For more information or to enroll in the patient support program, contact us at: 1‑844‑DUPIXENT. Hello! Switching insurance this year and need to prepare for increasing costs of dupixent with my new insurance. Maybe try that while waiting for the Dupixent. ago. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM. 01. How do my patients enroll in <em>DUPIXENT MyWay®</em>? When filling out the DUPIXENT MyWay Enrollment Form, both you and your patient will be required to. I just started this week so I look forward to seeing the results. You can email or print the enrollment forms below. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT (maximum of $13,000 per patient per calendar. After that, we will have met our family deductible. It should only be given by an adult caregiver in children 6 to 11 years of age. Dupixent may cause serious side effects. But either way, after you or Dupixent myway meets your deductible, it should be free to you. Follow these tips to take DUPIXENT while traveling: Store DUPIXENT in the original carton to protect it from light. 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. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. With the DUPIXENT MyWay Copay Card, eligible,. You can email or print the enrollment forms below. Caring. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. who are prescribed Dupixent gain access to the medicine and receive the support they may need with the DUPIXENT MyWay ® program. I've been on Dupixent for over 2 years now and it has been such a great experience keeping my eczema under control. March 27, 2018. Learn about DUPIXENT® (dupilumab) for moderate-to-severe asthma treatment. a ®® ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pm600 mg (two 300 mg injections) 300 mg Q4W : 30 to less than 60 kg ; 400 mg (two 200 mg injections) 200 mg Q2W : 60 kg or more : 600 mg (two 300 mg injections)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. Compare . 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. 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. Dupixent is not intended for episodic use. Manufacturer Coupon. FUN Documents, MMIT, and Policy Reporter as of July 12, 2023. Approximately 72% of the total FEV 1 improvement (470 mL improvement at Week 52 from baseline FEV 1 of 1. How many people live in your household? Please refer to Section 8, Patient Certifications, for additional information about the Patient Assistance Program. Ways to save on Dupixent. 0185 Last Update: November 2022 DUP. My doctor gave me a copay card to cover mine. ) I agree that Regeneron Pharmaceuticals, Inc. DUPIXENT use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. The appeal process Example letters. The most common side effects include: DUPIXENT MyWay. From my understanding, the Dupixent MyWay Program pays the $125 since your insurance is covering the rest. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. 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 otherBy checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. I give supplemental injection training to the patient and the patient’s caregiver. Compare monoclonal antibodies. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. DUPIXENT can be used with or without topical corticosteroids. United Healthcare covers it but I get insurance through my employer and it was a huge pain to get approved. I’ve been with DUPIXENT MyWay since the very beginning. Not valid for prescriptions paid, in whole or in part, by Medicaid, Medicare, VA, DOD, TRICARE, or. Do you think that will hurt my chances of qualifying? I know my prescription drug costs are high enough. DUPIXENT® (dupilumab) is a. Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. The patient would prefer not to try. So the nurse told me to fax receipts for year to date prescriptions and last year's income forms (W2, 1099, etc). About 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. 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. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will notOnce you’ve been prescribed DUPIXENT, your healthcare provider can download the enrollment form, help you fill it out, and fax it back to DUPIXENT MyWay at 1-844-387-9370. C M ET DUPIXENT MYWAY ENROLLMENT FORM Moderate-to-Severe Atopic Dermatitis SUBMIT COMPLETED PAGES 1 & 2 Fax: 1-844-387-9370 Document Drop: (code: 8443879370)The DUPIXENT MyWay Copay Card Program includes the Copay Card, the Debit Card, and any direct patient rebate, and has a combined annual maximum benefit of $13,000 per patient per calendar year. 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. You may be able to lower your total cost by filling a greater quantity at one time. 0252 Last Update: Feb 2023 DUP. According to the manufacturers, Dupixent can be dosed to a maximum daily dose as indicated below. It was a process to get into the patient assist program. 