Tell your healthcare provider about any new or worsening joint symptoms. LimitationofUse: DUPIXENT can cause allergic reactions that can sometimes be severe. We have time. are pregnant or plan to become pregnant. You can connect withDUPIXENT MyWaynurse educators by phone 24/7 to receive supplemental injection training, help scheduling deliveries and prescription refills, or help navigating financial support options, such as copay assistance. Patients may have insurance plans that attempt to dilute the impact of the assistance available under the program. For families/households with more than 8 persons, add $5,910 for each additional person. What do most people who are uninsured pay? It is not known whether DUPIXENT passes into your breast milk. Program has an annual maximum of $13,000. It is important to note that a plan may deny prior authorization. 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. DUPIXENT MyWay will not conduct the benefits investigation, nor send a Summary of Benefits Form, for providers who have checked the specialty pharmacy box on the Enrollment Form, as this indicates that they wish the specialty pharmacy to conduct the benefits investigation. Laurie:Im Laurie. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. Prurigo Nodularis: DUPIXENT is indicated for the treatment of adult patients with prurigo nodularis (PN). And very recently got laid off due to Covid-19. 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. Im the one that cringes with needles, but she does great. corticosteroid dependent asthma. Please download the application to see if assistance is available for your medication. Risk Associated with Abrupt Reduction of Corticosteroid Dosage: Do not discontinue systemic, topical, or inhaled corticosteroids abruptly upon initiation of DUPIXENT. Call your doctor for medical advice about side effects. It is important that the patient consents to receiving communication from DUPIXENT MyWay and indicates how they would like to be contacted, whether it be via email, phone, or text. 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. The DUPIXENT MyWay Copay Card may help eligible, commerciallyinsured patients cover the out-of-pocket cost of DUPIXENT. They have set aside this time for us to learn. to treat adults and children 12 years of age and older, who weigh at least 88 pounds (40 kg), with eosinophilic esophagitis (EoE). Avoid use of live vaccines in patients treated with DUPIXENT. 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. With the Copay Card, You Could Pay as Little as $0 . Dupixent is the only thing that has given me true relief from eczema my entire life (mid-30s), quitting isn't something I want . Monday-Friday, DUPIXENT MyWay Dupixent MyWay Program Dupixent (dupilumab injection) Last Updated: 03/09/2023 Application Forms & Instructions The following documents are provided in interactive PDF format, allowing you to type information directly into the form. 2 Eligible US residents with an FDA-approved prescription for DUPIXENT may pay as little as $0 copay per fill of DUPIXENT (annual maximum of $13,000). To enroll or get more information call. weighing at least 40 kg, and older 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. Restrictions Apply. 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. That also means you can expect the process for getting your prescription filled to be different from other medicines you may pick up from your local pharmacy. Any savings provided by the program may vary depending on patients' out-of-pocket costs. Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. I authorize DUPIXENT MyWay to conduct a benefits investigation for my patient and to act on my behalf for the limited purpose of transmitting this prescription to the appropriate pharmacy designated by the patient per their benefit . Even if a medication is on the drug formulary, health plans may have policies you and your doctor must follow before the drug is approved. Tell your healthcare provider if you have any side effect that bothers you or that does not go away. I feel like one day I will do it myself, but I think right now assisted injection is better. If youre eligible, you can enroll online and recieve your card by email. Unfortunately, your plan does not cover DUPIXENT ( dupilumab). . PROGRAM, https://mothertobaby.org/ongoing-study/dupixent/. Learn About DUPIXENT Real patients. Once enrolled, a benefits investigation to determine coverage begins. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. Learn how to get your patients started with DUPIXENT MyWay. DUPIXENT can be used with or without topical corticosteroids. 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. I help them to relax. can help you understand the process. It is not known whether DUPIXENT will harm your unborn baby. What if when you leave, I dont know what to do and its time for me to give myself my injection again? I can refer the patient to the DUPIXENT website for more resources, and theres also a Nurse Educator phone number. When I go to see the patient, I cant wait to travel, no matter how far it is. 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. You should not receive a live vaccine right before and during treatment with DUPIXENT. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. Explore your copay eligibility. The DUPIXENT MyWay team can research each Be sure to check your inbox. 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. I wanted to go out and make a difference and help people. 2020 Sanofi and Regeneron Pharmaceuticals, Inc. The DUPIXENT MyWay Copay Card may help eligible patients cover the out-of-pocket Terms & To enroll or get more information call 1-877-311-8972 or go to https://mothertobaby.org/ongoing-study/dupixent/. DUPIXENT is not used to treat sudden breathing problems. Ests a punto de abandonar este sitio para visitar nuestro sitio en ingls. Advise patients to report new onset or worsening joint symptoms. 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. Patient access support: A copay card and other resources available to eligible patients to help optimize access to DUPIXENT Coverage support: Guidance and assistance navigating through the insurance process Patients can enroll in DUPIXENT MyWay by calling 1-844-DUPIXEN (T) or 1-844-387-4936 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). You or your doctor can download the enrollment form on DUPIXENT.com or call 1-844-DUPIXENT, Option 1 to enroll. 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. -to Part D is an optional benefit that helps pay for outpatient prescription drugs only and is run by private health plans contracted by Medicare. These are not all possible side effects of DUPIXENT. Contact, Powered by Managed Markets Insight & Technology, LLC. Do not try to prepare and inject DUPIXENT until you or your caregiver have been trained by your healthcare provider. This is typical for a specialty drug like DUPIXENT, and Please see adjacent links for full Prescribing Information including Patient Information. Please see accompanying adjacent links for full Prescribing Information including Patient Information. Your healthcare provider will decide if you or your caregiver can inject DUPIXENT. Patients should seek medical advice if their asthma remains uncontrolled or worsens after initiation of DUPIXENT. A Summary of Benefits Form will be faxed to your office within a few days, detailing the patients coverageincluding prior authorization requirements and out-of-pocket costs. I see the injection as something that I just have to do, and it doesnt freak me out as much as it did in the beginning. Select your current prescription insurance to Each of these phases has different cost-sharing amounts. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. You will now be exiting the Sanofi Patient Connection website. of U.S. patients with [insurance type] insurance are covered nationally. This program is not valid where prohibited by law, taxed or restricted. YETUNDE: Patients will need to meet the eligibility criteria, including household income, to qualify. It is recommended that you fax a copy of prior authorization approval to DUPIXENT MyWay to help the office staff continue the process in several ways, such as: Initiating contact with the patient regarding the approval and sharing the specialty pharmacy name and phone number. Enter your email address and we will send you your personalized guide. Please visit our Medications Available page to see if assistance is available for medication, Patient Assistance Connection Financial Eligibility. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. available for your appropriate You are encouraged to report negative side effects of prescription drugs to the FDA. estimate my income in conjunction with the Patient Assistance Program eligibility determination process, if . In those situations, the program may change its terms. All prescription medications have a list price.1 Very few patients pay the list price, which is a price set by the manufacturer. Maternal IgG is known to be present in human milk. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. Program has an annual maximum of $13,000. Terms & Restrictions Apply. I like to go out and do this job. Live support is available at Sanofi Patient Connection, PO Box 222138, Charlotte, NC 282222138, 2023 sanofi-aventis US LLC. 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). For patients wanting a copay card, they can access that by visiting our product website at DUPIXENT.com. Consider ophthalmological examination for patients who develop conjunctivitis that does not resolve following standard treatment or signs and symptoms suggestive of keratitis, as appropriate. phenotype or with oral
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