Have commercial insurance, including health insurance. Copay Reimbursement Program, 200 Jefferson Park, Whippany, NJ 07981. Quitting my job and going back to school isn’t affordable option. You’ll need to become a Simplefill member for us to find you the prescription assistance you need to pay for your Dupixent. 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 patient named on this form for an DA-approved indication. For more information, please call 1-844-Dupixent (1-844-387-4936) or visit The Wholesale Acquisition Cost (WAC) of Dupixent in the United States is $37,000 annually. Complete every fillable area. If you are a New York prescriber, please use an original New York State prescription form. Assistance may be available for patients who do not have insurance. Also, make sure to store the DUPIXENT MyWay phone number in your phone’s contacts so you recognize. best of luck!! i hope you can get on dupixent soon. “My eyes are a little itchy and gunky, but I would choose that side effect in a heartbeat rather than go back to the way things were before starting the treatment. GF Strong Rehabilitation Centre. Otherwise, it's been a miracle for me, after suffering terrible with eczema for 20 years. (20% of ~$3,500)INDICATIONS Atopic Dermatitis: DUPIXENT is indicated for the treatment of patients aged 6 years and older with moderate-to-severe atopic dermatitis whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable. Thankfully, because my insurance counts Dupixent towards my out of pocket maximum, that $2000 Accredo bill (that I never paid, of course) sent me over that limit and I was fine for the year, but I was so angry for another hypothetical me who wasn't so lucky or had a higher OOP Max. Find DUPIXENT® (dupilumab) injection videos and instructions for the pre-filled pen (200 mg or 300 mg) for ages 2+ years. , deductible and MOOP)? A7: Deductibles are established as a means of cost sharing with your plan sponsor while a MOOP is the most you will pay during a policy period. Serious side effects can occur. We can also connect you with your specialty pharmacy to access DUPIXENT. Count to 5 to be sure you get the full dose. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing, state-specific. I authorize the Alliance to use my Social Security number and/or additional. My dr pioneered eoe for many years and ran a lot of the trials. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. 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 patient named on this form for an DA-approved indication. Enroll eligible patients in the DUPIXENT MyWay® patient support program for DUPIXENT® (dupilumab) access, financial assistance & nursing support. living with prurigo nodularis are most in need of new treatment options . “It was like something out of a dermatology fairy tale. 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. MELINDA: Before I started DUPIXENT, I told my doctor about all the medical conditions I had and medications I was taking. If you are successfully enrolled in the program, we. 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. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. Once the prescription went to the pharmacy I called the pharmacy and they did the myway paperwork for me. Although you are not eligible, you can sign up DUPIXENT MyWay emails about DUPIXENT below. Box 5925 Mailstop 55A-220A Bridgewater, NJ 08807. Dupixent side effects. This has happened a few times, and I thought the medication itself was bad. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. In order to be effective and work properly, most biologics are injectable medicines. 1 A patient may self-inject DUPIXENT—or a caregiver may administer DUPIXENT—after training has been provided by a healthcare provider on proper subcutaneous injection technique using the pre-filled syringe or pre-filled pen 2 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. 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. ( 1-844-387-4936), option 1. In children 12 years of age and older,Q7: Why will copay card support no longer be contributed toward my accumulator totals (i. Atopic Dermatitis: DUPIXENT is indicated for the treatment of adult and pediatric patients aged 6 months and older with moderate-to-severe atopic dermatitis whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable. Eligible commercially insured patients may submit a rebate if they paid in full for their prescription at the pharmacy or their prescription was filled before they enrolled in the program; visit to begin the rebate process; for additional information contact the program at 844-387-4936. Important Safety Information and Indication. Support. facilitate the filling of my patient’s prescription; to assess, if applicable, my patient’s eligibility for patient assistance and other support programs; and to otherwise administer. Prurigo Nodularis: The most common adverse reactions (incidence ≥2%) are nasopharyngitis, conjunctivitis, herpes infection, dizziness, myalgia, and diarrhea. ®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. DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. You should call your doctor or your insurance company and ask for the specialty pharmacy information. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. The DUPIXENT pre-filled syringe is for use in adult and pediatric patients aged 6 months and older. Yesterday the nurse injected the first dose using a syringe in my leg. DUPIXENT MyWay complements your office’s process for accessing DUPIXENT. Indication. The appeal process Example letters. Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. Fill out this form with a valid email address and see if you’re eligible for the DUPIXENT MyWay ® Copay Card. Most do, some don't. Most dermatologists should know about it. 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. Inspire has over 250 health communities supporting more than 3000 conditions. In SINUS-24 and SINUS-52, 74% fewer patients required SCS use at Week 52 with DUPIXENT 300 mg Q2W + INCS compared to placebo + INCS (HR: 0. If you are a New York prescriber, please use an original New York State prescription form. after two days im at about a 6 to 7. Dupixent - extreme pain while injecting. I started Dupixent on Sunday May 21 (2 shots as the first dosage is double) and I must say for me there have been some positive quick/noticeable changes. DUPIXENT, a biologic, is a type of medication that is processed in the body differently than oral or topical medications. Step 2: After washing your hands, clean the area you are going to inject with an alcohol wipe. FUN Documents, MMIT, and Policy Reporter as of July 12, 2023. Learn how to prepare, inject, and dispose of the syringe safely and correctly. Ways to save on Dupixent. Sex at birth: Male . How DUPIXENT MyWay® Helped Shawn Get Started. n¬©® &í]ÃÎê)«ÀI¯´[5ì×âÛä#« §„ñ ¶…Ä. DUPIXENT is a weekly single-dose injection that can be given by your doctor in an office or a clinic, or can be taken at home. by McKesson's Portal! RxCrossroads is pleased to provide you with fast, reliable assistance in obtaining medication copay saving offerings. How to get Prescription Assistance. This is very helpful!Dupixent MyWay Program Dupixent (dupilumab injection) CONTACT INFODupixent is an injection that is usually given under the skin every other week for the treatment of asthma, eczema, and some other inflammatory conditions. 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. for DUPIXENT MyWay emails about. ”. You can connect with DUPIXENT MyWay Nurse Educators by phone to receive supplemental injection training, help scheduling deliveries and prescription refills, or help navigating financial support options, such as copay assistance. Please see Important Safety Information and Prescribing Information and Patient Information on website. DUPIXENT is taken by injection under the skin (subcutaneous injection) once every two weeks. numbness, pain, tingling, or unusual sensations in the palms of the hands or bottoms of the feet. Good luck. For more information, call 1. Select a tab below to get you to helpful information depending on where you are in your treatment journey. PRESCRIBER TO FILL OUT Section 5a. You may be able to. If your healthcare provider decides that you or a caregiver can give DUPIXENT injections, you or your caregiver should receive training on the right way to prepare and inject DUPIXENT. Then, one day, my doctor suggested we try adding DUPIXENT. There are 74 drugs known to interact with Dupixent (dupilumab), along with 2 disease interactions. My face/neck which has always. The formulary status tool below can help check DUPIXENT coverage for various plans. After that, we will have met our family deductible. Keep DUPIXENT Syringes and all medicines out of the reach of children. After another six weeks I could smell and taste. I y are a Ne r resrer, ease se a ra Ne r Sae resr r Te resrer s y ser sae-se resr rerees, s as e-resr, sae-se resr r, a aae, e N-ae sae-se rerees res rea e resrer. If you’re eligible, you can enroll online or by phone and receive your card by email. I would literally give whoever made this drug my life. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,Full Prescribing Information: Patient Information: Learn more about DUPIXENT: Thanks for c. financial assistance for eligible patients, provide one-on-one nursing support, and more. - Rachel, DUPIXENT Patient Mentor, living with asthma. FDA approves Dupixent ® (dupilumab) as first treatment for adults and children aged 12 and older with eosinophilic esophagitis. Stop using DUPIXENT ®. throat pain or soreness. insurer. Caring. DUPIXENT MyWay®. My skin is now 90 percent cleared. Some Medicare plans may help cover the cost of mail-order drugs. Monday-Friday, 8 am-9 pm ET. Self-nominate to become DUPIXENT MyWay® Ambassador, and if selected, you may have opportunities to share your story and offer encouragement to patients and their family members. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. , One-on-One Nurse Education, and Supplemental Injection Training) Please click “Continue. x DUPIXENT Syringes can be stored at room temperature up to 77°F (25°C) up to 14 days. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. PK !Ñ'/ å è · [Content_Types]. Injection site reactions and eye conditions are the most common side effects reported and, unlike several other biologics, the risk of infection is low. 2 pens of 300mg/2ml. DUPIXENT® (dupilumab) Full Prescribing Information: Patient Information: Learn more about DUPIXENT: Show more. Dupixent is prescribed for eczema and certain types of asthma. Learn more about DUPIXENT® (dupilumab) in moderate-to-severe asthma and if it may be the right treatment option for you. Then you give the specialty pharmacy a call regarding the refill & give them the required insurance information and schedule a delivery. Self-nominate to become DUPIXENT MyWay® Ambassador, and if selected, you may have opportunities to share your story and offer encouragement to patients and their family members. Both through prescribing physicians, but dupixent's gone pro-active and implemented the my way reporting line for patients to self report adverse events as well. Sorry you interpreted my post that way. 2677 patients were treated with 300 mg QW for up to 204. I may opt out of receiving Communications, individual support services, including the DUPIXENT MyWay® Copay Card, or opt out of DUPIXENT MyWay® entirely at any time by notifying a representative by telephone at 1-800-633-1610 or by sending a letter to Sanofi US Customer Service P. The $500 payment counts towards the member’s deductible and out-of-pocket maximum. His experience and mine are night and day different. Fax: 1-908-809-6249. FUN Documents, MMIT, and Policy Reporter as of July 12, 2023. To help identify you in our system, please provide the following information. g. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. Sydnab • 1 yr. insurer. FUN Documents, MMIT, and Policy Reporter; data through July, 2023. Serious adverse reactions may occur. It is a single-dose injection that can be taken at home after proper training once a week. com. First few months into taking Dupixent, I got laid off and worked w my doctors/Dupixent to get assistance. What makes the dupixent digital document center legally binding? As the society ditches in-office work, the completion of documents more and more takes place electronically. 14 mL) is around $3,788 for a supply of 2. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. New pati ent . Foradil Aerolizer - Save up to $120. Serious side effects can occur. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,Through the Patient Assistance Program, qualified patients who are uninsured or whose insurance does not cover DUPIXENT could receive DUPIXENT at no cost. Enroll eligible patients in the DUPIXENT MyWay® patient support program for DUPIXENT® (dupilumab) access, financial assistance & nursing support. The Dupixent pre-filled pen is only for use in patients 12 years of age and older. Product Monograph – DUPIXENT (dupilumab injection) Page 4 of 82 Asthma DUPIXENT is indicated as an add-on maintenance treatment in patients aged 12 years and older with severe asthma with a type 2/eosinophilic phenotype or oral corticosteroid-dependent asthma. See if you live in an eligible county and learn more about the health equity funds here. DUPIXENT was studied in adults and children 6 months of age and older. Enrolled patients have access to: 1‑844‑387‑4936. Dupixent side effects. PRESCRIBER TO FILL OUT Section 6a. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. 18, 0. DUPIXENT® (dupilumab) is indicated as an add-on maintenance treatment in adult patients with inadequately controlled chronic rhinosinusitis with nasal polyposis (CRSwNP). In my second year on Dupixent (2020), it was covered in full as the copay assistance payments of $13,000 counted against my deductible/out-of-pocket maximum ($8,500). I, _____, certify that the information provided for this reimbursement request is accurate to the best of my knowledge, and the product-specific copay, DUPIXENT MyWay is a patient support program designed to help you get access to DUPIXENT and stay on track while providing helpful tools and resources. muscle aches. Full Prescribing Information: Patient Information: Learn more about DUPIXENT: Thanks for c. The dupixent my way enrollment form isn’t an exception. Dosage in Pediatric Patients 6 Months to 5 Years of Age. Well at a cost of roughly $3,500/dose which lasts a month, that will all be used up in four months. DUPIXENT® (dupilumab) 13. Peter Bunting Moderator & Contributor <p>Thanks for your response, Ashley. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Dupixent is not intended for episodic use. Store DUPIXENT Syringes in the original carton to protect them from light. Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. Monday-Friday, 8 am - 9 pm ET. In pediatric patients 12 to 17 years of age, administer DUPIXENT under the supervision of an adult. This inflammation is an important component in. Nationally are Covered for DUPIXENT. The formulary status tool below can help check DUPIXENT coverage for various plans. (I don't know when it is expiring, I have to look this up). Your email is on its way. 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. My arms and legs are nowhere near as red and there is pretty much no itch to them. 421 adult patients were randomized to DUPIXENT + TCS or placebo + TCS. Chest. my eligibility for the DUPIXENT MyWay Patient Assistance Program, and I understand that such verification may include contacting me or my healthcare provider for additional information and/or reviewing additional financial, insurance, and/or medical information. DUPIXENT can be used with or without topical corticosteroids. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,DUPIXENT® (dupilumab) is the first and only FDA-approved treatment for eosinophilic esophagitis (EoE), indicated for adult & pediatric patients aged 12+ years, weighing at least 40 kg. It may be covered by your Medicare or insurance plan. pain, redness, irritation, itching, or swelling of the eye, eyelid, or inner lining of the eyelid. I saw my dermatologist today(a new one, my other passed away) and she did not think the hair loss is from coming off of the prednisone, so I still do to know what is going on. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Fill a 90-Day Supply to Save. Brovana - Save up to $30 per month. com. 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. ®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. Experience: Been on Dupixent since May 15, 2017. Click on the "Enroll Now" button or link. DATA UP TO 52 WEEKS is available. The recommended dosage of DUPIXENT for pediatric patients 6 months to 5 years of age is specified in Table 1. Monday-Friday, 8 am-9 pm ET. Pay as little as $0 per month. Each time you fill your DUPIXENT prescription, please ensure your. For more information or to enroll in the patient support program, dial 1‑844‑DUPIXENT ( 1-844-387-4936 Monday-Friday, 8 am-9 pm EST. The best way to celebrate the drug and its benefits on your quality of life is to understand how it works and why. Monday-Friday, 8 am-9 pm ET. g. Serious side effects can occur. Have commercial insurance, including health insurance exchanges, federal employee plans, or state employee plans;. After that, it is taken as 1 injection every 2 weeks or every 4 weeks, depending on your age and weight. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. My name is Shari and I’m a registered nurse with DUPIXENT MyWay. The help you get from a copay card is provided by theBUT, the Dupixent MyWay card paid the $600 for me. Page couldn't load • Instagram. Eligible patients will receive their cards by email. In this case Dupixent myway will cover the first 13k, which is probably like 5 months. insurer. Serious side effects can occur. Please see Important Safety Information and Patient Information on website. insurer. This medicine should be given by a caregiver in children 6 months to less than 12 years of age. My daughter's Dupixent is free with the card and they ship it with cold packs to our front door. They are a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI. 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:. Has been prescribing for the last 10+ years and was essentially told I F'd up on the over use and have to taper down. 28 milliliters,. , Sanofi US, and their affiliates and agents (together, the “Alliance”) may verify my eligibility for the DUPIXENT MyWay Patient Assistance Program, and I understand that such verification may include contacting me or my healthcare provider for additional information and/or reviewing additional financial, insurance, and. DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. ” IMPORTANT SAFETY INFORMATION: Do not use if you are allergic to dupilumab or to any of the ingredients in DUPIXENT ®. Your email is on its way. 2020;157 (4):790-804. I found the carnivore diet helps immensely for autoimmune issues. Dupixent Prices, Coupons and Patient Assistance Programs. . Dupixent works. For more information, call 1-844-DUPIXENT ( 1-844-387-4936) option 1. [4] [5] [6] [2] It is also used for the treatment of eosinophilic esophagitis [7] and prurigo nodularis. Learn about DUPIXENT® (dupilumab) dosage and administration for eosinophilic esophagitis (EoE) in adult & pediatric patients aged 12+ years, weighing at least 40 kg. This will allow the specialty pharmacy to conduct the benefits investigation, and DUPIXENT MyWay will provide additional support to the patient. LONG-LASTING CLEARER SKIN AT 16 and 52 Weeks 22% taking. Available in two delivery options, pre-filled syringe & pre-filled pen (300mg) for ages 12+ years. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Program has an annual maximum of $13,000. My Dupixent auto injector people, where you at, I have a question for you. Tell your healthcare provider about any new or worsening joint symptoms. Long-term results from a clinical trial that studied DUPIXENT for 52 weeks. You may be eligible for the DUPIXENT MyWay Copay Card if you:. How are you finding the program? I received a missed call from them last week but the message they left on my phone was cut short so I don't have a name or. Limitation of Use: Not for the relief of acute bronchospasm or status asthmaticus. In one week after my first Dupixent shot I could feel a positive change in my nasal airway. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. That would be $3,400 and then the Dupixent MyWay card would pay that $3,400, I assume. . If your office does not use a preferred specialty pharmacy, leave the box unchecked to indicate that you would like DUPIXENT MyWay to conduct the benefits investigation on the patient’s behalf. Current patient Patient’s first name . Your healthcare provider may stop DUPIXENT if you develop joint symptoms. I am so sorry you are having side effects that may make you stop taking it. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Subscribe to our channel to stay up-to-date with all things DUPIXENT. 2 cartons. VO: 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. Mine had just exhausted a few months ago after 2 years, and I'm currently paying $70 for 2 shots with Blue Cross Blue Shield. 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) 1‑844‑DUPIXENT 1-844-387-4936. Watch videos for a supplemental demonstration on how to use and dispose of DUPIXENT® (dupilumab), a prescription medicine for subcutaneous injection. For any questions or concerns, please contact us at the phone number located on your enrollment form. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing. 03. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack. You need to have a prescription for DUPIXENT as well as commercial insurance. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. I think it is a true wonder drug and I am grateful for it. Be sure the details you add to the Dupixent Enrollment Form is updated and correct. Pay as little as $0 per month. My monthly copay is $50 and my way picks it up. 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). Serious side effects can occur. 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. Review patient eligibility for the DUPIXENT MyWay® Copay Card for DUPIXENT® (dupilumab) and explore patient assistance programs for eligible patients. Learn how DUPIXENT® (dupilumab) works as the first and only FDA-approved treatment for prurigo nodularis (PN) in adults aged 18 years and older. Monday-Friday, 8 am-9 pm ET. 1-844-DUPIXENT 1-844-387-4936. 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. Please see Important Safety. com is a great place to begin your research. Got me approved for Dupixent right away (insurance company is Cigna). And very recently got laid off due to Covid-19. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing. medisafe. Needed additional leadership equipped the enrollment process? Contact your section accessories dedicated or call DUPIXENT MyWay. ReplyPRESCRIBER TO FILL OUT Section 6a. Learn more about DUPIXENT® (dupilumab), is the first FDA-approved biologic to treat eosinophilic esophagitis (EoE) in patients 12 years and older who weigh at least 88lb (40kg). 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 financial need. Please see Important Safety Information and Patient Information on website. This medicine should be given by a caregiver in children 6 months to less than 12 years of age. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. Terms & Restrictions apply. Dupilumab, sold under the brand name Dupixent, is a monoclonal antibody blocking interleukin 4 and interleukin 13, used for allergic diseases such as eczema (atopic dermatitis), asthma and nasal polyps which result in chronic sinusitis. If your healthcare provider decides that you or a caregiver can give DUPIXENT injections, you or your caregiver should receive training on the right way to prepare and inject DUPIXENT. Fill in your personal information, such as your name, date of birth, and contact details. DUPIXENT® (dupilumab) 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. Be sure to check your inbox. 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. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. DUPIXENT can be used with or without topical corticosteroids. How is Dupixent supplied? Dupixent comes as a single-use pre-filled syringe (with a needle shield) or as a pre-filled pen. Start Program product to the patient named herein. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing, state-specific. This document provides detailed instructions for using the DUPIXENT Pre-filled Syringe with a 300 mg dose. •DUPIXENT Syringes can be stored at room temperature up to 77°F (25°C) up to 14 days. Do not try to inject DUPIXENT until you have been shown the right way by your healthcare provider. Clinical, histologic, and. For more information, dial 1‑844‑DUPIXENT 1-844-387-4936 Monday-Friday, 8 am-9 pm ET. reply . The way it works without copay accumulators is: myway covers your copay/deductible and by the time you have exhausted the benefit you’ve hit your deductible and your insurance is footing the bill for the rest of the year. The first 3 shots were in my upper arm. x Store DUPIXENT Syringes in the original carton to protect them from light. Depends if your insurance cares that Dupixent myway is paying your deductible. com. Serious side effects can occur. In children 12 years of age and older,I agre e to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. There's an issue and the page could not be loaded. yes! i am currently using both my insurance and dupixent my way. If you are a New York prescriber, please use an original New York State prescription form. Unusual weakness or fatigue, fever, headache, skin rash, muscle or joint pain, loss of appetite, pain, tingling, or numbness in the hands or feet. You may be able to lower your total cost by filling a greater quantity at one time. It contains 300 mg of DUPIXENT for injection under the skin (subcutaneous injection). I chose to be a nurse because I wanted to help people, and I believe that people should be in service to others. The parts of the DUPIXENT Syringe are shown below: • The DUPIXENT Pre-filled Syringe • 1 alcohol wipe* • 1 cotton ball or gauze* • a sharps disposal container* In children 6 months to less than 12 years of age, DUPIXENT should be given by a caregiver. 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. DUPIXENT ® ️ can cause allergic reactions that can sometimes be severe. In order to be effective and work properly, most biologics are injectable medicines. 26 [95% CI: 0. 99% of commercial patients (6+ months of age) nationally are covered for DUPIXENT. Dupixent MyWay Copay Card Rebate. DUPIXENT is a weekly single-dose injection that can be given by your doctor in an office or a clinic, or can be taken at home. 1 Disease severity was defined by an IGA score ≥3 in the overall assessment of atopic dermatitis. 1‑844‑DUPIXENT. Filter by condition. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Patient assistance program. Re-check each area has been filled in correctly. ®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 DUPIXENT: your first choice to adequately control this chronic, systemic disease. All I can say is, I don’t know if I would be here today without Dupixent. At that point we will owe 20% of the cost of the medication, which adds up to just under $700/month. And, if you're eligible, you can sign up and receive your card today. Pregnancy: A pregnancy exposure registry monitors pregnancy outcomes in women exposed to DUPIXENT during pregnancy. Actual costs to patients, payers and health systems are anticipated to be lower as WAC pricing does not reflect discounts, rebates or patient. 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. DUPIXENT can be used with or without topical corticosteroids. 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. 73K likes, 905 comments - krisaquino on November. DUPIXENT can cause allergic reactions that can sometimes be severe. 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. insurer. For brand name drugs under review and drug reviews completed on or. You may be eligible for the DUPIXENT MyWay Copay Card if you:. Find the definitions of commonly used terms related to uncontrolled, moderate-to-severe eczema, atopic dermatitis, and DUPIXENT® (dupilumab). As noticed side effect, my eyes got dry and itchy which is still bearable. DUPIXENT below. Fast forward to tonight, first time using the pen, and it took me FOREVER to commit. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,1‑844‑DUPIXENT 1-844-387-4936. 2) Pull the needle cap off the syringe, and inject the medication under the skin at a 45-degree angle. Nationally are Covered for DUPIXENT. We work directly with your healthcare provider and will handle the full enrollment process on your behalf. Everything they say sounds like they are reading it from the owners manual. I chose to be a nurse because I wanted to help people, and I believe that people should be in service to others. If you don’t have health insurance, talk. Please see. In children 12 years of age and older,For more information, dial 1‑844‑DUPIXENT ( 1-844-387-4936 ), option 1 Monday-Friday, 8 am - 9 pm ET. Throw away (dispose of) anyI can give my personal experience, for what it's worth. ago. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,Pharmaceuticals, Inc. DUPIXENT is a form of medicine called a biologic that targets Type 2 inflammation, an underlying cause of nasal polyps. I honestly started to taper off Dupixent because I wanted to see how well my body would do without it. You must be shown the right way by your healthcare provider before injecting DUPIXENT.