You can avoid this problem by choosing the medicationfrom the list you see as you type. That list is restricted to medications that have programs. Hydroxychloroquine and corticosteroids Plaquenil pediatric dose Plaquenil children Patients must meet financial and other program specific criteria to be eligible for assistance. To find out how to apply for medication assistance from the MYLAN patient assistance program, visit our Patient Center and use our Database to search for the medication needed. Financial criteria for patient assistance. In order to meet the financial eligibility criteria for receiving Sanofi medication at no cost, you must have an annual household income of ≤ 400% of the current Federal Poverty Level. Patient Assistance Connection Financial Eligibility This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of. To learn about the card and print out your own, click here. The Needy Meds Drug Discount Card can offer savings of up to 80% off the cost of medications. Plaquenil financial assistance Plaquenil Hydroxychloroquine - $50 Per Month Total Cost., Financial Eligibility Sanofi Patient Connection® Plaquenil mid back painPlaquenil retinopathy autofluorescence Sanofi-Aventis Patient Assistance Program, a patient assistance program provided by Sanofi-Aventis Inc. offers up to a one year supply per application depending on the prescription. Our new application requires one application with a refill over the phone. Sanofi-Aventis Patient Assistance Program - Patient.. NeedyMeds. Plaquenil Prices, Coupons & Patient Assistance Programs.. If additional assistance is requested, a new application must be submitted to the hotline. In circumstances of significant financial need and serious medical hardship, individuals, with the help of their doctor, may appeal from denial of participation in this program including denials based on Medicare Part D coverage. C3 independent non-profit organization providing financial assistance to adults and children to cover the cost of prescription drug coinsurance, copayments, deductibles, health insurance premiums and other selected out-of-pocket health care costs. Assistance with the prescription drugs and biologics used in the treatment of systemic lupus erythematosus. Do I Qualify? HealthWell bases eligibility on an individual’s medical, financial and insurance situation. To qualify for HealthWell’s assistance, applicants must meet the following eligibility requirements 1.