(DUPIXENT + Topical Corticosteroids (TCS) vs TCS only): CLEAR OR ALMOST CLEAR SKIN AT 16 Weeks 39% taking DUPIXENT + TCS vs 12% using TCS only. THIS IS NOT INSURANCE. 1. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. 00 copay. A group of skin conditions characterized by skin inflammation, rash, and itch. I found the carnivore diet helps immensely for autoimmune issues. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. 5. Well at a cost of roughly $3,500/dose which lasts a month, that will all be used up in four months. ) I agree that Regeneron Pharmaceuticals, Inc. I pay for it with my insurance and the myway copayment program. For more informational, page 1‑844‑DUPIXENT (1-844-387-4936), option. · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. 89 and -1. Serious side effects can occur. Monday-Friday, 8 am-9 pm ET. for DUPIXENT® dupilumab therapy My Information. About Dupixent. I’ve been with DUPIXENT MyWay since the very beginning. 38]). DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing useful tools and resources. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. My insurance plan only covers a small amount of it with the rest being carried by the Copay program, which has a limit per year. The U. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. I'm guessing this will not be allowed once I'm on Medicare. Depends if your insurance cares that Dupixent myway is paying your deductible. 00, but I do have some money invested. Dupixent will run about $3000 per month with my insurance until my maximum is met. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. 0156 Last Update: March 2023 DUP. 99% of commercial patients (6+ months of age) nationally are covered for DUPIXENT. 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 can be used with or without topical corticosteroids. For more information or to enroll in the patient support program, contact us at: 1‑844‑DUPIXENT. _____ What is your total annual household income? _____ (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM. Surgery may remove your nasal polyps, but it may not treat an underlying cause of inflammation—allowing them to grow back. I understand the disclosure to the Alliance will be for the purposes of enrolling me in, and providing certain services through the DUPIXENT MyWay Program, including • to determine if I am eligible to participate in DUPIXENT MyWay coverage assistance programs, patient assistance programs, or other 4 ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pm This will allow the specialty pharmacy to conduct the benefits investigation, and DUPIXENT MyWay will provide additional support to the patient. 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) 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. 01. 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. Governed and delivered by Service Canada. First few months into taking Dupixent, I got laid off and worked w my doctors/Dupixent to get assistance. DUPIXENT MyWay Appeal Specialists can help provide support throughout the appeal process. If approved by your insurance company, getting a 90-day supply of the drug could reduce your number of. Serious side effects can occur. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. Rx: DUPIXENT® (dupilumab) (100 mg/0. 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. a ®® ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pmAdditionally, Dupixent MyWay TM offers personalized support from registered nurses and other specialists who are available 24/7 to speak with patients and help them navigate the complex insurance process. After that, it is taken as 1 injection every 2 weeks or every 4 weeks, depending on your age and weight. 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;. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. For more information, call 1. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. Opinions clash over private equity’s effect on dermatology. I also enrolled in the dupixent my way program and my ambassador told me that as long as you don’t make $100,000 a year you qualify for the program to get dupixent free for a year. After that, we will have met our family deductible. It still covers the same amount. 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. Regeneron and Sanofi are committed to helping patients in the U. We are finding the Dupixent MyWay program to be quite challenging to understand; we don't know whether that might be an option, and we are looking at other options, even expensive ones. 23. Coverage varies by. 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. 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. I’m Laurie. And, if you're eligible, you can sign up and receive your card today. Griffinej5 • 2 yr. 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. 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. March 27, 2018. At that point we will owe 20% of the cost of the medication, which adds up to just under $700/month. 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. , 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. Access the dupixent reimbursement form either online or through your healthcare provider. When I was very young, I knew that I wanted to be a nurse. 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. (The patient is lucky / unlucky enough to have an income that would rule out the Patient Assistance Program. 0156 Past Update: March 2023 DUP. for DUPIXENT® dupilumab therapy My Information. It may be covered by your Medicare or insurance plan. 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). S. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. Lancet. I wanted to go out and make a difference and help people. Select Condition Indication Moderate-to-Severe Eczema (Ages 6+ Months) Moderate-to-Severe Asthma (Ages 6+ Years) Chronic Rhinosinusitis with Nasal Polyposis (Ages 18+. S. 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. 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). We just need you to answer a few questions to verify your eligibility and contact information. Eligible patients or caregivers of a patient must be: *For more information, dial 1-844-DUPIXENT 1-844-387-4936 option 5, Monday-Friday, 9 am - 9 pm ET. 67 mL, 200 mg/1. 09. 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. To more financial assistance news, dial 1‑844‑DUPIXENT ( 1-844-387-4936), option 1 Monday-Friday, 8 am - 9 pm ESTPRESCRIBER TO FILL OUT Section 6a. Eczema. 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. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. Approval represents the second dermatology indication for Dupixent and fifth disease indication overall in the. Edit your dupixent myway enrollment form online. 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. 67 mL, 200 mg/1. Children treated with Dupixent and topical corticosteroids (TCS) achieved clearer skin, experienced significantly improved overall disease severity and significantly reduced itch compared to TCS. Not valid for prescriptions paid, in whole or in part, by Medicaid, Medicare, VA, DOD, TRICARE, or. 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. 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. 23. Enrolled patients receive: One-on-one support from our DUPIXENT MyWay support team; Help understanding insurance coverage; Financial assistance (for eligible patients only) Help. Monday-Friday, 8 am-9 pm ET. 00 per injection. 01. At this rate, I will no longer be able to afford the medication very soon. Robocalls increase diabetic retinopathy screenings in low-income patients. It will also depend on how much you have. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay, and that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. ®DUPIXENT (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. 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. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. I wanted to go out and make a difference and help people. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. Section 5a. 14 mL Dupixent subcutaneous solution from $3,787. a,b a Data on file, Sanofi and Regeneron, US. DUPIXENT can cause serious side effects, including: The most common side effects in patients with eczema include. How many people live in your household? _____ Please refer to. $3,645. 01. I’ve been with DUPIXENT MyWay since the very beginning. for DUPIXENT® dupilumab therapy My Information. If you still have questions, you can speak with a DUPIXENT MyWay or request to join the program over the phone. 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. 09. For more information, please call 1-844-DUPIXENT (1-844-387-4936) or visit . Please see Important Safety Information and Patient Information on. _____ What is your total annual household income? _____ (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. Please see accompanying full Prescribing Information. Decreased utilization of rescue medications 3. 0156 Last Update: March 2023 DUP. Since MyWay covers 13,000 a year, that will count towards your deductible. 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 1‑844‑DUPIXENT 1-844-387-4936. My wife is on Dupixent, and has the MyWay card which allows up to $13,000/year. 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. Data on file, Regeneron Pharmaceuticals, Inc. Rx: DUPIXENT® (dupilumab) (100 mg/0. 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. I suppose it doesn't really matter now. For more information, call 1. I just got approved thru Dupixent my way for a year of free medication. DUPIXENT MyWay ENROLLMENT FORMS; English Enrollment Form. 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. DUPIXENT MyWay® is a patient support program designed to help you get access to DUPIXENT and help eligible patients cover the out-of-pocket costs of DUPIXENT. 1-844-DUPIXENT (1-844-387-4936) Topicort (desoximetasone spray 0. 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 MyWay Program Dupixent (dupilumab injection). 14 mL; and 300 mg per 2 mL. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. Program Website : Program Applications and Forms will need to meet the eligibility criteria, including household income, to qualify. Fill out sections 5a and 5b completely to determine patient eligibility. I just started this week so I look forward to seeing the results. Serious side effects can occur. 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. Your cost may depend on your treatment plan, your insurance coverage (if you have it), and the pharmacy you use. There is another biologic very similar to Dupixent called Adbry. Eligible patients covered by commercial health insurance may pay as little as a $0 p copay per fill of DUPIXENT. DUPIXENT has been FDA approved for use in adults with uncontrolled moderate-to-severe eczema since 2017. Hello! Switching insurance this year and need to prepare for increasing costs of dupixent with my new insurance. When I was very young, I knew that I wanted to be a nurse. How many people live in your household? Please refer to Section 8, Patient Certifications, for additional information about the Patient Assistance Program. They never mentioned only covering a. For children aged 6 months to 5 years, it is taken as 1 injection every 4 weeks. 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. 00. $0 is the amount you pay. for reimbursement to any payer, including Medicare and Medicaid; and no free product may be sold, traded, or distributed for sale. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. Over 80% of insurance plans cover Dupixent, but many have restrictions. And I would experience blurry vision, red and itchy eyes. Throw away (dispose of) any DUPIXENT that has been left at room temperature for longer than 14 days. Financial criteria for patient assistance. • Store DUPIXENT in the refrigerator at 36°F to 46°F (2°C to 8°C). Children 6 to 11 years of age . $4,930. Want to be a part of the DUPIXENT MyWay® Ambassador Program? Fill out this self-nomination form to see if you qualify. For any questions or concerns, or to report side effects with a Sanofi and Regeneron product while enrolled in DUPIXENT MyWay®, please contact 1-844-DUPIXEN(T)(1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. Learn why DUPIXENT® (dupilumab) may be an. Since 2018, DUPIXENT has been prescribed to over 100,000 asthma patients in the US. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. The patient must then take the following actions:I just got approved for dupixent this week however the copay is 3,000$ a month! The dupixent my way program only covers up to 13k or something like that. Quantity Limits: Dupixent: 200 mg/1. a FDA approved since 2017 for adults, 2019 for adolescents (aged 12‑17 years), 2020 for children (aged 6-11 years), and 2022 for infants to preschoolers (aged 6 months-5 years) with uncontrolled moderate‑to‑severe atopic dermatitis. Normally my copay would be about $970 per refill, but with about 12 refills per year this does not max out the Dupixent MyWay copay card. Dupixent on a High Deductible Health Plan. The DUPIXENT MyWay team will research each patient’s situation and determine eligibility. Learn how DUPIXENT® (dupilumab) works as the first and only FDA-approved treatment for prurigo nodularis (PN) in adults aged 18 years and older. So, how can you save? Manufacturer Sanofi offers Dupixent MyWay, a patient support program. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. Just got off the phone with Dupixent My Way. And I would experience blurry vision, red and itchy eyes. 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. 10 for placebo; difference between Dupixent and placebo: -2. Dupixent changed my life completely. DUPIXENT® (dupilumab) is a. As far as choosing a better plan with a lower deductible, I don't really have much of a choice. They are a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI. living with prurigo nodularis. Eligible patients covered by commercial health insurance may pay as little as a $0 p copay per fill of DUPIXENT. Dupixent inhibits the overactive signaling of interleukin-4 (IL-4) and. If you have any additional questions about this pricing information, please call DUPIXENT MyWay at 1-844-DUPIXENT (1-844-387-4936). Biologic Drug: Biologic drugs are made from living cells and are often expensive. Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. The most common side effects include: DUPIXENT MyWay. 23. Program Website : Program Applications and FormsView the possible side effects of DUPIXENT in patients with uncontrolled chronic rhinosinusitis with nasal polyposis. From my understanding, the Dupixent MyWay Program pays the $125 since your insurance is covering the rest. The DUPIXENT MyWay patient support program is here to help you at every step of your DUPIXENT treatment journey. 8K subscribers in the eczeMABs community. . Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM. Dupixent is currently approved in the U. 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. Also, make sure to store the DUPIXENT MyWay phone number in your phone’s contacts so you. There is currently no generic alternative to Dupixent. 2 Eligible US residents with an FDA-approved. Depends if your insurance cares that Dupixent myway is paying your deductible. Hear real patients stories of life with uncontrolled moderate-to-severe asthma and how discovering DUPIXENT® (dupilumab) impacted their journey. Since 2017, Dupixent has increased in price by 13%. Over 80% of insurance plans cover Dupixent, but many have restrictions. According to the manufacturers, Dupixent can be dosed to a maximum daily dose as indicated below. TEL: 844. The formulary status tool below can help check DUPIXENT coverage for various plans. who are prescribed Dupixent gain access to the medicine and receive the support they may need with the DUPIXENT MyWay® program. I knocked out the first copay out of pocket and went on the manufacturer website and applied for the dupixent my way card. The Dupixent pre-filled syringe is available in the following strengths: 100 mg per 0. 67 mL; 200 mg per 1. My doctor gave me a copay card to cover mine. r/eczema • I wish there was an eczema simulator so others could feel what we do when they say “don’t. If necessary, DUPIXENT may be kept at room temperature up to 77 °F (25 °C) for a maximum of 14 days. Approximately 72% of the total FEV 1 improvement (470 mL improvement at Week 52 from baseline FEV 1 of 1. If you are a New York prescriber, please use an original New York State. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. Does anyone know of any assistance programs I can use to help assist in the copay after dupixent my way limit is reached?I experienced cold sores and eye issues for about the first 6 months of being on Dupixent. Nationally are Covered for DUPIXENT. 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 . But either way, after you or Dupixent myway meets your deductible, it should be free to you. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may payable as little while $0* copay per fill by DUPIXENT. 2 cartons. any time by mailing or faxing a written request to DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. and other countries to treat several diseases driven by type 2 inflammation. Please see. Sign it in a few clicks. Coverage varies by type and plan. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. a $85. Deductible is at $3k out of pocket insurance pays 80% and at $6k insurance pays 100%. Sanofi and Regeneron are committed to helping patients in the U. Effective Sept. DUP. , chart notes, laboratory values) and use of claims history documenting the following: 1. 