300. If your income falls at or below that threshold, you may qualify for free medication. To be eligible, you must be uninsured, functionally uninsured, or underinsured — meaning your current coverage does not adequately cover the cost of Cerdelga. Some patients with Medicare Part D may also qualify if they can show high out-of-pocket costs and meet the financial criteria.

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About Cerdelga (Eliglustat)

Cerdelga (eliglustat) is an oral prescription medication approved by the FDA in 2014 for adults with Gaucher disease type 1 who are eligible metabolizers of eliglustat, as determined by genetic testing. It belongs to a drug class called glucosylceramide synthase inhibitors and is taken by mouth, typically twice daily. Cerdelga is classified as an orphan drug, meaning it treats a rare condition affecting a very small patient population. Because of its specialized nature and the complexity of its development, Cerdelga carries a very high list price — often exceeding $300,000 per year — making it unaffordable for many patients without some form of financial assistance.

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Income Eligibility: Full Breakdown

Sanofi Patient Connection uses an income threshold based on approximately 500% of the Federal Poverty Level (FPL) for its rare disease medications, including Cerdelga. The income limits by household size are:

| Household Size | Maximum Annual Income |

|---|---|

| 1 person | $75,300 |

| 2 persons | $102,200 |

| 3 persons | $129,100 |

| 4 persons | $156,000 |

Income is typically verified using your most recent federal tax return (Form 1040), your most recent W-2, or two to three recent pay stubs. If your household size is larger than four people, contact Sanofi Patient Connection directly at (888) 847-4877 to ask about your specific situation, as larger household limits may apply.

If your income is above the listed threshold, you may not qualify for free medication through this program. However, you should still call the program directly, because household size, unusual expenses, or changes in employment status can sometimes affect how income is calculated. You may also want to explore the alternatives listed later in this guide.

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Insurance Requirements Explained

Your insurance status plays a key role in determining whether you qualify.

If you are uninsured: You are a strong candidate for this program. Patients with no insurance coverage are generally prioritized and most likely to receive free Cerdelga if they meet the income requirements.
If you have Medicare Part D: Most manufacturer assistance programs exclude Medicare beneficiaries due to federal anti-kickback rules. However, Sanofi Patient Connection may make exceptions for Medicare Part D patients who can demonstrate significant out-of-pocket costs and meet the financial eligibility criteria. Call (888) 847-4877 to discuss your specific situation.
If you have private insurance that covers Cerdelga partially or not at all: You may still qualify as "underinsured" if your cost-sharing burden is high. The program will review your coverage details during the application process.
If you have Medicaid: Medicaid typically covers Cerdelga for eligible patients. If Medicaid is covering your medication, you likely would not qualify for this program. If Medicaid has denied coverage, contact the program to ask about next steps.

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Step-by-Step: How to Apply

1. Gather your documents before you start. You will need: a completed and signed patient application, your prescriber's signed portion of the application, proof of income (most recent Form 1040, W-2, or two recent pay stubs), a valid prescription for Cerdelga, and copies of any insurance cards you have.

2. Get the application form. Visit https://www.sanofipatientconnection.com to download or complete the application online. You can also call (888) 847-4877 to request a paper form be mailed or faxed to you.

3. Have your prescriber complete their section. The application requires both your signature and your doctor's signature. Your prescriber's office may be familiar with this process and can often help coordinate submission.

4. Submit your completed application. You may apply online at https://www.sanofipatientconnection.com, fax your documents to (888) 847-1797, or call (888) 847-4877 for guidance on mailing options.

5. Wait for a decision. Processing typically takes 7 to 10 business days after all required documents are received. Make sure your submission is complete to avoid delays.

6. Confirm approval and coordinate delivery. Once approved, you will be notified about next steps. Cerdelga is shipped directly to your home address.

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What to Expect: Timeline and Delivery

After you submit a complete application, expect a decision within 7 to 10 business days. You will be contacted by Sanofi Patient Connection or a designated specialty pharmacy to confirm your approval and arrange shipment. Cerdelga will be shipped directly to your home — you do not need to pick it up at a pharmacy or your doctor's office. Once your shipment is scheduled, make sure someone is available to receive temperature-sensitive medication if applicable.

Your enrollment in this program is not permanent. Annual reauthorization is required, meaning you will need to reapply each year and confirm that you still meet the income and insurance criteria. Sanofi Patient Connection will typically notify you when your renewal is coming up.

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Alternatives If You Don't Qualify

If you do not qualify for Sanofi Patient Connection, here are other options to explore:

1. Biosimilars: There are currently no FDA-approved biosimilar or generic alternatives to Cerdelga. This limits your options for lower-cost substitutions, but it also means the manufacturer program remains the primary route for assistance.

2. Manufacturer savings card: If you have commercial insurance that covers Cerdelga, Sanofi offers a separate savings card program for insured patients. You can access it at https://www.cerdelga.com/patient/support-and-financial-assistance.

3. State Pharmaceutical Assistance Programs (SPAPs): Some states offer additional drug assistance for residents who do not qualify for other programs. Check with your state's Department of Health or Aging to see what is available where you live.

4. NeedyMeds.org: This free, independent database at https://www.needymeds.org lists patient assistance programs, disease-specific foundations, and other financial resources that may help cover the cost of Cerdelga or related care costs.

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*This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Sanofi Genzyme. Program terms may change — verify current requirements at [https://www.sanofipatientconnection.com](https://www.sanofipatientconnection.com) before applying.*

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Documents You'll Need

Completed and signed application form (Patient and Prescriber)
Proof of income (e.g., most recent 1040 tax return, W-2, or 2 recent pay stubs)
Prescription for Cerdelga
Insurance cards (if applicable)

If You Don't Qualify for the Assistance Program

Manufacturer Savings Card (for insured patients)

Sanofi Genzyme offers a savings card that may reduce your out-of-pocket cost if you have commercial insurance. Ask your prescriber or pharmacist for current savings card details.

Common Questions

Processing typically takes 7 to 10 business days after Sanofi receives your complete application. Missing documents are the most common reason for delays, so make sure your prescriber has signed their section and that you have included proof of income before submitting.

Possibly. Most manufacturer programs exclude Medicare beneficiaries due to federal regulations, but Sanofi Patient Connection may consider exceptions for Medicare Part D patients who can show high out-of-pocket costs and meet the income limits. Call (888) 847-4877 to discuss your situation directly.

If you are approved, Cerdelga is shipped directly to your home address through a specialty pharmacy. You do not need to visit a retail pharmacy or your doctor's office to pick it up.

Yes. The Sanofi Patient Connection program requires annual reauthorization. You will need to confirm that you still meet the income and insurance requirements each year. The program will typically reach out to remind you when your renewal period is approaching.

You should still contact Sanofi Patient Connection at (888) 847-4877. In some cases, factors like large household expenses, changes in employment, or a larger household size not shown in the standard table may affect your eligibility. It is always worth asking before assuming you do not qualify.

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