g. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. They pay the first $13K (in a year) then when that is exhausted I will have to pay around $250 per month and the $13K starts over in January 2019. Expert perspectives on management of moderate-to-severe atopic dermatitis: a multidisciplinary consensus addressing current and emerging therapies. 00. DUPIXENT MyWay. For patients with commercial insurance who are new to DUPIXENT and experiencing a. Maximum benefit (2023) = $1,483. Rx: DUPIXENT® (dupilumab) (100 mg/0. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not ENROLL. Continuation in the DUPIXENT MyWay Patient Assistance Program is conditioned upon timely verification of income. It may be covered by your Medicare or insurance plan. I have read and agree to the Income Verification included in Section 8 on page 5. How many people live in your household? Please refer to Section 8, Patient Certifications, for additional information about the Patient Assistance Program. The DUPIXENT MyWay team can research each patient’s situation and determine eligibility. Eligible patients will receive their cards by email. SIGN UP TO SPEAK WITH A DUPIXENT MyWay ® MENTOR . Get a Quick Start. Injection Support Center Injection Reminders and Tips FREQUENTLY ASKED QUESTIONS; Español. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. Over 80% of insurance plans cover Dupixent, but many have restrictions. Edit your dupixent myway enrollment form online. Enrollment Form FOR DERMATOLOGISTS Complete the entire form and submit pages 1-2 to DUPIXENT MyWay® via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) For assistance, call 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm ET Patient Name DOB Prescriber. You or your patients can contact DUPIXENT MyWay® at 1-844-DUPIXEN(T) (1-844-387-4936) 1-844-DUPIXEN(T) (1-844-387-4936) to learn more. There is currently no generic alternative to Dupixent. Lancet. The DUPIXENT MyWay team can research each patient's situation and determine eligibility. If you still have questions, you can speak with a DUPIXENT MyWay or request to join the program over the phone. Please see accompanying full Prescribing Information. 1. 14 mL, or 300 mg/2 mL)Call 1-844-387-4936, Option 1 to contact DUPIXENT MyWay ®. Hello! Switching insurance this year and need to prepare for increasing costs of dupixent with my new insurance. ®DUPIXENT (dupilumab) Prescription Information Prescriber Certification: My signature certifies that the person named on this form is my patient; the information provided on this application, to the best of my knowledge, is complete and accurate; that therapy with DUPIXENT is medically necessary; and that I have prescribed DUPIXENT to the Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. Does anyone know the eligibility process for the dupixent copay assistance? Do they ask for tax forms? Is there an income limit? comments sorted by Best Top New Controversial Q&A Add a Comment More posts you may like. You may be eligible for the DUPIXENT MyWayDUPIXENT MyWayAbout Dupixent Dupixent is administered as an injection under the skin (subcutaneous injection) at different injection sites. ) I agree that Regeneron Pharmaceuticals, Inc. Dupixent is indicated for the treatment of severe atopic dermatitis in patients aged 6 to 11Dupilumab. I. including household income, to qualify. Income at or below: Not Published: Medical expenses can be. So, even with a "prior authorization" and a "formulary override", the cost to me is $2900 per month, or about $1450. Fill out sections 5a and 5b completely to determine patient eligibility. 17 and 0. If you are a New York prescriber, please use an original New York. 09. I just spoke to someone through the MyWay Program. 38]). I'm "only" 61 now though on Dupixent MyWay copay help. Serious adverse reactions may. · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. How to fill out dupixent reimbursement: 01. In clinical trials, DUPIXENT reduced the. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. 