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Sanofi Patient Connection fax number

(888) 847-1797

Patient Assistance Program (PAP) Administration

Used for: Submitting patient assistance program applications and related documents via fax; processing reorders and reimbursement-related forms.

Fax destination details

Department
Patient Assistance Program (PAP) Administration
Purpose
Submitting patient assistance program applications and related documents via fax; processing reorders and reimbursement-related forms.
Form
Printable enrollment/application forms for patient assistance — Sanofi Patient Connection Enrollment Form (PAP)
Address
PO Box 222138, Charlotte, NC 28222-2138
Voice phone
1-888-847-4877

Before you send

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  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete Sections I–V as instructed; include income verification; prescriber must sign; fax the enrollment form and income documents to 1-888-847-1797 or mail to Sanofi Patient Connection, PO Box 222138, Charlotte, NC 28222-2138.

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