Neurology

Lemtrada (alemtuzumab)

Patient Assistance Program Guide — Sanofi Patient Connection

Verified: February 27, 2026
Sanofi Patient Connection
Program name
7-10 business days
Processing time
shipped to prescriber
Medication delivery
$60,240
1-person income limit

Do You Qualify?

Income

Up to $60,240 for a single person

Insurance

Uninsured, underinsured, or Medicare Part D patients who meet specific financial and clinical criteria and have no other coverage options.

Residency

U.S. resident with valid address

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Income Limits (400% FPL)

Household SizeMax Annual Income
1 person$60,240
2 persons$81,760
3 persons$103,280
4 persons$124,800

Calculated using 400% of the 2025 Federal Poverty Level; specialty products like Lemtrada typically utilize this threshold.

Based on 2025 HHS Federal Poverty Level guidelines.

# Getting Lemtrada at No or Low Cost: A Guide to the Sanofi Patient Connection Program

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Who Qualifies for the Sanofi Patient Connection?

If you have been prescribed Lemtrada (alemtuzumab) and cannot afford it, you may qualify to receive it at no cost through the Sanofi Patient Connection program. This program is designed specifically for patients who need financial help covering the cost of their medication. For a single-person household, your annual income must be at or below $60,240 to meet the income threshold. In terms of insurance, you must be uninsured, underinsured, or enrolled in Medicare Part D — and you must have no other coverage options available that would pay for Lemtrada. If you meet these basic criteria, this program may be able to help you access your medication without paying out of pocket.

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About Lemtrada (alemtuzumab)

Lemtrada (alemtuzumab) is an FDA-approved prescription medication manufactured by Sanofi Genzyme. It is approved to treat relapsing forms of multiple sclerosis (RMS) in adults. Lemtrada belongs to a drug class called CD52-directed cytolytic monoclonal antibodies. It is administered by intravenous (IV) infusion in a clinical setting, typically over two treatment courses. Because it is a specialty biologic medication, Lemtrada carries a very high list price — often tens of thousands of dollars per treatment course — which makes it unaffordable for many patients without insurance coverage or financial assistance. The Sanofi Patient Connection program exists to help bridge that gap.

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Income Eligibility: Full Breakdown

The Sanofi Patient Connection program uses income thresholds based on approximately 400% of the 2025 Federal Poverty Level. Your eligibility depends on both your household size and your total annual income. The current limits are:

| Household Size | Max Annual Income |

|---|---|

| 1 person | $60,240 |

| 2 persons | $81,760 |

| 3 persons | $103,280 |

| 4 persons | $124,800 |

Income is typically verified using your most recent federal tax return, a W-2 form, or three months of recent pay stubs. The program looks at your total household income, which may include wages, Social Security benefits, retirement income, and other sources.

If your income is above these limits, you may not qualify for the free medication program — but you should not stop there. Other options may still be available to you, including the Lemtrada co-pay savings card for insured patients or state-based assistance programs. It is also worth contacting the program directly at (888) 847-4877 to discuss your specific situation, as program terms and thresholds can be updated.

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Insurance Requirements Explained

Your insurance status plays a major role in determining your eligibility. Here is how the program applies to different situations:

If you are uninsured: You may qualify directly for the Sanofi Patient Connection program, as long as you also meet the income requirements.
If you have Medicare Part D: You may still be eligible. Unlike many assistance programs that exclude Medicare Part D patients entirely, Sanofi Patient Connection may accept Medicare Part D enrollees who meet the financial criteria and have no other coverage options for Lemtrada.
If you have private insurance that covers less than 50% of the cost: You may be considered underinsured and could qualify for the program. You should document what your plan does and does not cover when you apply.
If you have Medicaid: Medicaid coverage typically disqualifies patients from manufacturer assistance programs, since Medicaid is considered an existing coverage option. If Medicaid does not cover Lemtrada in your state, contact the program directly to ask about exceptions.

