This component of the program is made possible through Sanofi Cares North America. Hydroxychloroquine (Plaquenil) is considered a disease-modifying anti-rheumatic drug (DMARD). Biaxin plaquenil lyme What happens when you take antiacid with plaquenil 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. How to Apply Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource. Sanofi-Aventis Patient Assistance Program Application 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 It may prevent joint damage and reduce the risk of long-term disability. It can decrease the pain and swelling of arthritis. Plaquenil patient assistance program PAN Foundation - Systemic Lupus Erythematosus, Sanofi-Aventis Patient Assistance Program - Chloroquine diphosphate intercalator Program for Plaquenil. 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. Patients must be at or below 400-500% of the federal poverty level. Patient Assistance Information. Patient Assistance Connection -. Co-pay Cards and Financial Assistance for Arthritis.. Ent Assistance an n in, and adminis I authorize and c the Program. M nosis, if required. as required by la s authorization is this Program. U ay withdraw this in this Program a hereby release, fo ms or liability aris losure is made in nt Assistance rese CTITIONE SS No P. O. NUMBER # INFORMA ge the information meets the require is patient, I. Help with Medications is Available. Patient Assistance Programs give free prescription drugs to those in need. These free prescription drugs often require a prescription advocate to receive ongoing prescription help. Find & Manage Your Patient Assistance Programs. Estimated patient savings $600,000,000.00. Tweet. Patient Assistance Program. Sanofi-Aventis Patient Assistance Program. PLAQUENIL Coupons. Plaquenil. Uses. This medication is used to treat rheumatoid arthritis and lupus; and to treat or prevent malaria.