SINCE 2017, ≈253,000 PATIENTS HAVE FILLED AT LEAST 1 DUPIXENT PRESCRIPTION b,c. You may be able to lower your total cost by filling a greater quantity at one 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. 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. was not paid in whole or in part by Medicare, Medicaid, or any federal or state programs. Sign up or activate your card here. March 27, 2018. 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. Serious side effects can occur. Dupixent MyWay Copay Card. This copay card may be for you if you. 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. Surgery may remove your nasal polyps, but it may not treat an underlying cause of inflammation—allowing them to grow back. Sign up to connect with a DUPIXENT MyWay® mentor to help patients with Nasal Polyps through their DUPIXENT. See All. ) 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. 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. Thus, the member is now $500 from hitting his deductible and $1500 from hitting his out-of-pocket maximum. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. Serious adverse reactions may. financial assistance for eligible patients, provide one-on-one nursing. 67 mL Dupixent subcutaneous solution from $3,787. Please see Important Safety Information and Prescribing Information and Patient Information on website. Your insurance has to deny twice and then you can apply for patient assistance. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. A quantity of Dupixent will be considered medically necessary if the above criteria are met, as indicated in the table below:. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. Required if enrolling in the DUPIXENT MyWay. The DUPIXENT MyWay nurse connects patients to a variety of considerate resources, including one-on-one nursing product, financial assistance for right patients, and helpful refill and injection reminders. living with prurigo nodularis are most in need of new treatment options . If you are a New York prescriber, please use an original New York. 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. Nurse Educators Nurse Educators offer one-on-one support to help patients start and stay on track with therapy. Rx: DUPIXENT® (dupilumab) (100 mg/0. DUPIXENT is not a steroid or immunosuppressant; it is a prescription biologic medicine given under the skin (subcutaneous injection). It is not an immunosuppressant or a steroid. 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® 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. After removal from the refrigerator, DUPIXENT must be used within 14 days or discarded. Sign up for the DUPIXENT MyWay® mentor program for adults with uncontrolled chronic rhinosinusitis with nasal polyposis that is associated with type 2 inflammation. was not paid in whole or in part by Medicare, Medicaid, or any federal or state programs. DUPIXENT® (dupilumab) is a. 10 for placebo; difference between Dupixent and placebo: -2. ) Please refer to Section 8, Patient Certifications, for. My income is only 30000. 03. 67 mL, 200 mg/1. If you are a New York prescriber, please use an original New York State prescription form. 14 mL, or 300 mg/2 mL) Call 1-844-387-4936, Option 1 to contact DUPIXENT MyWay ®. 89 and -1. with household income, to qualify. $125 is the amount Dupixent assistance pays. 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. Patient assistance program. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. 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). You must also meet certain household income eligibility requirements as outlined below: 48 States and DC. They never mentioned only covering a. Throw away (dispose of) any DUPIXENT that has been left at room temperature for longer than 14 days. Especially tell your healthcare provider if you. It still covers the same amount. Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase 3 program consisting of two pivotal trials About 75,000 adults in the U. , 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. LONG-LASTING CLEARER SKIN AT 16 and 52 Weeks 22% taking. A case series of 12 people prescribed Dupixent reported an average weight gain of 6. 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. 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 . DUPIXENT MyWay® A program to provide support to patients starting DUPIXENT. DUPIXENT is not used to treat sudden breathing problems. Pay as little as $0 per month. 0156 Last Update: March 2023 DUP. (2 of 3) Patient signature/Legal representative if patient is <18 years Date Section 2. Children treated with Dupixent and topical corticosteroids (TCS) achieved clearer skin, experienced significantly improved overall disease severity and significantly reduced itch compared to TCS. 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. 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. After that, it is taken as 1 injection every 2 weeks or every 4 weeks, depending on your age and weight. Serious adverse reactions may occur. 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. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. 1. 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. 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. And I would experience blurry vision, red and itchy eyes. BIN: 020750 RX PCN: NMeds RX GRP: PDFPDF ID: NMNA019309901930 This is a drug discount program, not an insurance plan. _____ What is your total annual household income? _____ (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. Get ongoing, personalized nursing support; help scheduling monthly prescription refills and deliveries; and in-home, in-office, or online supplemental injection training. For patients with commercial insurance who are new to DUPIXENT and experiencing a. For more information, call 1-844-DUPIXEN (T) (1-844-387-4936. 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 ALLERGISTSyou are supposed to get a copay savings card from dupixent myway. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. 00. Some Medicare plans may help cover the cost of mail-order drugs. Patient Signature _____ If you have questions about the . The DUPIXENT MyWay team can research each patient's situation and determine eligibility. Watch videos for a supplemental demonstration on how to use and dispose of DUPIXENT® (dupilumab), a prescription medicine for subcutaneous injection. 67 mL, 200 mg/1. 09. With of DUPIXENT MyWay Copay Card, right, commercially insured patients might pay as little as $0* copay per fill of DUPIXENT. 14 mL, or 300 mg/2 mL)Call 1-844-387-4936, Option 1 to contact DUPIXENT MyWay ®. DUPIXENT is taken by injection under the skin (subcutaneous injection) once every two weeks. Effective Sept. 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. Just got off the phone with Dupixent My Way. 01. 14 mL; and 300 mg per 2 mL. Each time you fill your DUPIXENT prescription, please ensure your. 2 cartons. The $500 payment counts towards the member’s deductible and out-of-pocket maximum. I suppose it doesn't really matter now. S. Click Tap to Learn More In an open-label extension study, the long-term safety profile of DUPIXENT ± TCS in pediatric patients observed through Week 52 was consistent with that seen in adults with atopic dermatitis, with hand-foot-and-mouth disease and skin papilloma (incidence ≥2%) reported in patients 6 months to 5 years of age. 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. Program has an annual maximum of $13,000. With MyWay, I get the year for free. Im so stressed out about. 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. A program called Dupixent MyWay is available for this drug. DUPIXENT MyWay. 14 ml, 300 mg/2 ml: Asthma, atopic dermatitis: 3 syringes for the first 28 days. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. 50 for a single person. Dupixent is an injection under the skin (subcutaneous injection) at different injection sites. Quantity Limits: Dupixent: 200 mg/1. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. 02. Using the drop. 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 year) if they meet the eligibility requirements, including: Have commercial insurance, including health insurance exchanges, federal employee plans, or state employee plans 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 more. Continuation in the DUPIXENT MyWay Patient Assistance Program is conditioned upon timely verification of income. Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase 3 program consisting of two pivotal trials About 75,000 adults in the U. Learn about the DUPIXENT® (dupilumab) mechanism of action inhibiting IL-4 and IL-13 signaling in appropriate asthma patients. The DUPIXENT MyWay team can research each patient’s situation and determine eligibility. If your office does not use a preferred specialty pharmacy, leave the box unchecked to indicate that you would like DUPIXENT MyWay to conduct the benefits investigation on the patient’s behalf. store above 77 °F (25 °C). withdraw this Authorization at 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. Dupixent is indicated for the treatment of severe atopic dermatitis in patients aged 6 to 11Dupilumab. Dupixent MyWay ™ will help eligible patients who are uninsured, lack coverage, or need assistance with their out-of-pocket costs. Needed additional leadership equipped the enrollment process? Contact your section accessories dedicated or call DUPIXENT MyWay. Please see Important Safety Information and Prescribing Information and Patient Information on website. Nationally are Covered for DUPIXENT. Do you think that will hurt my chances of qualifying? I know my prescription drug costs are high enough. 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. Your experience with DUPIXENT is unique, and sharing your journey can inspire and empower people facing similar challenges. Dupixent is currently approved in the U. ) 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. So, how can you save? Manufacturer Sanofi offers Dupixent MyWay, a patient support program. $0!!!!! On April 6 I sent them income paperwork and my year to date prescription invoices. 67 mL, 200 mg/1. 28. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. 06 and -1. for DUPIXENT® dupilumab therapy My Information. Patient Signature _____ If you have questions about the . Connect with someone, ask questions, and learn about their experience with DUPIXENT® (dupilumab) treatment. Pregnancy: A pregnancy exposure registry monitors pregnancy outcomes in women exposed to DUPIXENT during pregnancy. If you don't have insurance at all, the only realistic option is to qualify for income-based help from Dupixent directly. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing useful tools and resources. The Dupixent pre-filled syringe is available in the following strengths: 100 mg per 0. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. 4. DUPIXENT has been FDA approved for use in adults with uncontrolled moderate-to-severe eczema since 2017. DUPIXENT MyWay Ambassador. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. 6 Submitting a PA request The appeal. Fax the Enrollment Form to DUPIXENT MyWay. E. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. With the Copay Card, You Could Pay as Little as $0 † The majority of DUPIXENT patients with commercial/employer-provided insurance use the DUPIXENT MyWay ® Copay Card. 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 patient would prefer not to try. So, even with a "prior authorization" and a "formulary override", the cost to me is $2900 per month, or about $1450. Also if your insurance does cover,Dupixent offers a co-pay card that. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. 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. You can email or print the enrollment forms below. 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. 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. 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. DUPIXENT should not be stored above 77 °F (25 °C). 14 mL, or 300 mg/2 mL)My insurance provider covers 85% and our Canadian version of 'MyWay' pays the remainder. I just started this week so I look forward to seeing the results. That is good, because I was quoted 1400+ a month by my Medicare D provider. You can email or print the enrollment forms below. 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. You have to game the system instead of trying to get full coverage. It temporarily provides eligible patients DUPIXENT at no cost, subject to program terms and conditions. DUPIXENT® (dupilumab) is a. 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. 