14 mL, or 300 mg/2 mL)Section 5a. Share your form with others. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay, and that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. 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. Fill out the form accurately and completely, providing all. So, let's just pretend the total cost is $1,000/month. any time by mailing or faxing a written request to DUPIXENT MyWay at 1800 Innovation Point, Fort Mill, SC 29715; Fax: 1-844-387-9370. The patient would prefer not to try. Patient to Fill Out. I'm "only" 61 now though on Dupixent MyWay copay help. , 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. chevron_right. 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 . DUPIXENT MyWay. You can email or print the enrollment forms below. ago It is actually not a change in the myway program. If you’re the spouse or. . *For patients on DUPIXENT 300 mg in a 24-week and a 52-week clinical trial vs 17% for placebo group. For children aged 6 months to 5 years, it is taken as 1 injection every 4 weeks. It should only be given by an adult caregiver in children 6 to 11 years of age. ) 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. 03. Copay Card or you wish to discontinue your participation, please contact us. DUPIXENT MyWay®. In this case Dupixent myway will cover the first 13k, which is probably like 5 months. 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. DUPIXENT (dupilumab) Dupixent FEP Clinical Criteria AND submission of medical records (e. Eligible patients or caregivers of a patient must be: *For more information, dial 1-844-DUPIXENT 1-844-387-4936 option 5, Monday-Friday, 9 am - 9 pm ET. Option 1- you have to meet your deductible without Dupixent myway. Rx: DUPIXENT® (dupilumab) (100 mg/0. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. Please see Dosage Regimens, How to Inject DUPIXENT® and Instructions for Use. Dupixent is administered as an injection under the skin (subcutaneous injection) at different injection sites. Dupilumab. March 27, 2018. any time by mailing or faxing a written request to DUPIXENT MyWay at 1800 Innovation Point, Fort Mill, SC 29715; Fax: 1-844-387-9370. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. ithdrawal of this Authoriation will end my participation in the DUPIXENT MyWay Program and will not aect any disclosure of My Information ased on this Authoriation made efore my reuest is received and processed y my ealthcare Providers, ealth Insurers, and Specialty Pharmacies. I don't know what medical issues your son is having, but it's likey autoimmune issues. Dupixent is not intended for episodic use. Required if enrolling in the DUPIXENT MyWay. with household income, to qualify. 67 mL, 200 mg/1. Do NOT shakeConoce las dos opciones de administración disponibles: jeringa precargada de 200 mg y 300 mg, y pluma precargada de 200 mg y 300 mg (para edades de 12 años o más), y revisa cómo inyectar DUPIXENT® (dupilumab), un medicamento para inyección subcutánea, de venta con receta, para el eczema moderado a grave en adultos y niños de 6 meses o más. 0185 Last Update: November 2022 DUP. Check the liquid in the prefilled pen or syringe. 12. 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. 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. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. LH Patient View; data through June 16, 2023. who are prescribed Dupixent gain access to the medicine and receive the support they may need with the DUPIXENT MyWay ® program. 2 cartons. including household income, to qualify. · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. 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). A 48-year-old man developed left thumb tenderness and bilateral Achilles tendinopathy after 6 weeks of Dupixent. They pay the first $13K (in a year) then when that is exhausted I will have to pay around $250 per month and the $13K starts over in January 2019. Support. chevron_right. In this case Dupixent myway will cover the first 13k, which is probably like 5 months. Sign up or activate your card here. how to afford it then - it's been so helpful!! 3 Reactions. Dupixent Myway . By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. DUPIXENT® (dupilumab) is indicated as an add-on maintenance treatment in adult patients with inadequately controlled chronic rhinosinusitis with nasal polyposis (CRSwNP). The specialty pharmacy is responsible for securing coverage on my patient’s behalf. Dupixent is an injection under the skin (subcutaneous injection) at different injection sites. The $500 payment counts towards the member’s deductible and out-of-pocket maximum. Compare . 71 for Dupixent compared to 0. 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. E. 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. There is currently no generic alternative to Dupixent. For more information, call 1-844-DUPIXENT. Since 2017, Dupixent has increased in price by 13%. 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. Manufacturer Coupon. DUPIXENT is available as a single dose in a pre-filled syringe (200 mg or 300 mg) with needle shield, or single-dose pre-filled pen (200 mg or 300 mg) for ages 2+ years. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. If you don’t have health insurance, talk. S. DUPIXENT MyWay® A program to provide support to patients starting DUPIXENT. For patients with commercial insurance who are new to DUPIXENT and experiencing a. Even when using the Copay Card, that would cover only cover 4 months worth, and would not go towards my deductible, totaling about. It was granted and I pay $0. 2 pens of 300mg/2ml. 67 mL Dupixent subcutaneous solution from $3,787. ) 2 Prescription InformationDUPIXENT is not a steroid.