for DUPIXENT® dupilumab therapy My Information. The DUPIXENT MyWay patient support program is here to help you at every step of your DUPIXENT treatment journey. Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase. About 75,000 adults in the U. How to fill out dupixent reimbursement: 01. 22. 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. If you’re the spouse or. living with prurigo nodularis. 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. Children 6 to 11 years of age . 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. Especially tell your healthcare provider if you. 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® 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. . Thus, the member is now $500 from hitting his deductible and $1500 from hitting his out-of-pocket maximum. 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. 2022;400 (10356):908-919. March 27, 2018. Just got off the phone with Dupixent My Way. Throw away (dispose of) any DUPIXENT that has been left at room temperature for longer than 14 days. Declining androgen levels correlated with increased frailty. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. . It temporarily provides eligible patients DUPIXENT at no cost, subject to program terms and conditions. a $85. Gather all necessary information and documents, such as your insurance information, prescription details, and any supporting documentation. From my understanding, the Dupixent MyWay Program pays the $125 since your insurance is covering the rest. It took the price from 2K to 1K. Learn how DUPIXENT® (dupilumab) works as the first and only FDA-approved treatment for prurigo nodularis (PN) in adults aged 18 years and older. 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. 67 mL, 200 mg/1. 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. BIN: 020750 RX PCN: NMeds RX GRP: PDFPDF ID: NMNA019309901930 This is a drug discount program, not an insurance plan. DUPIXENT can cause serious side effects, including: The most common side effects in patients with eczema include. Just got the fun news that I will need to pay $2,700 for a monthly dose of Dupixent. DUPIXENT MyWay. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. With of DUPIXENT MyWay Copay Card, right, commercially insured patients might pay as little as $0* copay per fill of DUPIXENT. What it is used for. 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. Registered nurses are also available to speak with eligible patients about DUPIXENT. It is not an immunosuppressant or a steroid. And I would experience blurry vision, red and itchy eyes. Do you think that will hurt my chances of qualifying? I know my prescription drug costs are high enough. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. 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. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not ENROLL. DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. 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. 00, but I do have some money invested. I pay for it with my insurance and the myway copayment program. . 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), and 2022 for infants to preschoolers (aged 6 months-5 years) with uncontrolled moderate‑to‑severe atopic dermatitis. 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. Eligible patients will receive their cards by email. 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. 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. The average cash price for a 30-day supply of Dupixent is $5,298. For more information, dial 1-844-DUPIXENT 1-844-387-4936 ), option 5, Monday-Friday, 9 am – 9 pm ET. And I would experience blurry vision, red and itchy eyes. Expert perspectives on management of moderate-to-severe atopic dermatitis: a multidisciplinary consensus addressing current and emerging therapies. How many people live in your household? _____ Please refer to. Since 2017, Dupixent has increased in price by 13%. I. Share your form with others. Monday-Friday, 8 am-9 pm ET. I understand that. S. They are a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI. Applies to: Dupixent Number of uses: per prescription per year. The DUPIXENT MyWay team can research each patient’s situation and determine eligibility. chevron_right. Rx: DUPIXENT® (dupilumab) (100 mg/0. 23. 99% of commercial patients (6+ months of age) nationally are covered for DUPIXENT. 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. Also, make sure to store the DUPIXENT MyWay phone number in your phone’s contacts so you. Needed additional leadership equipped the enrollment process? Contact your section accessories dedicated or call DUPIXENT MyWay. Patients in each age group saw improved lung function in as little as 2 weeks. 0156 Last Update: March 2023 DUP. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. In this case Dupixent myway will cover the first 13k, which is probably like 5 months. DUPIXENT MyWay team will research each patient’s situation and determine eligibility. Dupixent on a High Deductible Health 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). Rx: DUPIXENT® (dupilumab) (100 mg/0. For children aged 6 months to 5 years, it is taken as 1 injection every 4 weeks. 0156 Past Update: March 2023 DUP. How many people live in your household? _____ Please refer to. 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. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. Since 2017, Dupixent has increased in price by 13%. Some Medicare plans may help cover the cost of mail-order drugs. 0156 Last Update: March 2023 DUP. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. Refrigerate it at 36 °F to 46 °F. DUPIXENT MyWay ENROLLMENT FORMS; English Enrollment Form. 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). Monday-Friday, 8 am-9 pm ET. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. for DUPIXENT® dupilumab therapy My Information. Those who may qualify must be at least 18 years of age or older, a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI, and demonstrate a. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. 2 cartons. Dupixent is not intended for episodic use. Dupixent MyWay Copay Card. 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. Find videos and downloadable instructions for the two injection administration options available for DUPIXENT® (dupilumab), pre-filled syringe (200 mg or 300 mg) with needle shield for ages 6 months & older, or pre-filled pen (200 mg or 300 mg) for ages 2+ years. FUN Documents, MMIT, and Policy Reporter as of July 12, 2023. Program Website : Patient Assistance Applicationsfor DUPIXENT® dupilumab therapy My Information. 0185 Last Update: November 2022 DUP. For assistance, please call 1-844-468-2252 Monday Friday, 8AM to 8PM ET. 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. 14 mL, or 300 mg/2 mL)Section 5a. Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. Serious side effects can occur. 2 pens of 300mg/2ml. 14 mL, or 300 mg/2 mL) Call 1-844-387-4936, Option 1 to contact DUPIXENT MyWay ®. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. It still covers the same amount. “It’s an incredible feeling to be validated and. how to afford it then - it's been so helpful!! 3 Reactions. Long-term results from a clinical trial that studied DUPIXENT for 52 weeks. ) I agree that Regeneron Pharmaceuticals, Inc. Learn about DUPIXENT® (dupilumab) for moderate-to-severe asthma treatment. A quantity of Dupixent will be considered medically necessary if the above criteria are met, as indicated in the table below:. There is another biologic very similar to Dupixent called Adbry. 33% and 27% reduction in their nasal polyps score compared to a 7% and 4% increase with placebo in SINUS-24 and SINUS-52, respectively (LS mean change from baseline of -1. 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. Eligible patients will receive their cards by email. 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. See All. 14 mL, or 300 mg/2 mL)The Dupixent MyWay program is not available to medicare patients. Please see. We just need you to answer a few questions to verify your eligibility and contact information. These programs and tips can help make your prescription more affordable. 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 MyWay pays the $500 copay. 1, 2022, the gross income limit for Supplemental Nutrition Assistance Program (SNAP) eligibility in Minnesota increased from 165% to 200% of the federal poverty line for most households. For more information and to find out if you’re eligible for support, call 844-DUPIXENT (844-387-4936) or visit the program website. Eligible patients will receive they cards by e-mail. For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. 02. Fill out sections 5a and 5b completely to determine patient eligibility. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. 14 mL; and 300 mg per 2 mL. If necessary, DUPIXENT may be kept at room temperature up to 77 °F (25 °C) for a maximum of 14 days. chevron_right. SINCE 2017, ≈253,000 PATIENTS HAVE FILLED AT LEAST 1 DUPIXENT PRESCRIPTION b,c. DUPIXENT can be used with or without topical corticosteroids. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. After removal from the refrigerator, DUPIXENT must be used within 14 days or discarded. Monday-Friday, 8 am-9 pm ET. 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. $0!!!!! On April 6 I sent them income paperwork and my year to date prescription invoices. 2. DUPIXENT MyWay® Program Taking Dupixent. Monday-Friday, 8 am - 9 pm ET 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. 22. According to the manufacturers, Dupixent can be dosed to a maximum daily dose as indicated below. Please see Dosage Regimens, How to Inject DUPIXENT® and Instructions for Use. S. 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. Manufacturer Coupon. For more information, please call 1-844-DUPIXENT (1-844-387-4936) or visit . “Eczema otherwise unspecified” is not indicated for Dupixent. You have to game the system instead of trying to get full coverage. 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. If I am completing Section 5b, I authorize for my commercially insured patient one. Please see. , chart notes, laboratory values) and use of claims history documenting the following: 1. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. 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. Dupixent MyWay pays the $500 copay. 22. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. -The MyWay forms themselves changed to a new revision and had to be resubmitted by my doctor -The revised new form needed me to resign then over the phone. Please see Important Safety Information and Prescribing Information and Patient Information on website. ) Please refer to Section 8, Patient Certifications, for. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. 01. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. Dupixent is not intended for episodic use. You may be able to lower your total cost by filling a greater quantity at one time. Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase 3 program consisting of two pivotal trials. 23. DUPIXENT® and DUPIXENT MyWay® are entered commercial of Sanofi Biotechnological. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. Robocalls increase diabetic retinopathy screenings in low-income patients. I'm "only" 61 now though on Dupixent MyWay copay help. 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 other4 ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pmDUPIXENT MyWay complements your office’s process for accessing DUPIXENT. Over 80% of insurance plans cover Dupixent, but many have restrictions. The U. ®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. 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. 12. 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® (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. I give supplemental injection training to the patient and the patient’s caregiver. 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. Im so stressed out about. Once you’ve been prescribed DUPIXENT, your healthcare provider can download the enrollment form, help you fill it out, and fax it back to DUPIXENT MyWay at 1-844-387-9370. Over 80% of insurance plans cover Dupixent, but many have restrictions. And very recently got laid off due to Covid-19. . Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. Decreased utilization of rescue medications 3. 2 cartons. At this rate, I will no longer be able to afford the medication very soon. Serious side effects can occur. 06 and -1. Injection site reactions and eye conditions are the most common side effects reported and, unlike several other biologics, the risk of infection is low. 58 for 1. Section 5a. Appears that my out of pocket maximum will be $8000 through insurance. Dupixent will run about $3000 per month with my insurance until my maximum is met. $0 is the amount you pay. 0252 Last Update: Feb 2023 DUP. • DUPIXENT can be stored at room temperature up to 77°F (25°C) up to 14 days. Fax the Enrollment Form to DUPIXENT MyWay. Income at or below: Not Published: Medical expenses can be deducted from reported income:. 01. 89 and -1. Dupixent® (dupilumab) approved by FDA as the first and only treatment indicated for prurigo nodularis Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase 3. 0kg. Learn why DUPIXENT® (dupilumab) may be an. A group of skin conditions characterized by skin inflammation, rash, and itch. 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. a,b a Data on file, Sanofi and Regeneron, US. This medicine should be given by a caregiver in children 6 months to less than 12 years of age. was not paid in whole or in part by Medicare, Medicaid, or any federal or state programs. if speciality. Dupixent changed my life completely. 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. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. Tell your healthcare provider about any new or worsening joint symptoms. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. 00. How many people live in your household? Please refer to Section 8, Patient Certifications, for additional information about the Patient Assistance Program. Assistance may be available for patients who do not have insurance. 17 and 0. 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. Eligible clients will receive their cards by email. DUP. Clip the card and save • Save up to 80% on medications*Tell your healthcare provider about any new or worsening joint symptoms. 01. 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 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. Ready to connect with actual patients and caregivers being treated with DUPIXENT? The DUPIXENT MyWay Mentor Program helps put current and prospective moderate-to-severe eczema (atopic dermatitis or AD) DUPIXENT patients in contact with people going through similar. 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. Susie16 Oct 15, 2023 • 9:37 PM. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. That is what I am in the middle of. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. Base amount is $558. Support. comfysnail • 1 yr. Guam or the USVI, and demonstrate a financial need with a total annual adjusted gross income of $100,000 or less. Data on file, Regeneron Pharmaceuticals, Inc. 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. ®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. Hear real patients stories of life with uncontrolled moderate-to-severe asthma and how discovering DUPIXENT® (dupilumab) impacted their journey. you offering to give them $170 they assumed you didn’t want to bother contacting dupixent myway. 28. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. 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. Sign it in a few clicks. But either way, after you or Dupixent myway meets your deductible, it should be free to you. In patients aged 6 months to 5 years, Dupixent is administered with a pre-filled syringe every four weeks based on weight (200 mg for children ≥5 to <15 kg and 300 mg for children ≥15 to <30 kg). The patient would prefer not to try. Get a Quick Start. 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;. It was a process to get into the patient assist program. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack. (The patient is lucky / unlucky enough to have an income that would rule out the Patient Assistance Program. You may be eligibility on the DUPIXENT MyWay Copay Card if you:DUPIXENT MyWay Copay Card if you:Dupixent® should be given by or under the supervision of an adult in children 12 years of age and older. any time by mailing or faxing a written request to DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. 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). Access the dupixent reimbursement form either online or through your healthcare provider. If patients become infected while receiving treatment with DUPIXENT and do not respond to anti-helminth treatment, discontinue treatment with DUPIXENT until the infection resolves. For more information and to find out if you’re eligible for support, call 844-DUPIXENT (844-387-4936) or visit the program website. 1-844-DUPIXENT (1-844-387-4936) Topicort (desoximetasone spray 0. 67 mL, 200 mg/1. 1. Caring. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. With and DUPIXENT MyWay Copay Card, eligible, commercially insured care may pay when little as $0* copay by fill the DUPIXENT. Surgery may remove your nasal polyps, but it may not treat an underlying cause of inflammation—allowing them to grow back. Social Security income, unemployment insurance benefits, disability income, any other income for the household. 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 MyWay team will research each patient’s situation and determine eligibility. 02. The Dupixent MyWay program is not available to medicare patients. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. And, if you're eligible, you can sign up and receive your card today. It temporarily provides eligible patients DUPIXENT at no cost, subject to program terms and conditions. So, even with a "prior authorization" and a "formulary override", the cost to me is $2900 per month, or about $1450. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based on 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 MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing useful tools and resources. $4,930. Especially tell your healthcare provider if you. With the DUPIXENT MyWay Copay Card, eligible,. was not paid in whole or in part by Medicare, Medicaid, or any federal or state programs. There is currently no generic alternative to Dupixent. 0254 Last Update: February 2023 DUP. Regeneron and Sanofi are committed to helping patients in the U. Section 5a. THE DUPIXENT MyWay PROGRAM. If approved by your insurance company, getting a 90-day supply of the drug could reduce your number of. There is currently no generic alternative to Dupixent. The language of the MyWay program back then never mentioned the $13,000 limit: they simply asked for income requirements, etc. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will notOnce you’ve been prescribed DUPIXENT, your healthcare provider can download the enrollment form, help you fill it out, and fax it back to DUPIXENT MyWay at 1-844-387-9370. Select Condition Indication Moderate-to-Severe Eczema (Ages 6+ Months) Moderate-to-Severe Asthma (Ages 6+ Years) Chronic Rhinosinusitis with Nasal Polyposis (Ages 18+. The majority of DUPIXENT patients with commercial/employer-provided insurance use the DUPIXENT MyWay ® Copay Card. Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. Fill out sections 5a and 5b completely to determine patient eligibility. 14 mL, or 300 mg/2 mL)The average cash price for a 30-day supply of Dupixent is $5,298. If you are a New York prescriber, please use an original New York State prescription form. 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. 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. 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 DUPIXENT MyWay team can research each patient's situation and determine eligibility. 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. 01. Note: All information is required unless otherwise indicated. 71 for Dupixent compared to 0. Prior authorization and appeals. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. Patient is responsible for any out-of-pocket amounts that exceed the program limit. 74 (2023), plus an amount based on how much you. A 68-year-old woman developed generalized joint pain 6 weeks after starting Dupixent. 80). He continued with Dupixent and his symptoms had partially improved 24 weeks after their onset. Every enrolled patient is assigned a phone-based DUPIXENT MyWay® Nurse Educator, who takes a patient-centric approach to providing tools, support resources, and education throughout the patient’s treatment journey. Approval represents the second dermatology indication for Dupixent and fifth disease indication overall in the. DUPIXENT can be used with or without topical corticosteroids. Do not store DUPIXENT pre-filled syringes at room temperatures more than 77°F (25°C) Do not keep DUPIXENT at room temperature. 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. I’ve been with DUPIXENT MyWay since the very beginning. For patients with commercial insurance who are new to DUPIXENT and experiencing a. DUPIXENT is taken by injection under the skin (subcutaneous injection) once every two weeks. 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. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. 23. Serious side effects can occur. Type text, add images, blackout confidential details, add comments, highlights and more. I wanted to go out and make a difference and help people. g. 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. 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. It will also depend on how much you have. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. . Dupixent side effects. 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. When I was very young, I knew that I wanted to be a nurse. DUPIXENT MyWay Appeal Specialists can help provide support throughout the appeal process. 1-844-DUPIXENT 1-844-387-4936. Boguniewicz M, Alexis AF, Beck LA, et al. My doctor gave me a copay card to cover mine. and other countries to treat several diseases driven by type 2 inflammation. Injection in children 12 and older should be supervised by an adult. You must also meet certain household income eligibility requirements as outlined below: 48 States and DC. Serious side effects can occur. A case series of 12 people prescribed Dupixent reported an average weight gain of 6. If you still have questions, you can speak with a DUPIXENT MyWay or request to join the program over the phone. 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 consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. with household income, to qualify. Need additional guidance with the enrollment process? Call DUPIXENT MyWay at 1-844-387-4936 Monday through Friday, 8 am to 9 pm Eastern Time. 0252 Last Update: Feb 2023 DUP. This copay card may be for you if you. 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. 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. For more information, dial 1. Also if your insurance does cover,Dupixent offers a co-pay card that. They will begin the benefits investigation and inform your office of the next steps. The appeal process Example letters. If you have an adjusted net income or adjusted household net income between $30,000 and $32,000, you may receive a reduced supplement amount. As far as choosing a better plan with a lower deductible, I don't really have much of a choice. 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. 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. Continuation in the DUPIXENT MyWay Patient Assistance Program is conditioned upon timely verification of income. QUEST (12+ years) DUPIXENT offers rapid breathing relief patients can feel as early as Week 2. Dupixent inhibits the overactive signaling of interleukin-4 (IL-4) and. com.