Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. Serious side effects can occur. The majority of DUPIXENT patients with commercial/employer-provided insurance use the DUPIXENT MyWay ® Copay Card. 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. It’s a change in how copay assistance and coupons are counted toward your. ) Please refer to Section 8, Patient Certifications, for. - Rachel, DUPIXENT Patient Mentor, living with asthma. Susie16 Aug 29, 2023 • 2:03 AM. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. 09. QUEST (12+ years) DUPIXENT offers rapid breathing relief patients can feel as early as Week 2. 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. 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. 14 mL, or 300 mg/2 mL)My insurance provider covers 85% and our Canadian version of 'MyWay' pays the remainder. Boguniewicz M, Alexis AF, Beck LA, et al. Base amount is $558. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. Governed and delivered by Service Canada. DUPIXENT® and DUPIXENT MyWay® are entered commercial of Sanofi Biotechnological. And I would experience blurry vision, red and itchy eyes. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. ENROLLMENT FORMDUPIXENT is a form of medicine called a biologic that targets Type 2 inflammation, an underlying cause of nasal polyps. Dupixent is indicated for the treatment of severe atopic dermatitis in patients aged 6 to 11Dupilumab. 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. Especially tell your healthcare provider if you. For me, the side effects didn’t really bother me or have me second guess my decision with Dupixent because my skin was. 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. Rx: DUPIXENT® (dupilumab) (100 mg/0. 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. 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. 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. If you don’t have health insurance, talk. There is currently no generic alternative to Dupixent. 71 for Dupixent compared to 0. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. Since 2017, Dupixent has increased in price by 13%. 2 pens of 300mg/2ml. 12. living with prurigo nodularis. form on DUPIXENT. If necessary, DUPIXENT may be kept at room temperature up to 77 °F (25 °C) for a maximum of 14 days. Lot EXP Mfd. 2 cartons. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. The Dupixent pre-filled syringe is available in the following strengths: 100 mg per 0. Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. They will begin the benefits investigation and inform your office of the next steps. Copay Card or you wish to discontinue your participation, please contact us. was not paid in whole or in part by Medicare, Medicaid, or any federal or state programs. . b Data as of January 2023. Sanofi and Regeneron are committed to helping patients in the U. 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’ve been with DUPIXENT MyWay since the very beginning. If you are a New York prescriber, please use an original New York State prescription form. 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. So, how can you save? Manufacturer Sanofi offers Dupixent MyWay, a patient support program. 2 Eligible US residents with an FDA-approved prescription for DUPIXENT may pay as little as $0 copay per fill of DUPIXENT (annual maximum of $13,000). The doctor's office called to say I need to call to talk about my income and expenses. 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. Rx: DUPIXENT® (dupilumab) (100 mg/0. With MyWay, I get the year for free. $4,930. Pay as little as $0 per month. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. Patient is responsible for any out-of-pocket amounts that exceed the program limit. In a clinical trial at 16 weeks in teens (aged 12-17 years) taking DUPIXENT* when used alone compared to teens not taking DUPIXENT: Clearer skinSAW CLEAR or Almost clear SKIN 24% vs 2% not taking DUPIXENT (placebo) nOTICEABLY LESS ITCHEXPERIENCED ITCH 37% vs 5% not taking DUPIXENT (placebo) ≥75%SKIN. In addition, I agree to notify DUPIXENT MyWay if my insurance situation changes. This medicine should be given by a caregiver in children 6 months to less than 12 years of age. _____ What is your total annual household income? _____ (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. 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. What it is used for. Required if enrolling in the DUPIXENT MyWay. Dupixent (dupilamab) Dupixent MyWay patient support program. J Allergy Clin Immunol Pract. Serious side effects can occur. 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. 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. In this case Dupixent myway will cover the first 13k, which is probably like 5 months. 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. will need to meet the eligibility criteria, including household income, to qualify. Guam or the USVI, and demonstrate a financial need with a total annual adjusted gross income of $100,000 or less. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. SINCE 2017, ≈253,000 PATIENTS HAVE FILLED AT LEAST 1 DUPIXENT PRESCRIPTION b,c. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. Please see Important Safety Information and Patient Information on. Well at a cost of roughly $3,500/dose which lasts a month, that will all be used up in four months. Sign up or activate your card here. Rx: DUPIXENT® (dupilumab) (100 mg/0. Dupixent changed my life completely. 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. 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. Fill out sections 5a and 5b completely to determine patient eligibility. It was a process to get into the patient assist program. How to fill out dupixent reimbursement: 01. If you don't have insurance at all, the only realistic option is to qualify for income-based help from Dupixent directly. 22. Fill a 90-Day Supply to Save. Connect with someone, ask questions, and learn about their experience with DUPIXENT® (dupilumab) treatment. 10 for placebo; difference between Dupixent and placebo: -2. Dupixent MyWay ™ will help eligible patients who are uninsured, lack coverage, or need assistance with their out-of-pocket costs. I give supplemental injection training to the patient and the patient’s caregiver. 00 per injection. 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. 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. Fill out the form accurately and completely, providing all. Página de inicio de franquicias ; Eczema moderado a grave (6 meses de edad o más) Asma moderada a grave (6 años de edad o más) DUPIXENT Pricing Information For Healthcare Professionals. 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. Dupixent will run about $3000 per month with my insurance until my maximum is met. They never mentioned only covering a. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. This year the program seems to have changed, requiring a separate 'copay card' with an annual limit of $13,000. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. . Registered nurses are also available to speak with eligible patients about DUPIXENT. Tell your healthcare provider about any new or worsening joint symptoms. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. I also have the dupixent myway card that covers a total of $13,000 for the year. I just started this week so I look forward to seeing the results. 06 and -1. 23. The DUPIXENT MyWay team can research each patient’s situation and determine eligibility. *For patients on DUPIXENT 300 mg in a 24-week and a 52-week clinical trial vs 17% for placebo group. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. 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. 18, 0. 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. For any questions or concerns, or to report side effects with a Sanofi and Regeneron product while enrolled in DUPIXENT MyWay®, please contact 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. For 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. 03. 80). Household Income. 01. ®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. 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 administered as an injection under the skin (subcutaneous injection) at different injection sites. If you are a New York prescriber, please use an original New York State prescription form. 14 mL, or 300 mg/2 mL)Section 5a. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. 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 ALLERGISTSThe price you pay for Dupixent can vary. 2 pens of 300mg/2ml. In clinical trials, DUPIXENT reduced the. THE DUPIXENT MyWay PROGRAM. Advertisement. 14 ml, 300 mg/2 ml: Asthma, atopic dermatitis: 3 syringes for the first 28 days. if speciality. 4 ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pm 01. DUPIXENT can be used with or without topical corticosteroids. 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 . Enroll now to receive emails and resources designed to help patients, caregivers and information seekers through the DUPIXENT® (dupilumab) treatment journey. For more information and to find out if you’re eligible for support, call 844-DUPIXENT (844-387-4936) or visit the program website. 2 pens of 300mg/2ml. Serious side effects can occur. Serious side. 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 . So, even with a "prior authorization" and a "formulary override", the cost to me is $2900 per month, or about $1450. 58 for 2. 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. 34 milliliters 200 mg/1. 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. Please see. Assistance may be available for patients who do not have insurance. 5011 XXX X < M A T > 00000 0 300 mg/ 2 m L Look at theFull Prescribing Information: Patient Information: Learn more about DUPIXENT: Thanks for c. How many people live in your household? _____ Please refer to. ) 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. DUPIXENT® (dupilumab) is indicated as an add-on maintenance treatment in adult patients with inadequately controlled chronic rhinosinusitis with nasal polyposis (CRSwNP). Robocalls increase diabetic retinopathy screenings in low-income patients. I have applied for grants, financial hardships (my household income surpasses every programs caps, even with 6 children), etc and now I'm just being told to pay $3,000/month or too bad. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. There is currently no generic alternative to Dupixent. For more information, dial 1. 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. 0156 Last Update: March 2023 DUP. Most do, some don't. Quantity Limits: Dupixent: 200 mg/1. 78 L) was seen at Week 2 in patients taking DUPIXENT 200 mg Q2W + SOC (n=264) (baseline blood EOS ≥300 cells/μL, QUEST, secondary endpoint). Im so stressed out about. 0129 Last Update:. After that, it is taken as 1 injection every 2 weeks or every 4 weeks, depending on your age and weight. 5. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. Sign up for the DUPIXENT MyWay® mentor program for adults with uncontrolled chronic rhinosinusitis with nasal polyposis that is associated with type 2 inflammation. Monday-Friday, 8 am-9 pm ET. 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. 26 [95% CI: 0. In this case Dupixent myway will cover the first 13k, which is probably like 5 months. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. 71 for Dupixent compared to 0. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. 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. How many people live in your household? _____ Please refer to Section 8, Patient Certifications , for. com, help you fill it out, and fax it back to DUPIXENT MyWay at 1-844-387-9370 • You or your healthcare provider can call 1-844-DUPIXEN(T), option 1 • Providing your email address allows DUPIXENT MyWay to give you more support resources about DUPIXENT HAS YOUR DOCTOR PRESCRIBED DUPIXENT ® (dupilumab)? 14 15. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. Dupixent is currently approved in the U. Prurigo Nodularis: The most common adverse reactions (incidence ≥2%) are nasopharyngitis, conjunctivitis, herpes infection, dizziness, myalgia, and diarrhea. If you are a New York prescriber, please use an original New York. What it is used for. 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. 67 mL Dupixent subcutaneous solution from $3,787. Patient Assistance Program. DUPIXENT can be used with or without topical corticosteroids. With the DUPIXENT MyWay Copay Card, eligible,. You can email or print the enrollment forms below. financial assistance for eligible patients, provide one-on-one nursing support, and more. Patient Signature _____ If you have questions about the . 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. any time by mailing or faxing a written request to DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. I understand that. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. Decreased utilization of rescue medications 3. But either way, after you or Dupixent myway meets your deductible, it should be free to you. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. Serious side effects can occur. DUPIXENT MyWay. Applies to: Dupixent Number of uses: per prescription per year. r/eczema • I wish there was an eczema simulator so others could feel what we do when they say “don’t. Compare monoclonal antibodies. 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. 67 mL, 200 mg/1. Also, make sure to store the DUPIXENT MyWay phone number in your phone’s contacts so you. DUPIXENT MyWay ENROLLMENT FORMS; English Enrollment Form. For more information, call 1-844-DUPIXENT. 80). By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. 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. DUPIXENT MyWay®. · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. Expert perspectives on management of moderate-to-severe atopic dermatitis: a multidisciplinary consensus addressing current and emerging therapies. To contact DUPIXENT MyWay, please call 1-844-DUPIXENT (1-844-387-4936). How many people live in your household? Please refer to Section 8, Patient Certifications, for additional information about the Patient Assistance Program. About Dupixent. 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). 17 and 0. DUPIXENT® is indicated as an add-on maintenance treatment of adult and pediatric patients 6 years and older with moderate-to-severe asthma characterized by an eosinophilic phenotype or with oral corticosteroid. ) I agree that Regeneron Pharmaceuticals, Inc. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. _____ What is your total annual household income? _____ (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. I’m Laurie. DUPIXENT MyWay® A program to provide support to patients starting DUPIXENT. 25%) Taro Pharma patient access. PRESCRIBER TO FILL OUT Section 6a. DUPIXENT MyWay provides prior authorization and appeals information you may need, as well as helpful examples and guides to assist in obtaining coverage for DUPIXENT. DUPIXENT was studied in adults and children 6 months of age and older. DUPIXENT MyWay® Program Taking Dupixent. They are a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI. For more information, call 1-844-DUPIXENT. LONG-LASTING CLEARER SKIN AT 16 and 52 Weeks 22% taking. I've been on Dupixent for over 2 years now and it has been such a great experience keeping my eczema under control. ago. including household income, to qualify. Program has an annual maximum of $13,000. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. If you still have questions, you can speak with a DUPIXENT MyWay or request to join the program over the phone. 02. Get ongoing, personalized nursing support; help scheduling monthly prescription refills and deliveries; and in-home, in-office, or online supplemental injection training. S. 2022;400 (10356):908-919. Serious side effects can occur. Learn about DUPIXENT® (dupilumab) for moderate-to-severe asthma treatment. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. When I was very young, I knew that I wanted to be a nurse. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. Please see accompanying full Prescribing Information. Share your form with others. store above 77 °F (25 °C). The formulary status tool below can help check DUPIXENT coverage for various plans. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. ago It is actually not a change in the myway program. chevron_right. 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. A program called Dupixent MyWay is available for this drug. Please see accompanying full Prescribing Information. • Store DUPIXENT in the original carton to protect from light. 