1-844-DUPIXENT 1-844-387-4936. If necessary, DUPIXENT may be kept at room temperature up to 77 °F (25 °C) for a maximum of 14 days. 01. DUPIXENT should not be stored above 77 °F (25 °C). DUPIXENT MyWay®. There is another biologic very similar to Dupixent called Adbry. Nationally are Covered for DUPIXENT. - Rachel, DUPIXENT Patient Mentor, living with asthma. DUPIXENT® ® 1-844-387-9370 or Document Drop at (code: 8443879370) In adults and children 6 years and older, your initial dose of DUPIXENT is 2 injections under the skin (subcutaneous injection) at different injection sites. Serious side effects can occur. DUPIXENT® (dupilumab) Prescription Information Quick Start may be able to provide DUPIXENT at no cost to help bridge patients to therapy if there is a coverage delay. Eligible commercially insured patients may pay $0 per prescription with a maximum savings of $13,000 per year; for additional information contact the program at 844-387-4936. Dupixent. You don’t have to put your life on hold to fit your dosing schedule. Patient assistance program. Copay Card or you wish to discontinue your participation, please contact us. Most do, some don't. Injection in children 12 and older should be supervised by an adult. Dupixent® should be given by or under the supervision of an adult in children 12 years of age and older. you offering to give them $170 they assumed you didn’t want to bother contacting dupixent myway. SINCE 2017, ≈253,000 PATIENTS HAVE FILLED AT LEAST 1 DUPIXENT PRESCRIPTION b,c. For more information, call 1. I just started this week so I look forward to seeing the results. DUPIXENT MyWay. including household income, to qualify. How many people live in your household? _____ Please refer to. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. If you are moderate to low-income person with eczema or just need help paying for your health care or prescription costs, you’ve come to the right place. The DUPIXENT MyWay team will research each patient’s situation and determine eligibility. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. Browse the DUPIXENT® (dupilumab) sitemap to help you learn more about uncontrolled moderate- to-severe eczema in adults and children aged 6 months & older and navigate DUPIXENT. If patients become infected while receiving treatment with DUPIXENT and do not respond to anti-helminth treatment, discontinue treatment with DUPIXENT until the infection resolves. Tell your healthcare provider about any new or worsening joint symptoms. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing useful tools and resources. DUPIXENT® is a subcutaneous injectable prescription medicine for adults and children aged 6 months & older, with uncontrolled, moderate-to-severe eczema (atopic dermatitis). Learn more about programs for eligible patients who are insured, underinsured, and uninsured. Compare monoclonal antibodies. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. In clinical trials, the impact of DUPIXENT on lung function was studied in patients 6 to 11 years of age and patients 12 years of age and older. Caring. for DUPIXENT® dupilumab therapy My Information. (2 of 3) Patient signature/Legal representative if patient is <18 years Date Section 2. Maximum Monthly Gross Income. I just got approved thru Dupixent my way for a year of free medication. There is currently no generic alternative to Dupixent. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. Eligible patients or caregivers of a patient must be: *For more information, dial 1-844-DUPIXENT 1-844-387-4936 option 5, Monday-Friday, 9 am - 9 pm ET. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. If you are a New York prescriber, please use an original New York State. who are prescribed Dupixent gain access to the medicine and receive the support they may need with the DUPIXENT MyWay ® program. chevron_right. Governed and delivered by Service Canada. The formulary status tool below can help check DUPIXENT coverage for various plans. Please see Important Safety Information and full PI on website. At that point we will owe 20% of the cost of the medication, which adds up to just under $700/month. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. 14 mL, or 300 mg/2 mL)My insurance provider covers 85% and our Canadian version of 'MyWay' pays the remainder. They will begin the benefits investigation and inform your office of the next steps. 67 mL, 200 mg/1. Boguniewicz M, Alexis AF, Beck LA, et al. Financial criteria for patient assistance. You can email or print the enrollment forms below. For more information, call 1-844-DUPIXENT. I’m Laurie. S. Compare . For more information, call 1-844-DUPIXENT ( 1-844-387-4936) option 1. 67 mL, 200 mg/1. chevron_right. 