Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  
 

CareASSIST Patient Support Program

This program provides brand name medications at no or low cost

Provided by: Sanofi Genzyme

PO Box 220616
Charlotte, NC 28222

TEL: 833-930-2273


FAX: 855-411-9689
Languages Spoken:

English, Spanish, Others By Translation Service

Program Website

 

Program Applications and Forms

CareASSIST Patient Support Program Enrollment Application

CareASSIST Patient Support Program Brochure

 

Medications

  • anti-thymocyte globulin rabbit injection; iv (Thymoglobulin) Injection; IV
 

Eligibility Requirements   

Insurance Status Determined case by case
Those with Part D Eligible? Determined case by case
Income At or below 500% of FPL
Diagnosis/Medical Criteria Varies
US Residency Required? Must be a citizen of the US and its Territories and be under the care of a US physician
   

Application

Obtaining Call or download
Receiving Faxed or downloaded from website
Returning Fax
Doctor's Action Complete section and sign
Applicant's Action Complete section, sign, attach required documents
Decision Communicated Not specified
Decision Timeframe Not specified
   

Medication

Amount/Supply Varies
Sent To Not specified
Delivery Time Varies
Refill Process Not specified
Limit Not specified
Re-application Not specified
   

Additional Information

Co-payment assistance, reimbursement support, and patient assistance programs are available for eligible patients.

Updated August 24, 2020