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Step-by-Step: How to Apply

Follow these steps to apply for the Sanofi Patient Connection program for Lemtrada:

1. Gather your documents. You will need: a completed and signed application form (with both patient and prescriber sections filled out), proof of income (your most recent tax return, W-2, or three months of pay stubs), your insurance information if you have any coverage, and a valid prescription for Lemtrada.

2. Get the application. Download or access the application form at https://www.sanofipatientconnection.com/. You can also call (888) 847-4877 to have a form mailed or faxed to you.

3. Have your prescriber complete their section. Your doctor or their office staff must sign the prescriber portion of the application. Many offices are familiar with this process and can assist you.

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

5. Wait for a decision. Processing typically takes 7 to 10 business days after all required documents are received.

6. Confirm approval and coordinate delivery. Once approved, Lemtrada will be shipped directly to your prescriber's office. Your doctor's team will contact you to schedule your infusion.

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What to Expect: Timeline and Delivery

After submitting a complete application, you can expect a decision within 7 to 10 business days. If any documents are missing, the review may take longer, so double-check your paperwork before submitting. Approval notifications typically go to your prescribing physician's office. Because Lemtrada is administered by infusion, it will be shipped directly to your prescriber, not to your home. You do not need to pick anything up — your doctor's office will have the medication ready for your scheduled infusion appointment. Enrollment in the program is not permanent. You will need to reapply and reauthorize annually to continue receiving assistance. Your prescriber's office can help you track when renewal is due.

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Alternatives If You Don't Qualify

If you do not qualify for the Sanofi Patient Connection, you still have options worth exploring:

1. Biosimilars: There are currently no FDA-approved biosimilar alternatives to Lemtrada, so switching to a lower-cost biosimilar is not an option at this time.

2. Manufacturer savings card: If you have commercial insurance, you may qualify for the Lemtrada co-pay assistance program, which can help reduce your out-of-pocket costs. Learn more and enroll at https://www.lemtrada.com/financial-support/co-pay-program.

3. State Pharmaceutical Assistance Programs (SPAPs): Many states offer their own drug assistance programs, particularly for residents with low to moderate incomes. Eligibility and benefits vary by state. Contact your state health department or ask your doctor's office for a referral.

4. NeedyMeds.org: This free, nonprofit database lists hundreds of patient assistance programs, co-pay cards, and state resources. Visit www.NeedyMeds.org and search by drug name or condition to find additional options that may apply to you.

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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.lemtrada.com/support](https://www.lemtrada.com/support) before applying.*

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Documents You'll Need

Completed and signed application form (Patient and Prescriber sections)
Proof of income (e.g., current tax return, W-2, or recent pay stubs)
Patient's insurance information (if applicable)
Valid prescription

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

Once Sanofi receives your completed application with all required documents, a decision typically takes 7 to 10 business days. Missing documents can delay the process, so make sure your income proof, insurance information, and both patient and prescriber signatures are included before you submit.

No. Because Lemtrada is given as an IV infusion in a clinical setting, it is shipped directly to your prescriber's office or infusion center. Your doctor's team will let you know when the medication has arrived and will schedule your infusion appointment.

Yes. The Sanofi Patient Connection program requires annual reauthorization. This means you will need to submit updated income documentation and a renewed application each year to continue receiving your medication at no cost. Your prescriber's office can help you stay on top of the renewal timeline.

You may still be eligible. The Sanofi Patient Connection program can accept Medicare Part D patients who meet the income requirements and have no other coverage options for Lemtrada. Call (888) 847-4877 to speak with a program representative about your specific situation.

If your income exceeds the program threshold, you may not qualify for free medication through the Sanofi Patient Connection. However, you may be eligible for the Lemtrada co-pay savings card if you have commercial insurance, or for state pharmaceutical assistance programs. NeedyMeds.org is also a free resource that can help you find other options.

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