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. Learn why DUPIXENT® (dupilumab) may be an. For pediatric patients aged 6 to 11 years, Dupixent dosing is based on weight (100 mg every two weeks or 300 mg every four weeks for children ≥15 to <30 kg, and 200 mg every two weeks for children ≥30 kg) and is supplied as a pre-filled syringe. 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. Based on the questions answered above, you are not eligible to register for a new copay card or to activate a copay card. Do not store DUPIXENT pre-filled syringes at room temperatures more than 77°F (25°C) Do not keep DUPIXENT at room temperature. If I am completing Section 5b, I authorize for my commercially insured patient one. I have read and agree to the Income Verification included in Section 8 on page 5. Household Income. Social Security income, unemployment insurance benefits, disability income, any other income for the household. If I am completing Section 5b, I authorize for my commercially insured patient one. 1kg over one year – the amount of weight gained ranged from 0. 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 MyWay provides prior authorization and appeals information you may need, as well as helpful examples and guides to assist in obtaining coverage for DUPIXENT. Especially tell your healthcare provider if you. 1‑844‑DUPIXENT 1-844-387-4936. 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 MyWay provides prior authorization and appeals information you may need, as well as helpful examples and guides to assist in obtaining coverage for DUPIXENT. 0252 Last Update: Feb 2023 DUP. 12. 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. Hear from DUPIXENT® (dupilumab) patients & caregivers of patients 6 years and older with uncontrolled moderate-to-severe atopic dermatitis & healthcare professionals who treat atopic dermatitis, download helpful resources & explore future events. including household income, to qualify. Helminth infections (5 cases of enterobiasis and 1 case of ascariasis) were reported in pediatric patients 6 to 11 years old in the pediatric asthma development program. Section 5a. For me, the side effects didn’t really bother me or have me second guess my decision with Dupixent because my skin was. Dupixent is not intended for episodic use. 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. I also have the dupixent myway card that covers a total of $13,000 for the year. Eligible patients will receive they cards by e-mail. 0254 Last Update: February 2023 DUP. 0254 Last Update: February 2023 DUP. Dupixent. Household Size. 99% of commercial patients (6+ months of age) nationally are covered for DUPIXENT. For more information, call 1-844-DUPIXENT ( 1-844-387-4936) option 1. 01. Manufacturer Coupon. Most do, some don't. • Store DUPIXENT in the original carton to protect from light. financial assistance for eligible patients, provide one-on-one nursing support, and more. chevron_right. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. Edit your dupixent myway enrollment form online. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. S. Dupixent is an injection under the skin (subcutaneous injection) at different injection sites. 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. In addition, I agree to notify DUPIXENT MyWay if my insurance situation changes. Program Website : Program Applications and Forms will need to meet the eligibility criteria, including household income, to qualify. Serious adverse reactions may occur. For more information or to enroll in the patient support program, contact us at: 1‑844‑DUPIXENT 1-844-387-4936 Monday-Friday, 8 am-9 pm ET. 67 mL; 200 mg per 1. g. PRESCRIBER TO FILL OUT Section 6a. Sign it in a few clicks. 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. Patient Assistance Program. In an open-label extension study, the long-term safety profile of DUPIXENT ± TCS in pediatric patients observed through Week 52 was consistent with that seen in adults with. 2017;5 (6):1519-1531. 4 ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pm 01. *For patients on DUPIXENT 300 mg in a 24-week and a 52-week clinical trial vs 17% for placebo group. Robocalls increase diabetic retinopathy screenings in low-income patients. 00, but I do have some money invested. 74 (2023), plus an amount based on how much you. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack. Especially tell your healthcare provider if you. What it is used for. · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. . The Dupixent MyWay program is not available to medicare patients. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. 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. withdraw this Authorization at 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. I may opt out of receiving Communications, individual support services, including the DUPIXENT MyWay® Copay Card, or opt out of DUPIXENT MyWay® entirely at any time by notifying a representative by telephone at 1-800-633-1610 or by sending a letter to Sanofi US Customer Service P. Hello! Switching insurance this year and need to prepare for increasing costs of dupixent with my new insurance. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. 10 for placebo; difference between Dupixent and placebo: -2. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. 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. 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. Self-nominate to become DUPIXENT MyWay® Ambassador, and if selected, you may have opportunities to share your story and offer encouragement to patients and their family members. 0185 Last Update: November 2022 DUP. you offering to give them $170 they assumed you didn’t want to bother contacting dupixent myway. DUPIXENT MyWay team will research each patient’s situation and determine eligibility. Section 5a. To contact DUPIXENT MyWay, please call 1-844-DUPIXENT (1-844-387-4936). who are prescribed Dupixent gain access to the medicine and receive the support they may need with the DUPIXENT MyWay® program. It's like $35k-$40k. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. DUP. For more information, dial 1‑844‑DUPIXENT ( 1-844-387-4936 ), option 1 Monday-Friday, 8 am - 9 pm ET. Dupixent is administered as an injection under the skin (subcutaneous injection) at different injection sites. . 1 Reactions. 1,000-125=875 $875 is the amount your health insurance pays. Regeneron and Sanofi are committed to helping patients in the U. These programs and tips can help make your prescription more affordable. “Eczema otherwise unspecified” is not indicated for Dupixent. For more information, dial 1. Section 5a. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. 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, 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. The U. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. Share your form with others. form on DUPIXENT. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. 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 . 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. Each time you fill your DUPIXENT prescription, please ensure your. 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. And very recently got laid off due to Covid-19. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. For more information, please call 1-844-DUPIXENT (1-844-387-4936) or visit . if speciality. If you are a New York prescriber, please use an original New York State prescription form. Caring. 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. The formulary status tool below can help check DUPIXENT coverage for various plans. 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. 67 mL, 200 mg/1. If you are a New York prescriber, please use an original New York State. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. How much does Dupixent cost without insurance? The average monthly retail price of Dupixent is $4,910 per 2, 2 mL of 300 mg/2 mL prefilled syringes. For more information or to enroll in the patient support program, contact us at: 1‑844‑DUPIXENT. Option 1- you have to meet your deductible without Dupixent myway. 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. How many people live in your household? Please refer to Section 8, Patient Certifications, for additional information about the Patient Assistance Program. 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). 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;. 23. Dupixent MyWay pays the $500 copay. Patient is responsible for any out-of-pocket amounts that exceed the program limit. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. Serious side effects can occur. 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. Enroll now to receive emails and resources designed to help patients, caregivers and information seekers through the DUPIXENT® (dupilumab) treatment journey. 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). Not valid for prescriptions paid, in whole or in part, by Medicaid, Medicare, VA, DOD, TRICARE, or. b New adult and pediatric patients aged 6 years and older with moderate-to-severeSection 5a. Tell your healthcare provider about any new or worsening joint symptoms. 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. How many people live in your household? _____ Please refer to. DUPIXENT is a biologic and can help reduce your patients' use of systemic corticosteroids. Get a Quick Start. ( 1-844-387-4936 ), option 1. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing useful tools and resources. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. 00 per injection. Learn how DUPIXENT helped treat children 6 to 11 years old with their moderate-to-severe asthma. 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. 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. This year the program seems to have changed, requiring a separate 'copay card' with an annual limit of $13,000. Regeneron and Sanofi are committed to helping patients in the U. 0185 Last Update: November 2022 DUP. Eligible patients will receive their cards by email. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. Dupixent is not intended for episodic use. 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). There is another biologic very similar to Dupixent called Adbry. There is currently no generic alternative to Dupixent. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. - Rachel, DUPIXENT Patient Mentor, living with asthma. Check the liquid in the prefilled pen or syringe. DUPIXENT can be used with or without topical corticosteroids. Please see. 0129 Last Update:. Approval represents the second dermatology indication for Dupixent and fifth disease indication overall in the. Support. 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. DUPIXENT can be used with or without topical corticosteroids. Support. Applies to: Dupixent Number of uses: per prescription per year. Even when using the Copay Card, that would cover only cover 4 months worth, and would not go towards my deductible, totaling about. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. Serious side effects can occur. 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). According to the manufacturers, Dupixent can be dosed to a maximum daily dose as indicated below. Some people do injections every 3 weeks, which could stretch that copay card out longer. The formulary status tool below can help check DUPIXENT coverage for various plans. 14 mL Dupixent subcutaneous solution from $3,787. Subcutaneous Solution 100 mg/0. Dupixent will run about $3000 per month with my insurance until my maximum is met. 0156 Past Update: March 2023 DUP. Eczema. Be sure to fill out your enrollment form completely and accurately. From my understanding, the Dupixent MyWay Program pays the $125 since your insurance is covering the rest. DUPIXENT MyWay team will research each patient’s situation and determine eligibility. 89 and -1. Type text, add images, blackout confidential details, add comments, highlights and more. 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. 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. I give supplemental injection training to the patient and the patient’s caregiver. Since 2018, DUPIXENT has been prescribed to over 100,000 asthma patients in the US. The DUPIXENT MyWay team will research each patient’s situation and determine eligibility. You may be able to lower your total cost by filling a greater quantity at one time. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM. $4,930. Dupixent (dupilamab) Dupixent MyWay patient support program. THIS IS NOT INSURANCE. _____ What is your total annual household income? _____ (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. For more informational, page 1‑844‑DUPIXENT (1-844-387-4936), option. Dupixent changed my life completely. Registered nurses are also available to speak with eligible patients about DUPIXENT. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient.