1kg to 18. DUPIXENT use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. DUPIXENT MyWay team will research each patient’s situation and determine eligibility. For additional information or if you have questions, contact your Field Representative or call DUPIXENT MyWay at 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. 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. 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. 00, but I do have some money invested. Lot EXP Mfd. I just started this week so I look forward to seeing the results. I’ve been with DUPIXENT MyWay since the very beginning. 0156 Last Update: March 2023 DUP. 14 mL, or 300 mg/2 mL)Call 1-844-387-4936, Option 1 to contact DUPIXENT MyWay ®. It may be covered by your Medicare or insurance plan. 58 for 2. 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. 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. Dupixent MyWay pays the $500 copay. Clip the card and save • Save up to 80% on medications*Tell your healthcare provider about any new or worsening joint symptoms. 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. 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. This DUPIXENT Pre-filled Pen is a single-dose device. It contains 300 mg of DUPIXENT for injection under the skin (subcutaneous injection). Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. 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. Note: All information is required unless otherwise indicated. At one point, I was getting cold sores every 2 to 3 weeks consistently. 2 Eligible US residents with an FDA-approved. Over 80% of insurance plans cover Dupixent, but many have restrictions. A 48-year-old man developed left thumb tenderness and bilateral Achilles tendinopathy after 6 weeks of Dupixent. Please see Important Safety Information and full PI on website. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. 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. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. 23. Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. There is currently no generic alternative to Dupixent. Does anyone know the eligibility process for the dupixent copay assistance? Do they ask for tax forms? Is there an income limit? comments sorted by Best Top New Controversial Q&A Add a Comment More posts you may like. Dupixent will run about $3000 per month with my insurance until my maximum is met. 17 and 0. Please see. Most do, some don't. THE DUPIXENT MyWay PROGRAM. Lancet. You can email or print the enrollment forms below. Assistance may be available for patients who do not have insurance. Serious side effects can occur. How to fill out dupixent reimbursement: 01. At one point, I was getting cold sores every 2 to 3 weeks consistently. THIS IS NOT INSURANCE. 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). Please note that you will receive a confirmation fax after sending the form. Income at or below: Not Published: Medical expenses can be. For any questions or concerns, or to report side effects with a Sanofi and Regeneron product while enrolled in DUPIXENT MyWay®, please contact 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. Pay as little as $0 per month. 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. Complete the entire form and submit pages 1-3 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 Form FOR ALLERGISTSyou are supposed to get a copay savings card from dupixent myway. Serious side effects can occur. ) Please refer to Section 8, Patient Certifications, for. Fill out sections 5a and 5b completely to determine patient eligibility. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. 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. He continued with Dupixent and his symptoms had partially improved 24 weeks after their onset. I wanted to go out and make a difference and help people. 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. 17 and 0. Expert perspectives on management of moderate-to-severe atopic dermatitis: a multidisciplinary consensus addressing current and emerging therapies. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. . 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 specialty pharmacy is responsible for securing coverage on my patient’s behalf. Please complete the form, sign, and FA to 1-844-23-312. with household income, to qualify. Data on file, Regeneron Pharmaceuticals, Inc. 2 pens of 300mg/2ml. Opinions clash over private equity’s effect on dermatology. If you don't have insurance at all, the only realistic option is to qualify for income-based help from Dupixent directly. The most common side effects include: DUPIXENT MyWay. BIN: 020750 RX PCN: NMeds RX GRP: PDFPDF ID: NMNA019309901930 This is a drug discount program, not an insurance plan. For more information, call 1. Household Income. About 75,000 adults in the U. Eligible patients will receive they cards by e-mail. So the nurse told me to fax receipts for year to date prescriptions and last year's income forms (W2, 1099, etc). 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 dependent asthma. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. Patient assistance program. 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) Complete the entire form and submit pages 1-3 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 Form FOR ALLERGISTS Using a mail-order specialty pharmacy might help lower the monthly cost of Dupixent. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. You must also meet certain household income eligibility requirements as outlined below: 48 States and DC. Rx: DUPIXENT® (dupilumab) (100 mg/0. 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. A group of skin conditions characterized by skin inflammation, rash, and itch. United Healthcare covers it but I get insurance through my employer and it was a huge pain to get approved. You may be able to lower your total cost by filling a greater quantity at one time. Serious side effects can occur. Regeneron and Sanofi are committed to helping patients in the U. Some Medicare plans may help cover the cost of mail-order drugs. DUPIXENT is a prescription medicine used as an add-on maintenance treatment for adults and children 6 years of age and older who have moderate-to-severe eosinophilic or oral steroid dependent asthma that is not controlled with their current asthma medicines. DUPIXENT® (dupilumab) is a. . 