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Estimated Patient Savings $2,933,300
Program Details
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Summary

Sanofi-Aventis is among the top pharmaceutical companies in the country, manufacturing household name products such as Plavix and Ambien. Their four research and developments sites in the United States are staffed by 2,500 scientists, support staff, and physicians. With global headquarters in Paris, France and United States headquarters in Bridgewater, New Jersey, they employ 17,500 scientists in over 20 research centers around the country. Sanofi focuses on thrombosis, cardiology, oncology, internal medicine, metabolic disorders, that which afflicts the central nervous system, and creating vaccines.

Eligibility

PACT+ Program, a patient assistance program provided by Sanofi Aventis, offers a year’s supply of the medications listed to the right at no cost to those who are eligible for the program. Eligibility is based off of the following requirements:

- You must not be covered by any private, public, or Medicare Part D prescription coverage programs OR you must have reached your coverage cap.

- You must be a citizen of the United States or its Territories

- You must meet an undisclosed income guideline.

The medication must be sent to the physicians office.

Those eligible for Medicare Part D but not enrolled may still be eligible.

SOURCE: 2008 Poverty Chart
Family Size 100% 133% 150% 200% 250% 300%
1 $10,830 $14,404 $16,245 $21,660 $27,075 $32,490
2 $14,570 $19,378 $21,855 $29,140 $36,425 $43,710
3 $18,310 $24,352 $27,465 $36,620 $45,775 $54,930
4 $22,050 $29,327 $33,075 $44,100 $55,125 $66,150
5 $25,790 $34,301 $38,685 $51,580 $64,475 $77,370
6 $29,530 $39,275 $44,295 $59,060 $73,825 $88,590
7 $33,270 $44,249 $49,905 $66,540 $83,175 $99,810
8 $37,010 $49,223 $55,515 $74,020 $92,525 $111,030
For each additional family member $3,740 $4,974 $5,610 $7,480 $9,350 $11,220


What´s Next?

Fill out the program enrollment form located to your right. If you don’t see an enrollment form available please call Sanofi-Aventis program directly. After filling out the enrollment form please bring the form to your doctor for proper signatures and procedures. Do not forget a self stamped envelope for them to mail in your application to the program.


Other Tips

  • If you have any questions please call the Sanofi-Aventis program directly
  • Fill out as much of the information on the enrollment form as possible. The more information you have pre-filled the easier the progrm is to enroll in
  • Write down the refill dates for your program and set a reminder here on PatientAssistance.com so that you don’t run out of medication.
  • Do not write messy on your forms as this will delay any response
  • Call and write thank you notes to Sanofi-Aventis program. Without their help millions of people will be without medication.




  • PAP Links:
  • Website:
  • Address:
  • Phone:
  • Fax:
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List of Medications
Anzemet CINV Injection (dolasetron), Anzemet CINV Tablets (dolasetron), Elitek IV IV 1.5ml/ml (rasburicase), Eloxatin 50mg, 100mg (oxaliplatin), Nilandron Tablets 150mg (nilutamide), Taxotere Injection 20mg, 80mg (docetaxel)

Forms and other information are Copyright © PACT+ Program

While you are waiting to qualify for your free medication please try a Free Discount Drug Card > Click Here

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