Toujeo (insulin glargine U-300)
Patient Assistance Program Guide — Sanofi Patient Connection
Do You Qualify?
Income
Up to $60,240 for a single person
Insurance
Uninsured, underinsured (insurance does not cover drug), or Medicare Part D patients meeting specific out-of-pocket spending requirements.
Residency
U.S. resident or US territory with valid address
Income Limits (400% FPL)
Calculated based on 400% FPL for 2025; Sanofi Patient Connection typically uses a 400% threshold for most applicants including those with Medicare Part D.
Based on 2025 HHS Federal Poverty Level guidelines.
# Getting Toujeo for Free or at Low Cost Through Sanofi Patient Connection
Who Qualifies for the Sanofi Patient Connection?
If you cannot afford Toujeo (insulin glargine U-300), you may qualify to receive it at no cost through the Sanofi Patient Connection patient assistance program. This program is designed specifically for patients who are uninsured, underinsured, or enrolled in Medicare Part D and struggling with out-of-pocket costs. For a single-person household, your annual income must be at or below $60,240 to meet the income threshold. You must also meet specific insurance requirements — generally, your current insurance either does not cover Toujeo, or you have no insurance at all. If you meet both the income and insurance criteria, you may qualify to receive Toujeo at no charge, shipped directly to your prescriber's office.
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About Toujeo (Insulin Glargine U-300)
Toujeo is a long-acting insulin analog manufactured by Sanofi. It is FDA-approved to help manage blood sugar levels in adults and some pediatric patients living with Type 1 or Type 2 diabetes mellitus. Toujeo delivers insulin glargine at a higher concentration (300 units/mL) than standard insulin glargine formulations. Without insurance or financial assistance, Toujeo can cost several hundred dollars per month, placing it out of reach for many patients. Because no FDA-approved biosimilar versions of Toujeo are currently available in the United States, patients typically cannot substitute a lower-cost alternative at the pharmacy without switching to a different insulin product entirely.
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Income Eligibility: Full Breakdown
Sanofi Patient Connection uses 400% of the Federal Poverty Level (FPL) as its income threshold. For 2025, the maximum annual income limits by household size are:
| Household Size | Max Annual Income |
|---|---|
| 1 person | $60,240 |
| 2 persons | $81,760 |
| 3 persons | $103,280 |
| 4 persons | $124,800 |
Your household income is typically verified using your most recent federal tax return, your last three months of pay stubs, or a Social Security Award Letter if applicable. If your income has recently dropped due to job loss or a life change, you may be able to provide current pay stubs rather than a prior-year tax return to better reflect your actual situation.
If your income is above these limits, you do not automatically qualify for the free medication program — but you may still be eligible for other savings options described later in this guide. Household size matters: a family of four can earn nearly twice as much as a single person and still qualify. If you are unsure how to count your household members, your prescriber's office or a patient advocate at RX Advantages can help you work through the calculation before you apply.
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Insurance Requirements Explained
Your insurance status plays a major role in whether you qualify. Here is how each situation is typically handled:
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Step-by-Step: How to Apply
1. Confirm your eligibility. Review the income table and insurance requirements above before gathering documents. If you are unsure, call Sanofi Patient Connection at (888) 847-4877 for a pre-application review.
2. Gather your required documents. You will need:
- A completed and signed patient application form
- A completed and signed prescriber section (your doctor must sign)
- Proof of income: your most recent federal tax return, W-2, three months of pay stubs, or a Social Security Award Letter
- A valid prescription for Toujeo
3. Choose your application method. You can apply online at https://www.sanofipatientconnection.com, by phone at (888) 847-4877, or by fax at (888) 847-1797. The online portal is typically the fastest route.
4. Submit the application. If applying online, upload your documents directly through the portal. If faxing, send all documents together to avoid processing delays. If mailing, confirm the current mailing address by calling the number above.
5. Wait for a decision. Processing typically takes 2 to 3 business days once all documents are received.
6. Coordinate with your prescriber. Approved medication is shipped directly to your prescriber's office, not your home. Contact your prescriber's office to let them know to expect a shipment and to schedule pickup.
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What to Expect: Timeline and Delivery
Once your completed application and all supporting documents are submitted, a decision typically comes within 2 to 3 business days. You or your prescriber's office will be notified of approval. Toujeo will be shipped directly to your prescriber's office, so you will need to arrange a pickup — it will not arrive at your home. There is no cost to you for the medication under this program. Your enrollment is not permanent: annual reauthorization is required. Before your approval period ends each year, you will need to resubmit updated income documentation and have your prescriber re-sign the application to continue receiving benefits without interruption.
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Alternatives If You Don't Qualify
If you do not meet the income or insurance criteria, you still have options worth exploring:
1. Biosimilars: There are currently no FDA-approved biosimilar versions of Toujeo available in the United States, so a direct pharmacy substitution is not possible at this time.
2. Manufacturer savings card (insured patients): If you have commercial insurance, Sanofi offers a savings card that may reduce your out-of-pocket cost at the pharmacy. You can access it at https://www.toujeo.com/savings-and-support. This option is not available to Medicare or Medicaid patients.
3. State Pharmaceutical Assistance Programs (SPAPs): Many states run their own drug assistance programs, particularly for seniors and low-income residents. Eligibility and benefits vary by state.
4. NeedyMeds.org: This free, independent database lists hundreds of assistance programs by drug name and state. Visit https://www.needymeds.org to search for additional options that may fit your situation.
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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. Program terms may change — verify current requirements at [https://www.toujeo.com/financial-support](https://www.toujeo.com/financial-support) before applying.*
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Documents You'll Need
If You Don't Qualify for the Assistance Program
Manufacturer Savings Card (for insured patients)
Sanofi 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 and all required documents, processing typically takes 2 to 3 business days. Missing documents are the most common cause of delays, so make sure your prescriber has signed the application and your proof of income is included before submitting.
Toujeo approved through Sanofi Patient Connection is shipped directly to your prescriber's office, not to your home address. After approval, contact your doctor's office to confirm they are expecting the shipment and to arrange a time to pick it up.
Yes, you may still qualify. Sanofi Patient Connection includes provisions for Medicare Part D patients who meet specific out-of-pocket spending requirements. Many manufacturer programs exclude Medicare patients entirely, so this is a meaningful exception. Apply and let Sanofi make the final eligibility determination.
Yes. Annual reauthorization is required to continue receiving Toujeo through this program. You will need to submit updated proof of income and have your prescriber sign a new application. Plan ahead so your supply is not interrupted between approval periods.
Yes. Sanofi offers a savings card for patients with commercial insurance coverage. It may reduce what you pay out of pocket at the pharmacy. You can find current details and enroll at https://www.toujeo.com/savings-and-support. This card is not available to patients with Medicare or Medicaid.
Ready to Apply for Toujeo Assistance?
RX Advantages handles the entire Sanofi Patient Connection application on your behalf — paperwork, physician coordination, and refill tracking. It takes about 15 minutes to get started.
No SSN required on the web form · From $49.95/month