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Uncontrolled moderate-to-severe eosinophilic or oral steroid dependent asthma, Uncontrolled chronic rhinosinusitis with nasal polyposis, For more information or to enroll in the patient support program, dial 1844DUPIXENT(1-844-387-4936), DUPIXENTMyWay is a patient support program designed to help you get access to DUPIXENT as quickly as possible once you have a prescription, and help you stay on track while providing helpful tools and resources. 2023Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. years and older with Conjunctivitis also occurred more frequently in chronic rhinosinusitis with nasal polyposis subjects and prurigo nodularis subjects who received DUPIXENT compared to those who received placebo. DUPIXENT MyWay Advise patients to report new onset or worsening joint symptoms. 2020 Sanofi and Regeneron Pharmaceuticals, Inc. Connect one-on-one with a trained patient or caregiver, ask questions, and hear about their personal journey living with their condition and life on DUPIXENT. Lactation: There are no data on the presence of DUPIXENT in human milk, the effects on the breastfed infant, or the effects on milk production. If symptoms persist or worsen, consider rheumatological evaluation and/or discontinuation of DUPIXENT. Lastly, the specialty pharmacy reviews the prescription and contacts the patient to arrange for payment and delivery. Any savings provided by the program may vary depending on patients' out-of-pocket costs. To enroll or get more information call 1-877-311-8972 or go to https://mothertobaby.org/ongoing-study/dupixent/. To enroll or get more information call. Dupixent MyWay Program - NeedyMeds Eosinophilic Esophagitis: charges. Restrictions Apply. It is not known whether DUPIXENT passes into your breast milk. If you need help paying for your prescription, the DUPIXENT MyWay Patient Please see adjacent links for full Prescribing Information including Patient Information. For families/households with more than 8 persons, add $5,910 for each additional person. Income: Not disclosed: Diagnosis/Medical Criteria: FDA-approved diagnosis: This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back. Terms & Patients with Co-morbid Asthma: Advise patients with co-morbid asthma not to adjust or stop their asthma treatments without consultation with their physicians. DUPIXENT helps prevent severe asthma attacks (exacerbations) and can improve your breathing. Click the "CONTINUE" button below to go to the page you requested, or the "CANCEL" button to return to the previous page. with other asthma medicines for the maintenance treatment of moderate-to-severe eosinophilic or oral steroid dependent asthma in adults and children 6 years of age and older whose asthma is not controlled with their current asthma medicines. DUPIXENT MyWay Portal Once youve been prescribed DUPIXENT, your healthcare provider can download the enrollment form, help you fill it out, and fax it back toDUPIXENT MyWayat1-844-387-9370. DUPIXENT can cause allergic reactions that can sometimes be severe. DUPIXENT can be used with or without PDF Enrollment Form 1 Complete entire form and fax ALL 4 PAGES to DUPIXENT Key points of contact for coverage are located on the card itself. Im ready to make a difference. Lactation: There are no data on the presence of DUPIXENT in human milk, the effects on the breastfed infant, or the effects on milk production. Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. We provide general product support and education, as well as supplemental injection training, and injection and refill reminder calls. older with moderate-to-severe atopic The prior authorization information required by the patients insurance to approve coverage for DUPIXENT may include the patients history, medication, and clinical information. DUPIXENT may also help reduce the amount of oral corticosteroids you need while preventing severe asthma attacks and improving your breathing. You are encouraged to report negative side effects of prescription drugs to the FDA. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. If youre eligible, you can enroll online and recieve your card by email. Contact Sanofi US or Regeneron Pharmaceuticals, Inc. or call 1-844-387-4936 to contact DUPIXENT MyWay. And reminding them that the specialty pharmacy may call them from an unknown number. Remember to monitor and document the patients progress for reauthorization. Ores dermatologist trained us on how to do the injection under the skin, and then when we contacted DUPIXENT MyWay, they sent a nurse to the house to give additional training to make sure that we were comfortable giving the injection. Call your doctor for medical advice about side effects. 