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). Patient assistance program. 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. 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. Dupixent. Does anyone know of any assistance programs I can use to help assist in the copay after dupixent my way limit is reached?I experienced cold sores and eye issues for about the first 6 months of being on Dupixent. For me, the side effects didn’t really bother me or have me second guess my decision with Dupixent because my skin was. My wife is on Dupixent, and has the MyWay card which allows up to $13,000/year. Monday-Friday, 8 am-9 pm ET. · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. Lancet. financial assistance for eligible patients, provide one-on-one nursing support, and more. Advertisement. Monday-Friday, 8 am - 9 pm ETto DUPIXENT MyWay at 1-844-387-9370. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. I. Share your form with others. Get emergency medical help if you have signs of an allergic reaction to Dupixent: hives, rash, itching; fever, swollen glands, joint pain; feeling light-headed, difficult breathing; swelling of your face, lips, tongue, or throat. If this is the case, write the preferred specialty pharmacy name and then check the box indicating that you have sent the prescription to the specialty pharmacy, which will. Patient Signature _____ If you have questions about the . Connect with someone, ask questions, and learn about their experience with DUPIXENT® (dupilumab) treatment. Dupixent on a High Deductible Health Plan. chevron_right. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. a FDA approved since 2017 for adults, 2019 for adolescents (aged 12‑17 years), 2020 for children (aged 6-11 years), Patients may be eligible for the DUPIXENT MyWay Copay Card if: They have a DUPIXENT prescription for an FDA-approved condition. 6 Submitting a PA request The appeal. Some Medicare plans may help cover the cost of mail-order drugs. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. DUPIXENT MyWay®. These programs and tips can help make your prescription more affordable. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. Sign it in a few clicks. 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. DUPIXENT® is a subcutaneous injectable prescription medicine for adults and children aged 6 months & older with uncontrolled, moderate-to-severe. Food and Drug Administration has approved Dupixent ® (dupilumab) as an add-on maintenance therapy in patients with moderate-to-severe asthma aged 12 years and older with an eosinophilic phenotype or with oral corticosteroid-dependent asthma. The Dupixent pre-filled syringe is available in the following strengths: 100 mg per 0. 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. Most do, some don't. Surgery may remove your nasal polyps, but it may not treat an underlying cause of inflammation—allowing them to grow back. DUPIXENT MyWay Appeal Specialists can help provide support throughout the appeal process. For more information, please call 1-844-DUPIXENT (1-844-387-4936) or visit . A program called Dupixent MyWay is available for this drug. For more information, call 1-844-DUPIXENT. I give supplemental injection training to the patient and the patient’s caregiver. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. DUPIXENT® and DUPIXENT MyWay® are entered commercial of Sanofi Biotechnological. DUPIXENT MyWay is a patient support program that can help enable access to DUPIXENT and offers financial assistance for eligible patients, one-on-one nursing support, and more. Nurse Educators Nurse Educators offer one-on-one support to help patients start and stay on track with therapy. I just spoke to someone through the MyWay Program. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. I suppose it doesn't really matter now. Serious side effects can occur. 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. chevron_right. For more information, call 1-844-DUPIXENT ( 1-844-387-4936) option 1. Lancet. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based on this Authorization made before my request is received and. A quantity of Dupixent will be considered medically necessary if the above criteria are met, as indicated in the table below:. DUPIXENT is a prescription medicine used as an add-on maintenance treatment for adults and children 6 years of age and older who have moderate-to-severe eosinophilic or oral steroid dependent asthma that is not controlled with their current asthma medicines. Watch videos from experts [,download materials,] and explore future events to further understand DUPIXENT® (dupilumab). Patient to Fill Out. I’m Laurie. 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 . The majority of DUPIXENT patients with commercial/employer-provided insurance use the DUPIXENT MyWay ® Copay Card. 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. , 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® 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. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. Please see Important Safety Information and Prescribing Information and Patient Information on website. The most common side effects include: DUPIXENT MyWay. If you are a New York prescriber, please use an original New York State prescription form. Get a Quick Start. $0!!!!! On April 6 I sent them income paperwork and my year to date prescription invoices. 06 and -1. Serious side effects can occur. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. If you still have questions, you can speak with a DUPIXENT MyWay or request to join the program over the phone. 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. 0129 Last Update:. DUPIXENT should not be stored above 77 °F (25 °C). Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase. Select Condition Indication Moderate-to-Severe Eczema (Ages 6+ Months) Moderate-to-Severe Asthma (Ages 6+ Years) Chronic Rhinosinusitis with Nasal Polyposis (Ages 18+. 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. This copay card may be for you if you. Opinions clash over private equity’s effect on dermatology. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. -The original form (from the first guy) was still in the system and the folks at MyWay were “confused” by it. 58 for 1. The most common side effects include: DUPIXENT MyWay. *For patients on DUPIXENT 300 mg in a 24-week and a 52-week clinical trial vs 17% for placebo group. Quantity Limits: Dupixent: 200 mg/1. 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 otherThis DUPIXENT Pre-filled Pen is only for use in adults and children aged 2 years and older. ®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. Patients will need on hit the eligibility benchmark, including household income, to qualify. 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. _____ What is your total annual household income? _____ (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. Effective Sept. 0254 Last Update: February 2023 DUP. com. Rx: DUPIXENT® (dupilumab) (100 mg/0. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will notDUPIXENT MyWay may ask for proof of income at any time for the purpose of audit/verification. Dupixent is indicated for the following type 2 inflammatory diseases:,Atopic Dermatitis,Adults and adolescents,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. Appears that my out of pocket maximum will be $8000 through insurance. Patients may be eligible for the DUPIXENT MyWay Copay Card if: They have a DUPIXENT prescription for an FDA-approved condition. There is currently no generic alternative to Dupixent. The DUPIXENT MyWay program also provides useful tools and resources to help you stay on track with your treatment. For more information, please call 1-844-Dupixent (1-844-387-4936) or visit a personalized discussion guide to make the most of your doctor's visit whether you're beginning your EoE treatment journey or looking for another option. Griffinej5 • 2 yr. Serious adverse reactions may. Clip the card and save • Save up to 80% on medications* Tell your healthcare provider about any new or worsening joint symptoms. • DUPIXENT can be stored at room temperature up to 77°F (25°C) up to 14 days. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. 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. Section 5a. At one point, I was getting cold sores every 2 to 3 weeks consistently. Dupixent will run about $3000 per month with my insurance until my maximum is met. 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. 67 mL Dupixent subcutaneous solution from $3,787. ) Please refer to Section 8, Patient Certifications, for. 03. 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. On dupixent, Dupilumab, I honestly felt I was in my 60 to 70s+ with joint pains throughout my entire body even into the smallest of joints like fingers. 1kg over one year – the amount of weight gained ranged from 0. For assistance, please call 1-844-468-2252 Monday Friday, 8AM to 8PM ET. DUPIXENT was studied in adults and children 6 months of age and older. They never mentioned only covering a. In order to meet the financial eligibility criteria for receiving Sanofi medication at no cost, you must have an annual household income of ≤ 400% of the current Federal Poverty. Household Size. 99% of commercial patients (6+ months of age) nationally are covered for DUPIXENT. 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. 14 mL, or 300 mg/2 mL)Section 5a. 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. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. Rx: DUPIXENT® (dupilumab) (100 mg/0. financial assistance for eligible patients, provide one-on-one nursing support, and more. Sign up or activate your card here. 23. This medicine should be given by a caregiver in children 6 months to less than 12 years of age. QUEST (12+ years) DUPIXENT offers rapid breathing relief patients can feel as early as Week 2. 