Based on the information you provided, you may be eligible for the ME Continuing Safety Net Program through Sanofi Patient Connection, a patient assistance program that helps patients get access to their medications. This program provides eligible Maine residents insulin at no cost, for up to 12 months. You will need to take the following steps:

• Download the Sanofi Patient Assistance Application for Maine and completely fill out Page 2 and sign Page 3 (Sections 1-4). The download link is here: https://sanofipatientconnection.com/media/pdf/SPC_Application_ME.pdf
• You can also have an application mailed to you by calling 855-937-7765 between the hours of 9am and 8pm Eastern.
• You will need to provide your insurance information (if you have any) on the application. 
• Contact your healthcare provider and let them know you need them to fill out Page 4 and submit the completed form. This form cannot be sent in without your healthcare provider’s signature and information.
• Assuming the application has been completed in full, once the application is sent in by your healthcare provider, it takes approximately 5 to 7 business days to make a decision, which is sent by mail to you and your healthcare provider.
• If you do not receive a decision after 7 business days, you can call 866-489-5957 between the hours of 9am and 8pm Eastern to ask for an update.
• If your application is approved, a 90-day supply of insulin will be shipped to your home within 5 to 7 business days from approval.