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. 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. Call 1-844-387-4936 SUMIT COMPLETED PAGES 1 2 Fax: 1-844-387-9370 MF, 8am9pm ET Document Drop: (code: 8443879370) Patient Name DO / / Prescriber Name Prescriber AddressDupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. With the DUPIXENT MyWay Copay Card, eligible,. The fax number is 1. After removal from the refrigerator, DUPIXENT must be used within 14 days or discarded. Copay Card or you wish to discontinue your participation, please contact us. These programs and tips can help make your prescription more affordable. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. Additionally, Dupixent MyWay ™ 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. Quantity Limits: Dupixent: 200 mg/1. 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 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. FUN Documents, MMIT, and Policy Reporter as of July 12, 2023. Throw away (dispose of) any DUPIXENT that has been left at room temperature for longer than 14 days. March 27, 2018. Rx: DUPIXENT® (dupilumab) (100 mg/0. I understand that. Hello! Switching insurance this year and need to prepare for increasing costs of dupixent with my new insurance. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. 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. 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). 1-844-DUPIXENT 1-844-387-4936. Learn how DUPIXENT helped treat children 6 to 11 years old with their moderate-to-severe asthma. 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. Step One - let's gather our materials. _____ What is your total annual household income? _____ (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. Serious side effects can occur. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. 06 and -1. Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase. Dupixent will run about $3000 per month with my insurance until my maximum is met. LH Patient View; data through June 16, 2023. Serious adverse reactions may occur. Especially tell your healthcare provider if you. 2 cartons. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. There is currently no generic alternative to Dupixent. How many people live in your household? Please refer to Section 8, Patient Certifications, for additional information about the Patient Assistance Program. Program possessed one annual maximum from $13,000. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. So, how can you save? Manufacturer Sanofi offers Dupixent MyWay, a patient support program. DUPIXENT® (dupilumab) is indicated as an add-on maintenance treatment in adult patients with inadequately controlled chronic rhinosinusitis with nasal polyposis (CRSwNP). Learn about DUPIXENT® (dupilumab) for moderate-to-severe asthma treatment. Watch videos from experts [,download materials,] and explore future events to further understand DUPIXENT® (dupilumab). Serious adverse reactions may. Serious side effects can occur. 50 for a single person. DUPIXENT is taken by injection under the skin (subcutaneous injection) once every two weeks. 2 cartons. Please see Important Safety Information and Patient Information on website. Página de inicio de franquicias ; Eczema moderado a grave (6 meses de edad o más) Asma moderada a grave (6 años de edad o más) DUPIXENT Pricing Information For Healthcare Professionals. 22. b New adult and pediatric patients aged 6 years and older with moderate-to-severeSection 5a. Fill out sections 5a and 5b completely to determine patient eligibility. Depends if your insurance cares that Dupixent myway is paying your deductible. DUPIXENT was studied in adults and children 6 months of age and older. Biologic Drug: Biologic drugs are made from living cells and are often expensive. 14 mL, or 300 mg/2 mL)The average cash price for a 30-day supply of Dupixent is $5,298. 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). I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. Coverage varies by. 2022;400 (10356):908-919. 03. The Dupixent MyWay program is not available to medicare patients. 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. It may be covered by your Medicare or insurance plan. Compare . The average cash price for a 30-day supply of Dupixent is $5,298. Monday-Friday, 8 am-9 pm ET. Since 2017, Dupixent has increased in price by 13%. 67 mL, 200 mg/1. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. 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. who are prescribed Dupixent gain access to the medicine and receive the support they may need with the DUPIXENT MyWay ® program. 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. DUP. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may payable as little while $0* copay per fill by DUPIXENT. Patient is responsible for any out-of-pocket amounts that exceed the program limit. I understand the disclosure to the Alliance will be for the purposes of enrolling me in, and providing certain services through the DUPIXENT MyWay Program, including • to determine if I am eligible to participate in DUPIXENT MyWay coverage assistance programs, patient assistance programs, or otherDUPIXENT . 01. The DUPIXENT MyWay team can research each patient’s situation and determine eligibility. (The patient is lucky / unlucky enough to have an income that would rule out the Patient Assistance Program. $4,930. 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. Dupilumab. 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. Appears that my out of pocket maximum will be $8000 through insurance. 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. For any questions or concerns, or to report side effects with a Sanofi and Regeneron product while enrolled in DUPIXENT MyWay®, please contact 1-844-DUPIXEN(T)(1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. 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. Fill out sections 5a and 5b completely to determine patient eligibility. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. 23. 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. 03. For more information, dial 1‑844‑DUPIXENT ( 1-844-387-4936 ), option 1 Monday-Friday, 8 am - 9 pm ET. How many people live in your household? _____ Please refer to. 89 and -1. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. 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. Hear from DUPIXENT® (dupilumab) patients & caregivers of patients 6 years and older with uncontrolled moderate-to-severe atopic dermatitis & healthcare professionals who treat atopic dermatitis, download helpful resources & explore future events. Regeneron and Sanofi are committed to helping patients in the U. We are finding the Dupixent MyWay program to be quite challenging to understand; we don't know whether that might be an option, and we are looking at other options, even expensive ones. 14 mL; and 300 mg per 2 mL. Decreased utilization of rescue medications 3. Dupixent is not intended for episodic use. You may be able to lower your total cost by filling a greater quantity at one time. Fill a 90-Day Supply to Save. 00. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. 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). Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based on1-844-DUPIXENT 1-844-387-4936. DUPIXENT . With of DUPIXENT MyWay Copay Card, right, commercially insured patients might pay as little as $0* copay per fill of DUPIXENT. 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. 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. Financial criteria for patient assistance. Get emergency medical help if you have signs of an allergic reaction to Dupixent: hives, rash, itching; fever, swollen glands, joint pain; feeling light-headed, difficult breathing; swelling of your face, lips, tongue, or throat. If you are moderate to low-income person with eczema or just need help paying for your health care or prescription costs, you’ve come to the right place. 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 . See All. 14 mL Dupixent subcutaneous solution from $3,787. Enroll now to receive emails and resources designed to help patients, caregivers and information seekers through the DUPIXENT® (dupilumab) treatment journey. Caring. Applies to: Dupixent Number of uses: per prescription per year. 71 for Dupixent compared to 0. I just got approved thru Dupixent my way for a year of free medication. Click Tap to Learn More In an open-label extension study, the long-term safety profile of DUPIXENT ± TCS in pediatric patients observed through Week 52 was consistent with that seen in adults with atopic dermatitis, with hand-foot-and-mouth disease and skin papilloma (incidence ≥2%) reported in patients 6 months to 5 years of age. In this case Dupixent myway will cover the first 13k, which is probably like 5 months. There is another biologic very similar to Dupixent called Adbry. Advertisement. There is currently no generic alternative to Dupixent. 2. Monday-Friday, 8 am - 9 pm ETto DUPIXENT MyWay at 1-844-387-9370. 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). Dupixent MyWay Program CONTACT INFO: Address:, Phone: 1-844-387-4936: Provider Phone: Fax: 1-844-387-3970: Website: Program Website: ELIGIBILITY Eligibility Info:. For any questions or concerns, or to report side effects with a Sanofi and Regeneron product while enrolled in DUPIXENT MyWay®, please contact 1-844-DUPIXEN(T)(1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. 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. a,b a Data on file, Sanofi and Regeneron, US. Patient to Fill Out. For patients with commercial insurance who are new to DUPIXENT and experiencing a. If you’re the spouse or. 80). FUN Documents, MMIT, and Policy Reporter as of July 12, 2023. 4 ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pm 01. 0252 Last Update: Feb 2023 DUP. It was granted and I pay $0. You can email or print the enrollment forms below. Serious adverse reactions may. 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. Thus, the member is now $500 from hitting his deductible and $1500 from hitting his out-of-pocket maximum. Financial criteria for patient assistance. Share your form with others. At that point we will owe 20% of the cost of the medication, which adds up to just under $700/month. Patients may be eligible for the DUPIXENT MyWay Copay Card if: They have a DUPIXENT prescription for an FDA-approved condition. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM. Edit your dupixent myway enrollment form online. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. S. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. 18, 0. including household income, to qualify. What it is used for. In an open-label extension study, the long-term safety profile of DUPIXENT ± TCS in pediatric patients observed through Week 52 was consistent with that seen in adults with. financial assistance for eligible patients, provide one-on-one nursing. 99% of commercial patients (6+ months of age) nationally are covered for DUPIXENT. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. form on DUPIXENT. Required if enrolling in the DUPIXENT MyWay. 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. 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. a Coverage varies by type and plan. Patient assistance program. Dupixent MyWay ™ will help eligible patients who are uninsured, lack coverage, or need assistance with their out-of-pocket costs. Get your personalized discussion guide to help yourself have a productive conversation with your doctor & see if DUPIXENT® (dupilumab) for uncontrolled moderate-to-severe atopic dermatitis is right for you. 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. Depends if your insurance cares that Dupixent myway is paying your deductible. 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. Since 2017, Dupixent has increased in price by 13%. The most common side effects include: DUPIXENT MyWay. You have to game the system instead of trying to get full coverage. Robocalls increase diabetic retinopathy screenings in low-income patients. 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. A 68-year-old woman developed generalized joint pain 6 weeks after starting Dupixent. DUPIXENT can be used with or without topical corticosteroids. ®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® (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. Fill a 90-Day Supply to Save. 09. 0252 Last Update: Feb 2023 DUP. 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. At this rate, I will no longer be able to afford the medication very soon. The majority of DUPIXENT patients with commercial/employer-provided insurance use the DUPIXENT MyWay ® Copay Card. The Dupixent pre-filled syringe is available in the following strengths: 100 mg per 0. DUPIXENT can be used with or without topical corticosteroids. And very recently got laid off due to Covid-19. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. Please see accompanying full Prescribing Information. 1-844-DUPIXENT 1-844-387-4936. But either way, after you or Dupixent myway meets your deductible, it should be free to you. For more information, call 1. how to afford it then - it's been so helpful!! 3 Reactions. After removal from the refrigerator, DUPIXENT must be used within 14 days or discarded; DUPIXENT should not be exposed to heat or direct sunlight; Do NOT freeze. DUPIXENT MyWay Appeal Specialists can help provide support throughout the appeal process. Program Website : Patient Assistance Applicationsfor DUPIXENT® dupilumab therapy My Information. 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. ) 2 Prescription InformationIn adults and children 6 years and older, your initial dose of DUPIXENT is 2 injections under the skin (subcutaneous injection) at different injection sites. Patient Signature _____ If you have questions about the . Susie16 Oct 15, 2023 • 9:37 PM. 12. I knocked out the first copay out of pocket and went on the manufacturer website and applied for the dupixent my way 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. Just got the fun news that I will need to pay $2,700 for a monthly dose of Dupixent. 01. Sign up for the DUPIXENT MyWay® mentor program for adults with uncontrolled chronic rhinosinusitis with nasal polyposis that is associated with type 2 inflammation. For patients with commercial insurance who are new to DUPIXENT and experiencing a. 0254 Last Update: February 2023 DUP. Dupixent Myway . If you have any additional questions about this pricing information, please call DUPIXENT MyWay at 1-844-DUPIXENT (1-844-387-4936). Type text, add images, blackout confidential details, add comments, highlights and more. 02. 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. Serious side. I’m Laurie. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as a $0* copay per fill of DUPIXENT, maximum of $13,000 per patient per calendar year. 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. ) 2 Prescription Informationany time by mailing or faxing a written request to DUPIXENT MyWay at 1800 Innovation Point, Fort Mill, SC 29715; Fax: 1-844-387-9370. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. Using the drop. I also have the dupixent myway card that covers a total of $13,000 for the year. a $85. I found the carnivore diet helps immensely for autoimmune issues. They are a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI. 0156 Past Update: March 2023 DUP. If necessary, DUPIXENT may be kept at room temperature up to 77 °F (25 °C) for a maximum of 14 days. 22. - Rachel, DUPIXENT Patient Mentor, living with asthma. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. 14 mL, or 300 mg/2 mL)The Dupixent MyWay program is not available to medicare patients. Fill out sections 5a and 5b completely to determine patient eligibility. 6 Submitting a PA request The appeal. 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 otherThis DUPIXENT Pre-filled Pen is only for use in adults and children aged 2 years and older. The formulary status tool below can help check DUPIXENT coverage for various plans. - Rachel, DUPIXENT Patient Mentor, living with asthma. *For patients on DUPIXENT 300 mg in a 24-week and a 52-week clinical trial vs 17% for placebo group. Dupixent has been studied in more than 8,000 patients ages 6 years and older across more than 40 clinical trials. 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. 80). 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. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. PRESCRIBER TO FILL OUT Section 6a. 14 mL, or 300 mg/2 mL)Section 5a. Edit your dupixent myway enrollment form online. 10 for placebo; difference between Dupixent and placebo: -2. Please see Important Safety Information and Prescribing Information and Patient Information on website. 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. I don't know what medical issues your son is having, but it's likey autoimmune issues. For more information, dial 1‑844‑DUPIXENT 1-844-387-4936 Monday-Friday, 8 am-9 pm ET. 1,000-125=875 $875 is the amount your health insurance pays. 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. Enroll eligible patients in the DUPIXENT MyWay® patient support program for DUPIXENT® (dupilumab) access, financial assistance & nursing support. Connect with someone, ask questions, and learn about their experience with DUPIXENT® (dupilumab) treatment. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack coverage, or need assistance with their out-of. For more information, dial 1. 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. Patient has been compliant on Dupixent therapy 4. Sign it in a few clicks. DUPIXENT is a biologic and can help reduce your patients' use of systemic corticosteroids. was not paid in whole or in part by Medicare, Medicaid, or any federal or state programs. 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. Susie16 Aug 29, 2023 • 2:03 AM. After that, we will have met our family deductible. Dupixent MyWay Copay Card. Guam or the USVI, and demonstrate a financial need with a total annual adjusted gross income of $100,000 or less. DUPIXENT MyWay. From my understanding, the Dupixent MyWay Program pays the $125 since your insurance is covering the rest. . 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. Dupixent is indicated for the treatment of moderate to severe atopic dermatitis in patients aged 12 years and older who are candidates for chronic systemic therapy.