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. Arthralgia: Arthralgia has been reported with the use of DUPIXENT with some patients reporting gait disturbances or decreased mobility associated with joint symptoms; some cases resulted in hospitalization. Patients will need to meet the eligibility criteria, including Be sure to check your inbox. Not valid for prescriptions paid, in whole or in part, by Medicaid, Medicare, VA, DOD, TRICARE, or other federal or state programs including any state pharmaceutical assistance programs. DUPIXENT: your first choice to adequately control this chronic, systemic disease VIEW RESULTS Atopic Dermatitis: The most common adverse reactions (incidence 1%) in patients are injection site reactions, conjunctivitis, blepharitis, oral herpes, keratitis, eye pruritus, other herpes simplex virus infection, dry eye, and eosinophilia. Patient Assistance Connection Financial Eligibility (for uninsured or functionally uninsured patients) Determine the maximum household income requirement to be considered for Patient Assistance Connection by selecting your household size and then viewing the 400% column. Putting the pieces together for acquiring DUPIXENT. Two of these common policies are called prior authorization and step edits. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. What do most people with this insurance type pay? When I get the order for the patient, I get really excited. Part D is an optional benefit that helps pay for outpatient prescription drugs only and is run by private health plans contracted by Medicare. Sanofi US and Regeneron provide these links as a service to their website visitors and users; however, they take no responsibility for the information on any website but their own. Our nurses work remotely from our homes. I have a training kit that has a training syringe in it. This program is not valid where prohibited by law, taxed or restricted. are breastfeeding or plan to breastfeed. Your insurance company will work with your doctor to get any additional medical information they need. Remember to quickly respond to these calls to avoid delays in receiving DUPIXENT. to a Eosinophilic Esophagitis: mechanism of dupilumab action Eosinophilic Conditions: Patients being treated for asthma may present with serious systemic eosinophilia sometimes presenting with clinical features of eosinophilic pneumonia or vasculitis consistent with eosinophilic granulomatosis with polyangiitis (EGPA), conditions which are often treated with systemic corticosteroid therapy. With the Copay Card, You Could Pay as Little as $0 . DUPIXENT can cause serious side effects, including: Allergic reactions. When DUPIXENT is prescribed by a healthcare professional, you can work with the patient to complete the Enrollment Form, and then fax the Enrollment Form with all signatures, dates, and ICD-10 codes to DUPIXENT MyWay. option 1 Asthma: DUPIXENT is indicated as an add-on maintenance treatment of adult and pediatric patients aged 6 years and older with moderate-to-severe asthma characterized by an eosinophilic phenotype or with oral corticosteroid dependent asthma. Payments are averaged across all phases of Medicare coverage, and include coverage gap and catastrophic phase payments. are breastfeeding or plan to breastfeed. Please be aware that not all Sanofi products are covered under the Sanofi Patient Assistance program. Copay payments vary based on your specific plan. prescription therapies or when those Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. Sano US and Regeneron provide these links as a service to their website visitors and users; however, they take no responsibility for the information on any website but their own. is a patient support program Dupixent without insurance costs $4910 per 2, 2mL of 300 mg/2 mL prefilled syringe, or $3310 per month for 2, 2 mL of 300 mg/2 mL prefilled syringe. Once final approval and payment are received, the patient coordinates shipment to their home or their healthcare providers office, depending on treatment plan. CoverMyMeds provides PA process-related support for DUPIXENT. The DUPIXENT MyWay Copay Card may help eligible, commerciallyinsured patients cover the out-of-pocket cost of DUPIXENT. Learn About DUPIXENT Real patients. All Rights Reserved. The amount you pay for DUPIXENT will largely depend on a number of factors, including: Considering these factors, 2 people could pay very different prices for exactly the same prescription medication. You can refer to DupixentHCP.com for the appeals kit, which will provide information about the process of appealing a denial, and reference sample letters provided by DUPIXENT MyWay. A monthly supply of DUPIXENT (300 mg, 200 mg, or 100 mg) is defined as 2 injections per month. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. Call your doctor for medical advice about side effects. as an add-on maintenance treatment Eye problems. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. Its an injection given under the skin (subcutaneous injection). It is not known whether DUPIXENT will harm your unborn baby. Once coverage for DUPIXENT is approved, your patient must work with the specialty pharmacy to arrange for delivery of DUPIXENT to their home or preferred location. Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. Healthcare providers should be alert to vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their patients with eosinophilia. Whether youre considering treatment with DUPIXENT or youre a DUPIXENT patient or caregiver, you can sign up for emails and additional resources from DUPIXENT MyWay that can help you: Uncontrolled moderate-to-severe eosinophilic or oral steroid dependent asthma, Uncontrolled chronic rhinosinusitis with nasal polyposis. See how DUPIXENT goes from being prescribed to being delivered to your doorstep. are scheduled to receive any vaccinations. older, weighing at least 40 kg, with . DUPIXENT MyWay Copay Card Program Reimbursement Form Joint aches and pain. can help you understand the process. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. Drug coverage under Medicare Part D is divided into 4 phases: 1) deductible, 2) initial coverage, 3) coverage gap, and 4) catastrophic. one-on-one nursing support, and For families/households with more than 8 persons, add $6,430 for each additional person. Use DUPIXENT exactly as prescribed by your healthcare provider. Please refer to Regeneron's Privacy Noticeand Sanofi'sPrivacy Policyfor more information regarding processing of your personal data. Losing Dupixent Due to Changes in MyWay Program : r/eczeMABs - Reddit DUPIXENT can cause allergic reactions that can sometimes be severe. Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections. Centers for Medicare and Medicare website. Especially tell your healthcare provider if you are taking oral, topical, or inhaled corticosteroid medicines; have asthma and use an asthma medicine; or have atopic dermatitis, chronic rhinosinusitis with nasal polyposis, eosinophilic esophagitis, or prurigo nodularis and also have asthma. Its just really neat. ORE: DUPIXENT (dupilumab)a medicine with special storage requirementsis whats known as a specialty medicine. Monday-Friday, During my first year on the medication (2019), it was covered fully through the MyWay Program. Cases of eosinophilic pneumonia were reported in adult subjects who participated in the asthma development program and cases of vasculitis consistent with EGPA have been reported with DUPIXENT in adult subjects who participated in the asthma development program as well as in adult subjects with co-morbid asthma in the CRSwNP development program. Mail: DUPIXENT MyWay Copay Reimbursement Program, 200 Jefferson Park, Whippany, NJ 07981 Fax: 1-908-809-6249 I, _____, certify that the information provided for this reimbursement request is accurate to the best of my knowledge, and the product-specific copay, IL-13, Monday-Friday, All rights reserved. DUPIXENT can be used with or without topical corticosteroids. The cost for Dupixent subcutaneous solution (200 mg/1.14 mL) is around $3,788 for a supply of 2.28 milliliters, depending on the pharmacy you visit. ORE: DUPIXENT MyWay is a patient support program that can help enable access to DUPIXENT and offers Advise patients to report new onset or worsening joint symptoms. DUPIXENT MyWay Some people who use DUPIXENT have had trouble walking or moving due to their joint symptoms, and in some cases needed to be hospitalized. for the treatment of adult patients with prurigo nodularis (PN). LEARN ABOUT OUR PATIENT SUPPORT PROGRAM For more information, call 1-844-DUPIXENT ( 1-844-387-4936) option 1 Monday-Friday, 8 am - 9 pm ET It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. It is not known if DUPIXENT is safe and effective in children with eosinophilic esophagitis under 12 years of age and who weigh at least 88 pounds (40 kg). It is not known if DUPIXENT is safe and effective in children with eosinophilic esophagitis under 12 years of age and who weigh at least 88 pounds (40 kg). Nasal Polyposis (CRSwNP): Stop using DUPIXENT and tell your healthcare provider or get emergency help right away if you get any of the following signs or symptoms: breathing problems or wheezing, swelling of the face, lips, mouth, tongue, or throat, fainting, dizziness, feeling lightheaded, fast pulse, fever, hives, joint pain, general ill feeling, itching, skin rash, swollen lymph nodes, nausea or vomiting, or cramps in your stomach-area. Chronic Rhinosinusitis with Part D is included in most Medicare Advantage (Part C) plans and can be added separately if you have Original Medicare (Parts A and B).9. Please be aware that not all Sanofi products are covered under the Sanofi Patient Assistance program. Centers for Medicare & Medicaid Services. It is not known whether DUPIXENT passes into your breast milk. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. Please see accompanying full Prescribing Information. A causal association between DUPIXENT and these conditions has not been established. Program has an annual maximum of $13,000. DUPIXENT MyWay Support for Patients | DUPIXENT (dupilumab) eligible patients, provide The DUPIXENT MyWayPatient Assistance Program may be able to help. The most common side effects in patients with eczema include injection site reactions, eye and eyelid inflammation, including redness, swelling, and itching, sometimes with blurred vision, cold sores in your mouth or on your lips, and high count of a certain white blood cell (eosinophilia). Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. Help With Affording Eczema and Atopic Dermatitis Treatment Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections. 8 am Tell your healthcare provider about any new or worsening joint symptoms. Announcement of Calendar Year (CY) 2022 Medicare Advantage capitation rates and Medicare Advantage and Medicare Part D payment policies and final call letter. Sanofi US and Regeneron provide these links as a service to its website visitors and users; however, they take no responsibility for the information on any website but their own. NeedyMeds are pregnant or plan to become pregnant. That means it may be delivered to you by a specialty pharmacy instead of your local pharmacy. We have time. Your healthcare provider will decide if you or your caregiver can inject DUPIXENT. Please download the application to see if assistance is available for your medication. CMS product no. Publication 60-260. If you are a New York prescriber, please use an original New York State prescription form. 8 am, Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP), Patient Access Haz clic en "Continuar" si quieres proseguir. has not been definitively Call your doctor for medical advice about side effects. In children 6 months to less than 12 years of age, DUPIXENT should be given by a caregiver. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. DUPIXENT MyWay After final approval and payment are received, the specialty pharmacy will ship DUPIXENT to your patients home or preferred location. It is not known whether DUPIXENT will harm your unborn baby. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. Database current as of, https://www.ssa.gov/benefits/medicare/prescriptionhelp.html, https://www.cms.gov/files/document/2022-announcement.pdf, https://marketplace.cms.gov/technical-assistance-resources/fast-facts-medicaid-chip.pdf, DUP.23.01.0314 Last Update: March 2023, DUP.22.11.0007 Last Update: December 2022, DUP.23.01.0070 Last Update: February 2023, DUP.22.03.0194 Last Update: August 2022, DUP.22.03.0291 Last Update: July 2022, DUP.22.05.0386 Last Update: September 2022, Moderate-to-Severe Eczema (Ages 6+ Months), Moderate-to-Severe Asthma (Ages 6+ Years), Chronic Rhinosinusitis with Nasal Polyposis, Uncontrolled moderate-to-severe eosinophilic or oral steroid, https://mothertobaby.org/ongoing-study/dupixent/, https://www.census.gov/content/dam/census/library/publications/2017/demo/p60-260.pdf, https://www.bcbsm.com/index/health-insurance-help/faqs/plan-types/health-spending-accounts/fsa.html, Whether you have prescription drug insurance, Whether your insurance provider considers the medication to be preferred or not preferred.