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. We just need you to answer a few questions to verify your eligibility and contact information. DUPIXENT MyWay. Program Website : Patient Assistance Applicationsfor DUPIXENT® dupilumab therapy My Information. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. It's like $35k-$40k. Subcutaneous Solution 100 mg/0. 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 MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. Data on file, Regeneron Pharmaceuticals, Inc. Dupixent (dupilamab) Dupixent MyWay patient support program. 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) Complete the entire form and submit pages 1-3 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 Form FOR ALLERGISTS Using a mail-order specialty pharmacy might help lower the monthly cost of Dupixent. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Robocalls increase diabetic retinopathy screenings in low-income patients. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based on this Authorization made before my request is received and. Over 80% of insurance plans cover Dupixent, but many have restrictions. THIS IS NOT INSURANCE. At this rate, I will no longer be able to afford the medication very soon. living with prurigo nodularis. So, let's just pretend the total cost is $1,000/month. Please see. Just got off the phone with Dupixent My Way. Enrolled patients receive: One-on-one support from our DUPIXENT MyWay support team; Help understanding insurance coverage; Financial assistance (for eligible patients only) Help scheduling deliveries any time by mailing or faxing a written request to DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. 23. It was granted and I pay $0. 17 and 0. 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. Prurigo Nodularis: The most common adverse reactions (incidence ≥2%) are nasopharyngitis, conjunctivitis, herpes infection, dizziness, myalgia, and diarrhea. Support. who are prescribed Dupixent gain access to the medicine and receive the support they may need with the DUPIXENT MyWay ® program. Dupixent will run about $3000 per month with my insurance until my maximum is met. After that, it is taken as 1 injection every 2 weeks or every 4 weeks, depending on your age and weight. Hear real patients stories of life with uncontrolled moderate-to-severe asthma and how discovering DUPIXENT® (dupilumab) impacted their journey. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. When filling out the DUPIXENT MyWay Enrollment Form, both you and your patient will be required to supply information, such as the patient’s insurance, diagnosis, and prescription. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as a $0* copay per fill of DUPIXENT, maximum of $13,000 per patient per calendar year. If you are a New York prescriber, please use an original New York State prescription form. 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. Pay as little as $0 per month. You may be able to get a 90-day supply of Dupixent. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. 01. 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. Patient is responsible for any out-of-pocket amounts that exceed the program limit. 67 mL, 200 mg/1. Eligible patients will receive their cards by email. ) 2 Prescription InformationIn adults and children 6 years and older, your initial dose of DUPIXENT is 2 injections under the skin (subcutaneous injection) at different injection sites. Sanofi offers a Dupixent MyWay copay card to some patients with commercial insurance, but it has eligibility requirements and a yearly maximum of $13,000. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. 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. Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. These programs and tips can help make your prescription more affordable. 0156 Last Update: March 2023 DUP. -The MyWay forms themselves changed to a new revision and had to be resubmitted by my doctor -The revised new form needed me to resign then over the phone. DUPIXENT is not used to treat sudden breathing problems. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based on this Authorization made before my request is received and processed by my Healthcare Providers, Health Insurers,DUPIXENT has been prescribed to over 50,000 uncontrolled nasal polyp patients and counting! DUPIXENT is the first biologic nasal polyp treatment that’s an alternative to nasal polyp surgery. financial assistance for eligible patients, provide one-on-one nursing. 98% of Commercially Insured Patients. and other countries to treat several diseases driven by type 2 inflammation. They are a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI. I’m a registered nurse with DUPIXENT MyWay. It temporarily provides eligible patients DUPIXENT at no cost, subject to program terms and conditions. Governed and delivered by Service Canada. I'm "only" 61 now though on Dupixent MyWay copay help. In order to meet the financial eligibility criteria for receiving Sanofi medication at no cost, you must have an annual household income of ≤ 400% of the current Federal Poverty Level. 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. 01. The formulary status tool below can help check DUPIXENT coverage for various plans. If you still have questions, you can speak with a DUPIXENT MyWay or request to join the program over the phone. $4,930. So, how can you save? Manufacturer Sanofi offers Dupixent MyWay, a patient support program. Maximum Monthly Gross Income. DUPIXENT MyWay team will research each patient’s situation and determine eligibility. 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. DUPIXENT® (dupilumab) is a subcutaneous injectable medication used in the treatment of patients aged 6 years and older with uncontrolled moderate-to-severe atopic dermatitis with two delivery options available, pre-filled syringe & pre-filled pen (aged 12+ years). The DUPIXENT MyWay team can research each patient's situation and determine eligibility. 17 and 0. Most do, some don't. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. (DUPIXENT + Topical Corticosteroids (TCS) vs TCS only): CLEAR OR ALMOST CLEAR SKIN AT 16 Weeks 39% taking DUPIXENT + TCS vs 12% using TCS only. DUPIXENT® is a subcutaneous injectable prescription medicine for adults and children aged 6 months & older, with uncontrolled, moderate-to-severe eczema (atopic dermatitis). The specialty pharmacy is responsible for securing coverage on my patient’s behalf. It contains 300 mg of DUPIXENT for injection under the skin (subcutaneous injection). And I would experience blurry vision, red and itchy eyes. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based on1-844-DUPIXENT 1-844-387-4936. Declining androgen levels correlated with increased frailty. you offering to give them $170 they assumed you didn’t want to bother contacting dupixent myway. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. Upon receipt of the completed Enrollment Form, DUPIXENT MyWay will: Conduct a benefits investigation to confirm commercial coverage Assess if the patient meets the eligibility criteria for the Quick Start Program 1 2 Approve the patient (if they are eligible). Find the safety profile, including most common side effects, of DUPIXENT® (dupilumab) for infant to preschoolers 6 months to 5 years of age with uncontrolled moderate-to-severe atopic dermatitis . In addition, I agree to notify DUPIXENT MyWay if my insurance situation changes. Box 5925 Mailstop 55A-220A Bridgewater, NJ 08807. Patient assistance program. 2017;5 (6):1519-1531. The formulary status tool below can help check DUPIXENT coverage for various plans. 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 other 4 ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pm This will allow the specialty pharmacy to conduct the benefits investigation, and DUPIXENT MyWay will provide additional support to the patient. - Rachel, DUPIXENT Patient Mentor, living with asthma. Social Security income, unemployment insurance benefits, disability income, any other income for the household. 1-844-DUPIXENT 1-844-387-4936. 4 ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pm01. Clip the card and save • Save up to 80% on medications*Tell your healthcare provider about any new or worsening joint symptoms. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. 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;. Although you are not eligible, you can sign up DUPIXENT MyWay. Learn how DUPIXENT® (dupilumab), the first FDA-approved weekly injectable biologic treatment for eosinophilic esophagitis (EoE) in patients 12 years and older who weigh at least 88lb (40kg) targets a source of inflammation, which contributes to EoE. BIN: 020750 RX PCN: NMeds RX GRP: PDFPDF ID: NMNA019309901930 This is a drug discount program, not an insurance plan. Eosinophilic Esophagitis: DUPIXENT is indicated for the treatment of adult and pediatric patients aged 12 years and older, weighing at least 40 kg, with eosinophilic esophagitis (EoE). Coverage varies by. Sign up to connect with a DUPIXENT MyWay® mentor to help patients with Nasal Polyps through their DUPIXENT. Patients in each age group saw improved lung function in as little as 2 weeks. living with prurigo nodularis. Every enrolled patient is assigned a phone-based DUPIXENT MyWay® Nurse Educator, who takes a patient-centric approach to providing tools, support resources, and education throughout the patient’s treatment journey. Fill a 90-Day Supply to Save. Patient is responsible for any out-of-pocket amounts that exceed the program limit. • Store DUPIXENT in the refrigerator at 36°F to 46°F (2°C to 8°C). 