89 and -1. Fax the Enrollment Form to DUPIXENT MyWay. A program called Dupixent MyWay is available for this drug. Dupilumab. Got off of it as soon as I realized it was getting worse with every shot after spacing them out every other month. any time by mailing or faxing a written request to DUPIXENT MyWay at 1800 Innovation Point, Fort Mill, SC 29715; Fax: 1-844-387-9370. Even when using the Copay Card, that would cover only cover 4 months worth, and would not go towards my deductible, totaling about. The language of the MyWay program back then never mentioned the $13,000 limit: they simply asked for income requirements, etc. Partner with a specialist near you to see if DUPIXENT® (dupilumab) is an option for you for uncontrolled moderate-to-severe eczema in adults and children aged 6 months & older. Manufacturer Coupon. With MyWay, I get the year for free. Dupixent is indicated for the treatment of moderate to severe atopic dermatitis in patients aged 12 years and older who are candidates for chronic systemic therapy. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not Enrollment Form FOR DERMATOLOGISTS Complete the entire form and submit pages 1-2 to DUPIXENT MyWay® via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) Section 5a. . Decreased utilization of rescue medications 3. 89 and -1. The most common side effects include: DUPIXENT MyWay. 0252 Last Update: Feb 2023 DUP. Fill a 90-Day Supply to Save. Program Website : Patient Assistance Applications for DUPIXENT® dupilumab therapy My Information. 0254 Last Update: February 2023 DUP. Eligible patients covered by commercial health insurance may pay as little as a $0 p copay per fill of DUPIXENT. For children aged 6 months to 5 years, it is taken as 1 injection every 4 weeks. DUPIXENT MyWay provides prior authorization and appeals information you may need, as well as helpful examples and guides to assist in obtaining coverage for DUPIXENT. DUPIXENT (dupilumab) Dupixent FEP Clinical Criteria AND submission of medical records (e. comfysnail • 1 yr. Prurigo Nodularis: The most common adverse reactions (incidence ≥2%) are nasopharyngitis, conjunctivitis, herpes infection, dizziness, myalgia, and diarrhea. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based onto DUPIXENT MyWay at 1-844-387-9370. Some Medicare plans may help cover the cost of mail-order drugs. was not paid in whole or in part by Medicare, Medicaid, or any federal or state programs. S. living with prurigo nodularis. ithdrawal of this Authoriation will end my participation in the DUPIXENT MyWay Program and will not aect any disclosure of My Information ased on this Authoriation made efore my reuest is received and processed y my ealthcare Providers, ealth Insurers, and Specialty Pharmacies. I'm guessing this will not be allowed once I'm on Medicare. ) 2 Prescription InformationDupixent® (dupilumab) approved by FDA as the first and only treatment indicated for prurigo nodularis. 1-844-DUPIXENT (1-844-387-4936) Topicort (desoximetasone spray 0. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. I understand the disclosure to the Alliance will be for the purposes of enrolling me in, and providing certain services through the DUPIXENT MyWay Program, including • to determine if I am eligible to participate in DUPIXENT MyWay coverage assistance programs, patient assistance programs, or otherI experienced cold sores and eye issues for about the first 6 months of being on Dupixent. If you don’t have health insurance, talk. Each time you fill your DUPIXENT prescription, please ensure your. Assistance may be available for patients who do not have insurance. Eczema. I know people who make six figures on a joint income and still use MyWay. 01. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. 01. Dupixent is an injection that is usually given under the skin every other week for the treatment of asthma, eczema, and some other inflammatory conditions. The Dupixent pre-filled syringe is available in the following strengths: 100 mg per 0. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. 4 ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pm 01. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. Each time you fill your DUPIXENT prescription, please ensure your. 23. Sign it in a few clicks. _____ What is your total annual household income? _____ (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. Insurance Information Insurance? Yes No If yes, is it Medicare Part D? Primary insurance name Secondary insurance nameDupixent myway income limits 2022; where to buy authentic kf94 masks;. For more information and to find out if you’re eligible for support, call 844-DUPIXENT (844-387-4936) or visit the program website. You may be able to lower your total cost by filling a greater quantity at one time. 1, 2022, the gross income limit for Supplemental Nutrition Assistance Program (SNAP) eligibility in Minnesota increased from 165% to 200% of the federal poverty line for