Kevzara Connect Enrollment Form: Simplified Application Process

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Sanofi and Regeneron, the manufacturers of Kevzara (sarilumab), have developed the Kevzara Connect program to provide eligible patients with access to this important medication. The Kevzara Connect Enrollment Form is a crucial step in this process, allowing patients to apply for the program and potentially receive financial assistance and other support.

The Importance of Simplifying the Application Process

For patients living with rheumatoid arthritis (RA), the application process for the Kevzara Connect program can be a daunting task. The paperwork, documentation, and waiting periods can be overwhelming, especially for those already dealing with the physical and emotional challenges of RA. That's why Sanofi and Regeneron have worked to simplify the enrollment process, making it easier for patients to access the support they need.

How to Complete the Kevzara Connect Enrollment Form

Completing the Kevzara Connect Enrollment Form is a straightforward process that requires some basic information and documentation. Here's a step-by-step guide to help you get started:

1. Gather Required Documents: Before starting the application process, make sure you have the necessary documents, including:
   • A valid prescription for Kevzara
   • Proof of income (e.g., tax returns, W-2 forms)
   • Proof of insurance (e.g., insurance cards, policy documents)
2. Download and Complete the Enrollment Form: You can download the Kevzara Connect Enrollment Form from the official Sanofi website or request a copy from your healthcare provider. Fill out the form completely and accurately, making sure to sign and date it.
3. Submit the Enrollment Form: Once completed, submit the enrollment form to Sanofi via mail, fax, or online portal. Be sure to follow the instructions carefully to avoid any delays in processing.

Benefits of the Kevzara Connect Program

The Kevzara Connect program offers a range of benefits to eligible patients, including:

• Financial Assistance: Patients may be eligible for copay cards, patient assistance programs, or other forms of financial support to help reduce the cost of Kevzara.
• Nurse Educators: Patients can access nurse educators who provide personalized support, education, and guidance on using Kevzara.
• Reimbursement Support: The program offers reimbursement support to help patients navigate the complex process of securing insurance coverage for Kevzara.

Eligibility Criteria

To be eligible for the Kevzara Connect program, patients must:

• Have a valid prescription for Kevzara
• Have a confirmed diagnosis of RA
• Meet certain income and insurance requirements

Common Questions and Concerns

We've compiled a list of frequently asked questions and concerns about the Kevzara Connect Enrollment Form and program:

• Q: How long does it take to process the enrollment form?
  • A: Processing times vary, but Sanofi typically reviews applications within 2-3 business days.
• Q: What if I'm not eligible for the program?
  • A: Sanofi offers alternative programs and resources for patients who don't qualify for Kevzara Connect.

Additional Resources

For more information about the Kevzara Connect program and enrollment form, you can:

• Visit the official Sanofi website
• Contact Sanofi's customer service department
• Reach out to your healthcare provider

By simplifying the application process and providing a range of benefits, the Kevzara Connect program aims to support patients living with RA and help them access the medication they need.