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. After removal from the refrigerator, DUPIXENT must be used within 14 days or discarded. Fill out sections 5a and 5b completely to determine patient eligibility. . 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. Dupixent is currently approved in the U. 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. Dupixent MyWay Copay Card. Thus, the member is now $500 from hitting his deductible and $1500 from hitting his out-of-pocket maximum. 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. 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. Support. Needed additional leadership equipped the enrollment process? Contact your section accessories dedicated or call DUPIXENT MyWay. With of DUPIXENT MyWay Copay Card, right, commercially insured patients might pay as little as $0* copay per fill of DUPIXENT. chevron_right. And, if you're eligible, you can sign up and receive your card today. Fill out sections 5a and 5b completely to determine patient eligibility. com. Find the safety profile, including most common side effects, of DUPIXENT® (dupilumab) for infant to preschoolers 6 months to 5 years of age with uncontrolled moderate-to-severe atopic dermatitis . Note: All information is required unless otherwise indicated. Program possessed one annual maximum from $13,000. Rx: DUPIXENT® (dupilumab) (100 mg/0. Required if enrolling in the DUPIXENT MyWay. For more information, dial 1‑844‑DUPIXENT ( 1-844-387-4936 ), option 1 Monday-Friday, 8 am - 9 pm ET. The patient must then take the following actions:I just got approved for dupixent this week however the copay is 3,000$ a month! The dupixent my way program only covers up to 13k or something like that. A group of skin conditions characterized by skin inflammation, rash, and itch. For more information and to find out if you’re eligible for support, call 844-DUPIXENT (844-387-4936) or visit the program website. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. Continuation in the DUPIXENT MyWay Patient Assistance Program is conditioned upon timely verification of income. S. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. 14 mL, or 300 mg/2 mL)The average cash price for a 30-day supply of Dupixent is $5,298. LONG-LASTING CLEARER SKIN AT 16 and 52 Weeks 22% taking. Dupixent is an injection under the skin (subcutaneous injection) at different injection sites. The $500 payment counts towards the member’s deductible and out-of-pocket maximum. , chart notes, laboratory values) and use of claims history documenting the following: 1. This medicine should be given by a caregiver in children 6 months to less than 12 years of age. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. It’s a change in how copay assistance and coupons are counted toward your. Access the dupixent reimbursement form either online or through your healthcare provider. DUPIXENT is not a steroid or immunosuppressant; it is a prescription biologic medicine given under the skin (subcutaneous injection). Since 2017, Dupixent has increased in price by 13%. Please see accompanying full Prescribing Information. Serious side effects can occur. 0254 Last Update: February 2023 DUP. Form more information phone: 844-387-4936 or Visit website Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. Option 1- you have to meet your deductible without Dupixent myway. As far as choosing a better plan with a lower deductible, I don't really have much of a choice. Program Website : Patient Assistance Applications for DUPIXENT® dupilumab therapy My Information. DUPIXENT MyWay® A program to provide support to patients starting DUPIXENT. DUPIXENT can be used with or without topical corticosteroids. DUPIXENT use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. Maximum benefit (2023) = $1,483. There is another biologic very similar to Dupixent called Adbry. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. So, how can you save? Manufacturer Sanofi offers Dupixent MyWay, a patient support program. 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. 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. A case series of 12 people prescribed Dupixent reported an average weight gain of 6. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. When I was very young, I knew that I wanted to be a nurse. Regeneron and Sanofi are committed to helping patients in the U. DUPIXENT is taken by injection under the skin (subcutaneous injection) once every two weeks. Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. Dupixent has been studied in more than 8,000 patients ages 6 years and older across more than 40 clinical trials. It still covers the same amount. Your insurance has to deny twice and then you can apply for patient assistance. Expert perspectives on management of moderate-to-severe atopic dermatitis: a multidisciplinary consensus addressing current and emerging therapies. 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. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus.