This component of the program is made possible through Sanofi Cares North America. The resource you are looking for (or one of its dependencies) could have been removed, had its name changed, or is temporarily unavailable. Plaquenil toll like endosomal Will plaquenil help anemia Hydroxychloroquine - oral Important Note The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. The patient must be getting treatment for systemic lupus erythematosus. The patient must have health insurance that covers his or her qualifying medication or product. The patient’s medication or product must be listed on PAN’s list of covered medications. The patient’s income must fall at or below 500% of the Federal Poverty Level. Let's get started. I am the patient and I am at least 18 years of age. I am family member or guardian applying on behalf of a patient and I have his/her approval. This includes applying on behalf of a minor. If you need assistance with our online application, please email [email protected] Requested URL: /I-Am-A/Patient-Caregiver/Treatments/... Please review the following URL and make sure that it is spelled correctly. Plaquenil patient assistance application Start Enrollment Pfizer RxPathways, PAN Foundation - Systemic Lupus Erythematosus Plaquenil generic name This is a copay assistance program for patients that have health insurance. The patient's insurance must cover the qualifying medication that they are seeking assistance for. Patient with Medicare Part D will be considered on a case by case basis. Patient Assistance Information. Online Application - HealthWell Foundation. Co-pay Cards and Financial Assistance for Arthritis Patients.. High deductibles and co-pays shouldn't keep people with life-threatening, chronic and rare diseases from getting the treatment they need. PAN uses the donations of caring individuals and corporations to offer the fastest, most dependable way for patients to pay their out-of-pocket costs. You will now be exiting the Sanofi Patient Connection website. Please be aware that not all Sanofi products are covered under the Sanofi Patient Assistance program. Please visit our Medications Available page to see if assistance is available for medication Welcome to HealthWell’s Online Application. Before you begin the online application process, please take a moment to review our application instructions below. If you have not yet contacted the manufacturer of your medication to ask about possible assistance through them, we ask that you please do so before you apply to HealthWell for assistance.