Enroll your patients


Support starts with enrollment

It takes just a few steps. There are two ways you can enroll.

Enroll online

Fill out the form for your patient online. If your patient is unable to provide consent in your office, HemAssist can reach out to get the patient’s consent directly.

Enroll by fax

Download, print, and fill out the enrollment form. Fax the completed form to HemAssist at 1-855-398-7634.

What happens next

After the enrollment form is submitted, we can help you and your patient get started right away.

Welcome call

A HemAssist Case Manager will reach out to the patient to help onboard them to the program.

Insurance investigation

A HemAssist Case Manager will verify the patient’s insurance coverage and assess which financial assistance programs they may be eligible for.

Treatment shipment

The HemAssist team will help coordinate medication delivery. Our team can also triage the prescription to the specialty pharmacy if you prefer.  

 

Need help?

Our team is here to assist you. Call 1-833-723-5463 Monday – Friday 8 AM to 7 PM ET.

HemAssist Patient Support Here for your patients throughout their treatment journey. Call 1-833-723-5463 Monday – Friday 8 AM to 7 PM ET Fax 1-855-398-7634 © 2025 Sanofi. All rights reserved. Qfitlia, HemAssist, and Sanofi are trademarks of Sanofi or an affiliate. All other trademarks are the property of their respective owners. MAT-US-2500300-v1.0-03/2025