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. The DUPIXENT MyWay patient support program is here to help you at every step of your DUPIXENT treatment journey. For more information, call 1-844-DUPIXEN (T) (1-844-387-4936. any time by mailing or faxing a written request to DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. Dupixent MyWay pays the $500 copay. For more information, call 1. for DUPIXENT® dupilumab therapy My Information. I have a $40 copay but I got the dupixent my way copay card its free for me. DUPIXENT MyWay Appeal Specialists can help provide support throughout the appeal process. But either way, after you or Dupixent myway meets your deductible, it should be free to you. DUPIXENT is taken by injection under the skin (subcutaneous injection) once every two weeks. , Sanofi US, and their affiliates and agents (together, the “Alliance”) may verifyBy checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. you offering to give them $170 they assumed you didn’t want to bother contacting dupixent myway. Continuation in the DUPIXENT MyWay Patient Assistance Program is conditioned upon timely verification of income. how to afford it then - it's been so helpful!! 3 Reactions. • DUPIXENT can be stored at room temperature up to 77°F (25°C) up to 14 days. 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. ) 2 Prescription InformationDUPIXENT is not a steroid. 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. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not ENROLL. 01. Coverage varies by. I just got approved thru Dupixent my way for a year of free medication. Over 80% of insurance plans cover Dupixent, but many have restrictions. 0252 Last Update: Feb 2023 DUP. Your experience with DUPIXENT is unique, and sharing your journey can inspire and empower people facing similar challenges. Patient has been compliant on Dupixent therapy 4. Program Website : Patient Assistance Applicationsfor DUPIXENT® dupilumab therapy My Information. To enroll or obtain information call 1-877-311. ) 2 Prescription InformationDupixent® (dupilumab) approved by FDA as the first and only treatment indicated for prurigo nodularis. DUPIXENT® (dupilumab) is a. The DUPIXENT MyWay team will research each patient’s situation and determine eligibility. I’m a registered nurse with DUPIXENT MyWay. Be sure to fill out your enrollment form completely and accurately. The DUPIXENT MyWay team can research each patient's situation and determine eligibility. I know people who make six figures on a joint income and still use MyWay. DUPIXENT MyWay. For more information, dial 1‑844‑DUPIXENT 1-844-387-4936 Monday-Friday, 8 am-9 pm ET. According to the manufacturers, Dupixent can be dosed to a maximum daily dose as indicated below. 22. 01. 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. Share your form with others. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. 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. 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). 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. 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. Support. Throw away (dispose of) any DUPIXENT that has been left at room temperature for longer than 14 days. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as a $0* copay per fill of DUPIXENT, maximum of $13,000 per patient per calendar year. 00. Refrigerate it at 36 °F to 46 °F. DUPIXENT® and DUPIXENT MyWay® are entered commercial of Sanofi Biotechnological. Compare . Depends if your insurance cares that Dupixent myway is paying your deductible. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. Upon receipt of the completed Enrollment Form, DUPIXENT MyWay will: Conduct a benefits investigation to confirm commercial coverage Assess if the patient meets the eligibility criteria for the Quick Start Program 1 2 Approve the patient (if they are eligible). Serious adverse reactions may occur. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. I’m Laurie. The patient must then take the following actions:I just got approved for dupixent this week however the copay is 3,000$ a month! The dupixent my way program only covers up to 13k or something like that. Please see Dosage Regimens, How to Inject DUPIXENT® and Instructions for Use. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. 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. 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. The patient would prefer not to try. Hear real patients stories of life with uncontrolled moderate-to-severe asthma and how discovering DUPIXENT® (dupilumab) impacted their journey. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. Thus, the member is now $500 from hitting his deductible and $1500 from hitting his out-of-pocket maximum. 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. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. DUPIXENT can be used with or without topical corticosteroids. I’ve been with DUPIXENT MyWay since the very beginning. for DUPIXENT® dupilumab therapy My Information. United Healthcare covers it but I get insurance through my employer and it was a huge pain to get approved. Dupilumab. Clip the card and save • Save up to 80% on medications*Tell your healthcare provider about any new or worsening joint symptoms. There is currently no generic alternative to Dupixent. , chart notes, laboratory values) and use of claims history documenting the following: 1. Patient assistance program. They are a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. $0!!!!! On April 6 I sent them income paperwork and my year to date prescription invoices. Eligible patients will receive their cards by email.