Tell your healthcare provider about any new or worsening joint symptoms. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM For more information, call 1-844-DUPIXENT ( 1-844-387-4936) option 1 Monday-Friday, 8 am - 9 pm ET Key points of contact for coverage are located on the card itself. Available at https://aspe.hhs.gov/poverty-guidelines. DUPIXENT can be used with or without topical corticosteroids. with other asthma medicines for the maintenance treatment of moderate-to-severe eosinophilic or oral steroid dependent asthma in adults and children 6 years of age and older whose asthma is not controlled with their current asthma medicines. All Rights Reserved. The decision about whether to cover a drug usually begins with whether the drug is on the plans drug formulary. Eye problems. Eye problems. 32 % Support & Education 24 % Awareness 2023Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. Registered nurses are also available to speak with eligible patients about DUPIXENT. It is not known if DUPIXENT is safe and effective in children with asthma under 6 years of age. CMS product no. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. older with moderate-to-severe atopic This program is not valid where prohibited by law, taxed or restricted. Please see accompanying adjacent links for full Prescribing Information including Patient Information. Please download the application to see if assistance is available for your medication. After a healthcare provider prescribes DUPIXENT, the patient schedules their delivery of DUPIXENT from the specialty pharmacy, pays the copay, coordinates the shipment, and can administer DUPIXENT themselves or receive the injection from a caregiver after appropriate training from their healthcare provider. controlled chronic rhinosinusitis Cases of eosinophilic pneumonia were reported in adult subjects who participated in the asthma development program and cases of vasculitis consistent with EGPA have been reported with DUPIXENT in adult subjects who participated in the asthma development program as well as in adult subjects with co-morbid asthma in the CRSwNP development program. In some denial cases, a plan may require a peer-to-peer review with a medical reviewer at the health plan. Store your specialty pharmacys name and phone number in your phones contacts. Contact Sanofi USor call18446437346 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. The amount you pay for DUPIXENT will largely depend on a number of factors, including: Considering these factors, 2 people could pay very different prices for exactly the same prescription medication. Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. Stop using DUPIXENT and tell your healthcare provider or get emergency help right away if you get any of the following signs or symptoms: breathing problems or wheezing, swelling of the face, lips, mouth, tongue, or throat, fainting, dizziness, feeling lightheaded, fast pulse, fever, hives, joint pain, general ill feeling, itching, skin rash, moderate-to-severe asthma You should not receive a live vaccine right before and during treatment with DUPIXENT. You can connect withDUPIXENT MyWaynurse educators by phone 24/7 to receive supplemental injection training, help scheduling deliveries and prescription refills, or help navigating financial support options, such as copay assistance. DUPIXENT andDUPIXENT MyWayare registered trademarks of Sanofi Biotechnology. to treat adults and children 6 months of age and older with moderate-to-severe eczema (atopic dermatitis or AD) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. It is not known whether DUPIXENT passes into your breast milk. My name is Shari, and Im a registered nurse withDUPIXENT MyWay. Once DUPIXENT is approved, a specialty pharmacy may work with you to schedule shipments of DUPIXENT to your home or preferred location. For more information or to enroll in the patient support program, contact us at: Patient Assistance Program may be able to help. DUPIXENT MyWay is a patient support program that can help with the enrollment process, offer financial assistance for eligible patients, provide one-on-one nursing support, and more. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. DUPIXENT MyWaycan provide certain limited support. For more information, Vaccinations: Consider completing all age-appropriate vaccinations as recommended by current immunization guidelines prior to initiating DUPIXENT. Learn how to get your patients started with, Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP), DUP.23.01.0156 Last Update: March 2023, DUP.22.09.0185 Last Update: November 2022, DUP.22.09.0183 Last Update: October 2022, DUP.23.01.0254 Last Update: February 2023, DUP.23.01.0252 Last Update: February 2023, DUP.23.01.0261 Last Update: February 2023, Chronic Rhinosinusitis with Nasal Polyposis, https://mothertobaby.org/ongoing-study/dupixent/.
FAQs About DUPIXENT (dupilumab) Barnett JC, Berchick ER. It is not known if DUPIXENT is safe and effective in children with chronic rhinosinusitis with nasal polyposis under 18 years of age. I chose to be a nurse because I wanted to help people, and I believe that people should be in service to others. And while everyones working through the details, look toDUPIXENT MyWayfor additional support. Do not try to prepare and inject DUPIXENT until you or your caregiver have been trained by your healthcare provider. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. Enter your email address and we will send you your requested resource. They have set aside this time for us to learn. older, weighing at least 40 kg, with You are encouraged to report negative side effects of prescription drugs to the FDA. 2023Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. So, we step into our offices, were going into a nice relaxing environment. Especially tell your healthcare provider if you are taking oral, topical, or inhaled corticosteroid medicines; have asthma and use an asthma medicine; or have atopic dermatitis, chronic rhinosinusitis with nasal polyposis, eosinophilic esophagitis, or prurigo nodularis and also have asthma. Conjunctivitis and keratitis have been reported with DUPIXENT in postmarketing settings, predominantly in AD patients.
Sign Up for the DUPIXENT MyWay Copay Card | DUPIXENT (dupilumab) Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections. If a clinically significant hypersensitivity reaction occurs, institute appropriate therapy and discontinue DUPIXENT. DUPIXENT may also help reduce the amount of oral corticosteroids you need while preventing severe asthma attacks and improving your breathing. The DUPIXENT MyWay Copay Card may help eligible patients cover the out-of-pocket
Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections. financial assistance to eligible patients, one-on-one nursing support, and more. Patient Assistance Connection Financial Eligibility (for uninsured or functionally uninsured patients). Dupixent MyWay patient support program www.dupixent.com 1-844-DUPIXENT (1-844-387-4936) Topicort (desoximetasone spray 0.25%) Taro Pharma patient access www.topicort-spray.com 1-914-354-9001 If see your medication listed, check out the Medicine Assistance Tool! We have time. Sometimes at the end of the training, Ill get some questions about, You know, we did great today, but what else? When I get the order for the patient, I get really excited. Lastly, the specialty pharmacy reviews the prescription and contacts the patient to arrange for payment and delivery. If symptoms persist or worsen, consider rheumatological evaluation and/or discontinuation of DUPIXENT. After final approval and payment are received, the specialty pharmacy will ship DUPIXENT to your patients home or preferred location. 9 pm ET. Please see accompanying adjacent links for full Prescribing Information including Patient Information. Approval is not guaranteed. Im ready to make a difference. 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. with eosinophilic esophagitis 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). This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back. It is not known whether DUPIXENT passes into your breast milk. You will now be exiting the Sanofi Patient Connection website. Years, Weighing at YETUNDE: ORE: Least 40 kg.
Pricing and Insurance | DUPIXENT (dupilumab) For information on insurance coverage, dial, For more financial assistance information, dial, Contact your plan directly for more accurate information or Call, This tool is intended to provide a summary of available coverage information for certain prescription drug plans and is not a guarantee of coverage for DUPIXENT for any specific patient. Asthma: DUPIXENT is indicated as an add-on maintenance treatment of adult and pediatric patients aged 6 years and older with moderate-to-severe asthma characterized by an eosinophilic phenotype or with oral corticosteroid dependent asthma. 300 mg Pre-filled Pens are 10050-40. Some people who use DUPIXENT have had trouble walking or moving due to their joint symptoms, and in some cases needed to be hospitalized. . That means it may be delivered to you by a specialty pharmacy instead of your local pharmacy. Dupixent MyWay Program Dupixent (dupilumab injection) Last Updated: 03/09/2023 Application Forms & Instructions The following documents are provided in interactive PDF format, allowing you to type information directly into the form. Unfortunately, your plan does not cover DUPIXENT ( dupilumab). If youre eligible, you can enroll online and recieve your card by email.
RxAssist - Sanofi and Regeneron Pharmaceuticals, Inc. - Dupixent MyWay Our nurses work remotely from our homes. In fact, when you take medications that require refills regularly over time, its always good to periodically check that your pharmacy has your most up-to-date insurance information on file. Patients must verify their coverage directly with their health plan. Dupixent Enrollment Form - ENT/Pumonologist Dupixent Enrollment Form - Dermatologists No hassle, no problem. If you have any other questions, DUPIXENT MyWay can help you understand the process. Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. With the Copay Card, You Could Pay as Little as $0 . Patients should seek medical advice if their asthma remains uncontrolled or worsens after initiation of DUPIXENT. Im the one that cringes with needles, but she does great. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. topical corticosteroids. are breastfeeding or plan to breastfeed. Your insurance company will work with your doctor to get any additional medical information they need. He was trained by my doctor. Patients will need to meet the eligibility criteria, including household income, to qualify. Important Safety Information. Risk Associated with Abrupt Reduction of Corticosteroid Dosage: Do not discontinue systemic, topical, or inhaled corticosteroids abruptly upon initiation of DUPIXENT. adequately controlled with topical Patients will need to meet the eligibility criteria, including household income, to qualify.
DUPIXENT (dupilumab) for Moderate-to-Severe Eczema that is Uncontrolled Eosinophilic Esophagitis: established. DUPIXENT is given as an injection under the skin (subcutaneous injection) into different injection sites. See how DUPIXENT goes from being prescribed to being delivered to your doorstep. see possible cost and coverage. Database current as of, https://www.ssa.gov/benefits/medicare/prescriptionhelp.html, https://www.cms.gov/files/document/2022-announcement.pdf, https://marketplace.cms.gov/technical-assistance-resources/fast-facts-medicaid-chip.pdf, DUP.23.01.0314 Last Update: March 2023, DUP.22.11.0007 Last Update: December 2022, DUP.23.01.0070 Last Update: February 2023, DUP.22.03.0194 Last Update: August 2022, DUP.22.03.0291 Last Update: July 2022, DUP.22.05.0386 Last Update: September 2022, Moderate-to-Severe Eczema (Ages 6+ Months), Moderate-to-Severe Asthma (Ages 6+ Years), Chronic Rhinosinusitis with Nasal Polyposis, Uncontrolled moderate-to-severe eosinophilic or oral steroid, https://mothertobaby.org/ongoing-study/dupixent/, https://www.census.gov/content/dam/census/library/publications/2017/demo/p60-260.pdf, https://www.bcbsm.com/index/health-insurance-help/faqs/plan-types/health-spending-accounts/fsa.html, Whether you have prescription drug insurance, Whether your insurance provider considers the medication to be preferred or not preferred. phenotype or with oral with nasal polyposis. THIS IS NOT INSURANCE. Use DUPIXENT exactly as prescribed by your healthcare provider. When I was very young, I knew that I wanted to be a nurse. are pregnant or plan to become pregnant. To enroll or get more information call 1-877-311-8972 or go to https://mothertobaby.org/ongoing-study/dupixent/. Call DUPIXENT MyWay to receive a more in-depth and personalized explanation. You are encouraged to report negative side effects of prescription drugs to the FDA. Dupixent MyWay Program Enrollment Form for Allergists (AD, Asthma, CRSwNP)(Spanish) . If symptoms persist or worsen, consider rheumatological evaluation and/or discontinuation of DUPIXENT. is a patient support program Support, LEARN ABOUT OUR Call your doctor for medical advice about side effects. Next, your prescription may have to be authorized by insurance. After prescribing DUPIXENT for your patient, initiate the insurance coverage process. estimate my income in conjunction with the Patient Assistance Program eligibility determination process, if . What do most people who are uninsured pay? Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. A causal association between DUPIXENT and these conditions has not been established. Be sure to ask your doctor about enrolling inDUPIXENT MyWay, which can provide additional support for you. Not valid for prescriptions paid, in whole or in part, by Medicaid, Medicare, VA, DOD, TRICARE, or other federal or state programs including any state pharmaceutical assistance programs. Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. DUPIXENT can be used with or without covermymeds.com. This is typical for a specialty drug like DUPIXENT, and Whether youre considering treatment with DUPIXENT or youre a DUPIXENT patient or caregiver, you can sign up for emails and additional resources from DUPIXENT MyWay that can help you: Uncontrolled moderate-to-severe eosinophilic or oral steroid dependent asthma, Uncontrolled chronic rhinosinusitis with nasal polyposis. Cases of eosinophilic pneumonia were reported in adult subjects who participated in the asthma development program and cases of vasculitis consistent with EGPA have been reported with DUPIXENT in adult subjects who participated in the asthma development program as well as in adult subjects with co-morbid asthma in the CRSwNP development program. Commercial and Medicare health plans both use formularies. to a
PDF 1 Enrollment Form DUP.23.01.0314 Last Update: March 2023, DUP.22.11.0007 Last Update: December 2022, DUP.23.01.0070 Last Update: February 2023, DUP.22.10.0421 Last Update: February 2023, DUP.22.03.0291 Last Update: July 2022, DUP.22.05.0386 Last Update: September 2022, Moderate-to-Severe Eczema (Ages 6+ Months), Moderate-to-Severe Asthma (Ages 6+ Years), Chronic Rhinosinusitis with Nasal Polyposis, Uncontrolled moderate-to-severe eosinophilic or, https://mothertobaby.org/ongoing-study/dupixent/, Conduct virtual or over-the-phone training, How-to supplemental injection training videos, Tips to help manage feelings of uncertainty, Have effective conversations with your healthcare provider, Learn about programs that may help cover the cost of DUPIXENT. Putting the pieces together for acquiring DUPIXENT.
Patient Support for Dupixent (dupilumab) injection - Sanofi U.S. more. to treat adults with prurigo nodularis (PN). Especially tell your healthcare provider if you are taking oral, topical or inhaled corticosteroid medicines or if you have atopic dermatitis and asthma and use an asthma medicine. THIS IS NOT INSURANCE. Baltimore, MD: Centers for Medicare and Medicaid Services; 2019. I help them to relax. In children 6 months to less than 12 years of age, DUPIXENT should be given by a caregiver. (1-844-387-4936), Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. Appealing the health plans denial does not always result in approval of DUPIXENT. For more financial assistance information, dial 1844DUPIXENT ( 1-844-387-4936), option 1 In children 12 years of age and older, its recommended DUPIXENT be administered by or under supervision of an adult.
PDF Enrollment Form 1-844-387-9370 Document Drop at www.patientsupportnow For families/households with more than 8 persons, add $5,910 for each additional person. Consider ophthalmological examination for patients who develop conjunctivitis that does not resolve following standard treatment or signs and symptoms suggestive of keratitis, as appropriate. The prior authorization information required by the patients insurance to approve coverage for DUPIXENT may include the patients history, medication, and clinical information. You must be shown the right way by your healthcare provider before injecting DUPIXENT. are breastfeeding or plan to breastfeed. I have a training kit that has a training syringe in it. Every day is different depending on the type of calls that we have. A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. I like when my dad does my injection for me. DUPIXENT MyWay DUPIXENT can cause serious side effects, including: Allergic reactions. The majority of DUPIXENT patients with commercial/employer-provided insurance use the available for your appropriate Be sure to check your inbox. Learn About DUPIXENT Real patients. DUPIXENT helps prevent severe asthma attacks (exacerbations) and can improve your breathing. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. Not valid for prescriptions paid, in whole or in part, by Medicaid, Medicare, VA, DOD, TRICARE, or other federal or state programs including any state pharmaceutical assistance programs. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. Tell your healthcare provider if you have any side effect that bothers you or that does not go away. Some people who use DUPIXENT have had trouble walking or moving due to their joint symptoms, and in some cases needed to be hospitalized. Limitation of Use: DUPIXENT is not indicated . A monthly supply of DUPIXENT (300 mg, 200 mg, or 100 mg) is defined as 2 injections per month. Voice-over (VO): Some plans, including commercial and Medicare, may even have a separate pharmacy benefit card. For families/households with more than 8 persons, add $5,140 for each additional person. DUPIXENT MyWay Arthralgia: Arthralgia has been reported with the use of DUPIXENT with some patients reporting gait disturbances or decreased mobility associated with joint symptoms; some cases resulted in hospitalization. Maternal IgG is known to be present in human milk. Enter the insured patients ZIP Code below. CONTRAINDICATION: DUPIXENT is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients. Your healthcare provider may send you to an ophthalmologist for an eye exam if needed. Approximately 40% pay $100+ 2, per month of DUPIXENT. Medicaid and CHIP overview for assisters. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. Ive been withDUPIXENT MyWaysince the very beginning. YETUNDE: DUPIXENT MyWayreserves the right to rescind, revoke, terminate, or amend this oer, eligibility, and terms of use at any time without notice. to contact Regeneron Pharmaceuticals, Inc. 202333322 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. Health insurance coverage in the United States: 2016. You should not receive a live vaccine right before and during treatment with DUPIXENT. Patients prescribed DUPIXENT and enrolled in DUPIXENT MyWay can access: One-on-one nursing support for DUPIXENT Supplemental injection Advise patients to report new onset or worsening joint symptoms. Uncontrolled moderate-to-severe eosinophilic or oral steroid dependent asthma, Uncontrolled chronic rhinosinusitis with nasal polyposis, For more information or to enroll in the patient support program, dial 1844DUPIXENT(1-844-387-4936), DUPIXENT andDUPIXENT MyWayare registered trademarks of Sanofi Biotechnology. Medicare & You 2020. Atopic Dermatitis: DUPIXENT is indicated for the treatment of adult and pediatric patients aged 6 months and older with moderate-to-severe atopic dermatitis whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable. Prurigo Nodularis: DUPIXENT is indicated for the treatment of adult patients with prurigo nodularis (PN). MAT-US-2019257-v3.0-01/2022. If the patient is eligible for copay assistance, the patient or caregiver can then ensure the copay assistance is applied, coordinate delivery with the specialty pharmacy, and access additional DUPIXENT MyWay support. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. DUPIXENTMyWay is a patient support program designed to help you get access to DUPIXENT as quickly as possible once you have a prescription, and help you stay on track while providing helpful tools and resources. Even if a medication is on the drug formulary, health plans may have policies you and your doctor must follow before the drug is approved. DUPIXENT can cause allergic reactions that can sometimes be severe. If youre eligible, you can enroll online and receive your card by email. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack . For families/households with more than 8 persons, add $6,430 for each additional person. I dont really get scared anymore. Prurigo Nodularis: DUPIXENT is indicated for the treatment of adult patients with prurigo nodularis (PN). It is recommended that you fax a copy of prior authorization approval to DUPIXENT MyWay to help the office staff continue the process in several ways, such as: Initiating contact with the patient regarding the approval and sharing the specialty pharmacy name and phone number. Tell your healthcare provider if you have any side effect that bothers you or that does not go away. It is not known whether DUPIXENT will harm your unborn baby. (EoE). Before using DUPIXENT, tell your healthcare provider about all your medical conditions, including if you: are scheduled to receive any vaccinations. The Prurigo Nodularis: Chronic Rhinosinusitis with DUPIXENT can be used with or without topical corticosteroids. DUPIXENT: your first choice to adequately control this chronic, systemic disease VIEW RESULTS Atopic Dermatitis: The most common adverse reactions (incidence 1%) in patients are injection site reactions, conjunctivitis, blepharitis, oral herpes, keratitis, eye pruritus, other herpes simplex virus infection, dry eye, and eosinophilia. Atopic Dermatitis: DUPIXENT is indicated for the treatment of adult and pediatric patients aged 6 months and older with moderate-to-severe atopic dermatitis whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable.
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