most households. I understand the disclosure to the Alliance will be for the purposes of enrolling me in, and providing certain services through the DUPIXENT MyWay Program, including • to determine if I am eligible to participate in DUPIXENT MyWay coverage assistance programs, patient assistance programs, or otherDUPIXENT . Complete the entire form and submit pages 1-2 to ®DUPIXENT MyWay via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) For assistance, call 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm ET Enrollment FormYes, it does appear that Dupixent can cause weight gain, although this is not listed as a side effect in the product information. Once I got a new job, I called Dupixent MyWay to tell them my status changed and I could now get drugs through my insurance's specialty pharmacy. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. It was granted and I pay $0. DUPIXENT MyWay® Program Taking Dupixent. For additional information or if you have questions, contact your Field Representative or call DUPIXENT MyWay at 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. 58 for 1. If you still have questions, you can speak with a DUPIXENT MyWay representative or request to join the program over the phone. and other countries to treat several diseases driven by type 2 inflammation. Learn how DUPIXENT helped treat children 6 to 11 years old with their moderate-to-severe asthma. I also enrolled in the dupixent my way program and my ambassador told me that as long as you don’t make $100,000 a year you qualify for the program to get dupixent free for a year. A program called Dupixent MyWay is available for this drug. 18, 0. -The original form (from the first guy) was still in the system and the folks at MyWay were “confused” by it. Support. Type text, add images, blackout confidential details, add comments, highlights and more. It contains 300 mg of DUPIXENT for injection under the skin (subcutaneous injection). And I would experience blurry vision, red and itchy eyes. For me, the side effects didn’t really bother me or have me second guess my decision with Dupixent because my skin was. was not paid in whole or in part by Medicare, Medicaid, or any federal or state programs. In SINUS-24 and SINUS-52, 74% fewer patients required SCS use at Week 52 with DUPIXENT 300 mg Q2W + INCS compared to placebo + INCS (HR: 0. Your experience with DUPIXENT is unique, and sharing your journey can inspire and empower people facing similar challenges. Especially tell your healthcare provider if you. I give supplemental injection training to the patient and the patient’s caregiver. 5. . Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. 1 Reactions. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. S. We'll keep those "Instructions for Use" nearby and then lay the pre-filled syringe on a flat surface and let it naturally warm at a room temperature of less than 77°F (25°C). DUPIXENT® is a prescription medicine used as an add-on maintenance treatment for uncontrolled moderate-to-severe eosinophilic or oral steroid dependent asthma in people aged 6 years and older. Household Size. From my understanding, the Dupixent MyWay Program pays the $125 since your insurance is covering the rest. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM. DUPIXENT® (dupilumab), is the first FDA-approved biologic to treat eosinophilic esophagitis (EoE) in patients 12 years and older who weigh at least 88lb (40kg). And very recently got laid off due to Covid-19. For more information, dial 1. a,b a Data on file, Sanofi and Regeneron, US. If approved by your insurance company, getting a 90-day supply of the drug could reduce your number of. DUPIXENT MyWay®. ®DUPIXENT (dupilumab) Prescription Information Prescriber Certification: My signature certifies that the person named on this form is my patient; the information provided on this application, to the best of my knowledge, is complete and accurate; that therapy with DUPIXENT is medically necessary; and that I. LASTING CHANGE IS ACHIEVABLE. financial assistance for eligible patients, provide one-on-one nursing support, and more. Gather all necessary information and documents, such as your insurance information, prescription details, and any supporting documentation. DUPIXENT MyWay coordinators are available Monday-Friday 8 am to 9 pm ET. TEL: 844. DUPIXENT® (dupilumab) Prescription Information Quick Start may be able to provide DUPIXENT at no cost to help bridge patients to therapy if there is a coverage delay. ) Please refer to Section 8, Patient Certifications, for. E. For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. At this rate, I will no longer be able to afford the medication very soon. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. March 29, 2018. any time by mailing or faxing a written request to DUPIXENT MyWay at 1800 Innovation Point, Fort Mill, SC 29715; Fax: 1-844-387-9370. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. Biologics and monoclonal antibodies (mabs) for atopic dermatitisVO: DUPIXENT® (dupilumab) is a prescription medicine used to treat people aged 6 years and older with moderate-to-severe atopic dermatitis (eczema) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. 26 [95% CI: 0. Serious side effects can occur. 2 pens of 300mg/2ml. So, let's just pretend the total cost is $1,000/month. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase. Financial criteria for patient assistance. After that, it is taken as 1 injection every 2 weeks or every 4 weeks, depending on your age and weight. ithdrawal of this Authoriation will end my participation in the DUPIXENT MyWay Program and will not aect any disclosure of My Information ased on this Authoriation made efore my reuest is received and processed y my ealthcare Providers, ealth Insurers, and Specialty Pharmacies. 02. 5011 XXX X < M A T > 00000 0 300 mg/ 2 m L Look at theFull Prescribing Information: Patient Information: Learn more about DUPIXENT: Thanks for c. Patient has been compliant on Dupixent therapy 4. This year the program seems to have changed, requiring a separate 'copay card' with an annual limit of $13,000. 23. Guam or the USVI, and demonstrate a financial need with a total annual adjusted gross income of $100,000 or less. Fill out sections 5a and 5b completely to determine patient eligibility. ) I agree that Regeneron Pharmaceuticals, Inc. I was given the MyWay copay card but it had a limit of $13,000/calendar year and that has been exhausted at this point. Children 6 to 11 years of age . Does anyone know of any assistance programs I can use to help assist in the copay after dupixent my way limit is reached?33% and 27% reduction in their nasal polyps score compared to a 7% and 4% increase with placebo in SINUS-24 and SINUS-52, respectively (LS mean change from baseline of -1. I pay for it with my insurance and the myway copayment program. 10 for placebo; difference between Dupixent and placebo: -2. DUPIXENT MyWay® can assist with: Verifying patient’s specific health plan coverage for DUPIXENT; Determining utilization management (UM) criteria; Identifying patient’s possible out-of-pocket responsibilities; Helping navigate any required prior authorization (PA) processes; Educating you and your patient about the appeals process if. DUPIXENT use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. For more information, please call 1-844-DUPIXENT (1-844-387-4936) or visit . Your experience with DUPIXENT is unique, and sharing your journey can inspire and empower people facing similar challenges. At one point, I was getting cold sores every 2 to 3 weeks consistently. March 27, 2018. 0129 Last Update:. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. The patient would prefer not to try. Hello! Switching insurance this year and need to prepare for increasing costs of dupixent with my new insurance. LONG-LASTING CLEARER SKIN AT 16 and 52 Weeks 22% taking. ( 1-844-387-4936 ), option 1. Copay Card or you wish to discontinue your participation, please contact us. Get a Quick Start. Please see. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack. 06 and -1. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Assistance may be available for patients who do not have insurance. , Sanofi US, and their affiliates and agents (together, the “Alliance”) may verifyBy checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will notFor any questions or concerns, or to report side effects with a Sanofi and Regeneron product while enrolled in DUPIXENT MyWay®, please contact 1-844-DUPIXEN(T)(1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. any time by mailing or faxing a written request to DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. But either way, after you or Dupixent myway meets your deductible, it should be free to you. $125 is the amount Dupixent assistance pays. DUPIXENT MyWay® A program to provide support to patients starting DUPIXENT. How many people live in your household? _____ Please refer to. Rx: DUPIXENT® (dupilumab) (100 mg/0. DUPIXENT® is indicated as an add-on maintenance treatment of adult and pediatric patients 6 years and older with moderate-to-severe asthma characterized by an eosinophilic phenotype or with oral corticosteroid dependent asthma. For any questions or concerns, or to report side effects with a Sanofi and Regeneron product while enrolled in DUPIXENT MyWay®, please contact 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. For more information and to find out if you’re eligible for support, call 844-DUPIXENT (844-387-4936) or visit the program website. DUPIXENT MyWay is a patient support program that can help enable access to DUPIXENT and offers financial assistance to eligible patients, one-on-one nursing support, and. Coverage varies by. Get your personalized discussion guide to help yourself have a productive conversation with your doctor & see if DUPIXENT® (dupilumab) for uncontrolled moderate-to-severe atopic dermatitis is right for you. The DUPIXENT MyWay team will research each patient’s situation and determine eligibility. Coverage varies by type and plan. a $85. 2 Eligible US residents with an FDA-approved prescription for DUPIXENT may pay as little as $0 copay per fill of DUPIXENT (annual maximum of $13,000). Call 1-844-387-4936 SUMIT COMPLETED PAGES 1 2 Fax: 1-844-387-9370 MF, 8am9pm ET Document Drop: (code: 8443879370) Patient Name DO / / Prescriber Name Prescriber AddressDupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. 14 mL, or 300 mg/2 mL)Section 5a. It will also depend on how much you have. Dupixent. ) 2 Prescription InformationDUPIXENT is not a steroid. The most common side effects include: DUPIXENT MyWay. For more informational, page 1‑844‑DUPIXENT (1-844-387-4936), option. You can email or print the enrollment forms below. Children treated with Dupixent and topical corticosteroids (TCS) achieved clearer skin, experienced significantly improved overall disease severity and significantly reduced itch compared to TCS. 23. Dupixent® (dupilumab) approved by FDA as the first and only treatment indicated for prurigo nodularis Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase 3. Do NOT shakeConoce las dos opciones de administración disponibles: jeringa precargada de 200 mg y 300 mg, y pluma precargada de 200 mg y 300 mg (para edades de 12 años o más), y revisa cómo inyectar DUPIXENT® (dupilumab), un medicamento para inyección subcutánea, de venta con receta, para el eczema moderado a grave en adultos y niños de 6 meses o más. With and DUPIXENT MyWay Copay Card, eligible, commercially insured care may pay when little as $0* copay by fill the DUPIXENT. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. Dupixent MyWay Program Dupixent (dupilumab injection). 03. LH Patient View; data through June 16, 2023. 80). For more information, call 1-844-DUPIXEN (T) (1-844-387-4936. DUPIXENT® and DUPIXENT MyWay® are entered commercial of Sanofi Biotechnological. ) 2 Prescription Informationany time by mailing or faxing a written request to DUPIXENT MyWay at 1800 Innovation Point, Fort Mill, SC 29715; Fax: 1-844-387-9370. I suppose it doesn't really matter now. To enroll or obtain information call 1-877-311. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay, and that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. Learn more about DUPIXENT® (dupilumab), is the first FDA-approved biologic to treat eosinophilic esophagitis (EoE) in patients 12 years and older who weigh at least 88lb (40kg). Ready to connect with actual patients and caregivers being treated with DUPIXENT? The DUPIXENT MyWay Mentor Program helps put current and prospective moderate-to-severe eczema (atopic dermatitis or AD) DUPIXENT patients in contact with people going through similar. Since 2018, DUPIXENT has been prescribed to over 100,000 asthma patients in the US. Program has an annual maximum of $13,000. About 75,000 adults in the U. Browse the DUPIXENT® (dupilumab) sitemap to help you learn more about eosinophilic esophagitis (EoE) in patients 12 years and older who weigh at least 88lb (40kg) and navigate DUPIXENT. Program Website : Program Applications and FormsView the possible side effects of DUPIXENT in patients with uncontrolled chronic rhinosinusitis with nasal polyposis. 0156 Past Update: March 2023 DUP. . Rx: DUPIXENT® (dupilumab) (100 mg/0. The DUPIXENT MyWay team can research each patient's situation and determine eligibility. , Sanofi US, and their affiliates and agents (together, the “Alliance”) may verifyDUPIXENT MyWay Nurse Educators are trained to help provide patients with supplemental injection training either online, over the phone, or in person with a training kit and practice syringe or practice pen. DUPIXENT MyWay ENROLLMENT FORMS; English Enrollment Form. Learn about DUPIXENT® (dupilumab) for moderate-to-severe asthma treatment. What it is used for. My doctor gave me a copay card to cover mine. Caring. Depends if your insurance cares that Dupixent myway is paying your deductible. So, even with a "prior authorization" and a "formulary override", the cost to me is $2900 per month, or about $1450. Select Condition Indication Moderate-to-Severe Eczema (Ages 6+ Months) Moderate-to-Severe Asthma (Ages 6+ Years) Chronic Rhinosinusitis with Nasal Polyposis (Ages 18+. Monday-Friday, 8 am - 9 pm ET I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay, and that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. Last time I checked income didn’t matter? The only way it became affordable for me was to get the deluxe package of my insurance. For patients with commercial insurance who are new to DUPIXENT and experiencing a. 4. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. Dupixent may cause serious side effects. ®DUPIXENT (dupilumab) Prescription Information Prescriber Certification: My signature certifies that the person named on this form is my patient; the information provided on this application, to the best of my knowledge, is complete and accurate; that therapy with DUPIXENT is medically necessary; and that I. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. com, help you fill it out, and fax it back to DUPIXENT MyWay at 1-844-387-9370 • You or your healthcare provider can call 1-844-DUPIXEN(T), option 1 • Providing your email address allows DUPIXENT MyWay to give you more support resources about DUPIXENT HAS YOUR DOCTOR PRESCRIBED DUPIXENT ® (dupilumab)? 14 15. PRESCRIBER TO FILL OUT Complete the entire form and submit pages 1-2 to ®DUPIXENT MyWay via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) Education and Nurse Support: One-on-one nursing support is available to educate and empower patients to use DUPIXENT as prescribed. Lot EXP Mfd. 12. 0129 Last Update:. You have to game the system instead of trying to get full coverage. DUPIXENT® (dupilumab) Prescription Information Quick Start may be able to provide DUPIXENT at no cost to help bridge patients to therapy if there is a coverage delay. I understand that. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based on I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay, and that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. financial assistance for eligible patients, provide one-on-one nursing support, and more. Find videos and downloadable instructions for the two injection administration options available for DUPIXENT® (dupilumab), pre-filled syringe (200 mg or 300 mg) with needle shield for ages 6 months & older, or pre-filled pen (200 mg or 300 mg) for ages 2+ years. VO: DUPIXENT is a prescription medicine used: to treat people aged 6 years and older with moderate-to-severe atopic dermatitis (eczema) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. Sign up for the DUPIXENT MyWay® mentor program for adults with uncontrolled chronic rhinosinusitis with nasal polyposis that is associated with type 2 inflammation. Complete the entire form and submit pages 1-2 to ®DUPIXENT MyWay via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) For assistance, call 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8. DUPIXENT® (dupilumab), in moderate-to-severe asthma treatment, is taken as an injection by a pre-filled syringe or pre-filled pen, review both options here. 02. Learn about the DUPIXENT® (dupilumab) mechanism of action inhibiting IL-4 and IL-13 signaling in appropriate asthma patients. Data from DUPIXENT ® clinical trials have shown that IL-4 and IL-13 are key drivers of the type 2 inflammation that plays a major role in asthma, atopic. Patient Assistance Program. Since MyWay covers 13,000 a year, that will count towards your deductible. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack coverage, or need assistance with their out-of. Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase 3 program consisting of two pivotal trials. The majority of DUPIXENT patients with commercial/employer-provided insurance use the DUPIXENT MyWay ® Copay Card. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. Dupixent on a High Deductible Health Plan. Patient is responsible for any out-of-pocket amounts that exceed the program limit. Most do, some don't. In addition, I agree to notify DUPIXENT MyWay if my insurance situation changes. 14 mL, or 300 mg/2 mL) Call 1-844-387-4936, Option 1 to contact DUPIXENT MyWay ®.