DUPIXENT MyWayis 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. Its important to understand how to identify prescription drug coverage. DUPIXENT helps prevent severe asthma attacks (exacerbations) and can improve your breathing. 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. Cases of eosinophilic pneumonia were reported in adult subjects who participated in the asthma development program and cases of vasculitis consistent with EGPA have been reported with DUPIXENT in adult subjects who participated in the asthma development program as well as in adult subjects with co-morbid asthma in the CRSwNP development program. Enter your email address and we will send you your requested resource. 866-452-5017 or Whether youre considering treatment with DUPIXENT or youre a DUPIXENT patient or caregiver, you can sign up for emails and additional resources from DUPIXENT MyWay that can help you: Uncontrolled moderate-to-severe eosinophilic or oral steroid dependent asthma, Uncontrolled chronic rhinosinusitis with nasal polyposis. Income: Not disclosed: Diagnosis/Medical Criteria: FDA-approved diagnosis: The amount you pay for DUPIXENT will largely depend on a number of factors, including: Considering these factors, 2 people could pay very different prices for exactly the same prescription medication. YETUNDE: Registered nurses are also available to speak with eligible patients about DUPIXENT. 8 am, Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP), Patient Access o A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. 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. In order to meet the financial eligibility criteria for receiving Sanofi medication at no cost, you must have an annual household income of 400% of the current Federal Poverty Level. Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Part D is an optional benefit that helps pay for outpatient prescription drugs only and is run by private health plans contracted by Medicare. Voice-over (VO): MyWay at 1-844-DUPIXENT (1-844-387-4936). Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. 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 The DUPIXENT 200 mg and Extra Help is a low-income subsidy . This can help you avoid potential delays in getting your prescription. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM For more information, call 1-844-DUPIXENT ( 1-844-387-4936) option 1 Monday-Friday, 8 am - 9 pm ET Be sure to check your inbox. are pregnant or plan to become pregnant. NeedyMeds Drug Discount Card; . 300 mg Pre-filled Pens are Avoid use of live vaccines in patients treated with DUPIXENT. Im the one that cringes with needles, but she does great. covermymeds.com. is a patient support program This program is not valid where prohibited by law, taxed or restricted. that can help with the Atopic Dermatitis: Learn About DUPIXENT Real patients. Available at https://aspe.hhs.gov/poverty-guidelines. DUPIXENT can be used with or without topical corticosteroids. CONTRAINDICATION: DUPIXENT is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients. Contact Sanofi US or Regeneron Pharmaceuticals, Inc. or call 1-844-387-4936 to contact DUPIXENT MyWay. YETUNDE: If you have any other questions, DUPIXENT MyWay can help you understand the process. am enrolling in the DUPIXENT MyWay Program (the "Program") and authorize Regeneron PharmaceuticaIs, Inc., Sanofi US, and their affiliates and agents (together the "Alliance") to provide me services under the Program, as described in the Program Enrollment Form and as may be added in the future. Healthcare providers should be alert to vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their patients with eosinophilia. Sanofi Patient Connection, PO Box 222138, Charlotte, NC 282222138, 2023 sanofi-aventis US LLC. Lastly, the specialty pharmacy reviews the prescription and contacts the patient to arrange for payment and delivery. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. Contact Sanofi US or Regeneron Pharmaceuticals, Inc. or call 1-844-387-4936 to contact DUPIXENT MyWay. Learn how to get your patients started with 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. Approval is not guaranteed. Once enrolled, a benefits investigation to determine coverage begins. For more information or to enroll in the patient support program, contact us at: It is not known if DUPIXENT is safe and effective in children with chronic rhinosinusitis with nasal polyposis under 18 years of age. aThe How much you pay for your prescription drugs may change throughout the year for some people with Part D insurance. It is not known if DUPIXENT is safe and effective in children with atopic dermatitis under 6 months of age. Visit our Pricing and Insurance page to get more information on coverage, ordering through a specialty pharmacy, or cost. Download the Sanofi Patient Connection Application, 1-888-847-4877, MonFri, 9AM8PM ET 1-888-847-1797
(EoE). patients situation and determine eligibility. I wanted to go out and make a difference and help people. 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. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. And reminding them that the specialty pharmacy may call them from an unknown number. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. topical corticosteroids. 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. Treat patients with pre-existing helminth infections before initiating therapy with DUPIXENT. Additional terms and conditions apply. Available at https://aspe.hhs.gov/poverty-guidelines. 5 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 . PROGRAM, https://mothertobaby.org/ongoing-study/dupixent/. DUPIXENT is not used to treat sudden breathing problems. If a clinically significant hypersensitivity reaction occurs, institute appropriate therapy and discontinue DUPIXENT. Vaccinations: Consider completing all age-appropriate vaccinations as recommended by current immunization guidelines prior to initiating DUPIXENT. Joint aches and pain. Contact 1-844-DUPIXENT (1-844-387-4936) to speak to a DUPIXENT MyWay Nurse Educator if you have additional questions. If you have any additional questions about this pricing information, please call DUPIXENT In children 6 months to less than 12 years of age, DUPIXENT should be given by a caregiver. Click the "CONTINUE" button below to go to the page you requested, or the "CANCEL" button to return to the previous page. He was trained by my doctor. Some people who use DUPIXENT have had trouble walking or moving due to their joint symptoms, and in some cases needed to be hospitalized. It is not known if DUPIXENT is safe and effective in children with asthma under 6 years of age. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. Patients will need to meet the eligibility criteria, including household income, to qualify. Sanofi US and Regeneron provide these links as a service to its website visitors and users; however, they take no responsibility for the information on any website but their own. Terms &
Laurie:Im Laurie. If the patient is eligible for copay assistance, the patient or caregiver can then ensure the copay assistance is applied, coordinate delivery with the specialty pharmacy, and access additional DUPIXENT MyWay support. 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. If you are a New York prescriber, please use an original New York State prescription form. Please see accompanying full Prescribing Information. Does my insurance cover DUPIXENT (dupilumab)? Your healthcare provider will decide if you or your caregiver can inject DUPIXENT. Shari:I grew up in a very small townone stoplight, if you blink you might miss it. are pregnant or plan to become pregnant. DUPIXENT is not used to treat sudden breathing problems. Your email is on its way. for the treatment of adult and enrollment process, offer Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. Voice-over (VO): as an add-on maintenance treatment They will not ship your medicine without first confirming delivery details with you. Questions or comments? (1-844-387-4936). The most common side effects in patients with eczema include injection site reactions, eye and eyelid inflammation, including redness, swelling, and itching, sometimes with blurred vision, cold sores in your mouth or on your lips, and high count of a certain white blood cell (eosinophilia). You may pay more in the beginning of the year or more later in the year depending on which phase of the Part D benefit you are in. DUPIXENT MyWay Mentor Program That means it may be delivered to you by a specialty pharmacy instead of your local pharmacy. one-on-one nursing support, and Publication 60-260. to Learn More. DUPIXENT MyWay YETUNDE: Individual results may vary. more. DUPIXENT (dupilumab)a medicine with special storage requirementsis whats known as a specialty medicine. 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). Important Safety Information. DUPIXENT (dupilumab) for Moderate-to-Severe Eczema that is Uncontrolled Help Heal Your Skin From Within DUPIXENT treats adults and children 6 months of age and older with moderate-to-severe eczema that is not well controlled with topical prescription therapies. What do most people with this insurance type pay? Maternal IgG is known to be present in human milk. reserves the right to rescind, revoke, terminate, or amend this oer, eligibility, and terms of use at any time without notice. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. So, we step into our offices, were going into a nice relaxing environment. see possible cost and coverage. Share your story And for me to teach. Cases of eosinophilic pneumonia were reported in adult subjects who participated in the asthma development program and cases of vasculitis consistent with EGPA have been reported with DUPIXENT in adult subjects who participated in the asthma development program as well as in adult subjects with co-morbid asthma in the CRSwNP development program. Avoid use of live vaccines in patients treated with DUPIXENT. Database current as of, https://www.ssa.gov/benefits/medicare/prescriptionhelp.html, https://www.cms.gov/files/document/2022-announcement.pdf, https://marketplace.cms.gov/technical-assistance-resources/fast-facts-medicaid-chip.pdf, DUP.23.01.0314 Last Update: March 2023, DUP.22.11.0007 Last Update: December 2022, DUP.23.01.0070 Last Update: February 2023, DUP.22.03.0194 Last Update: August 2022, DUP.22.03.0291 Last Update: July 2022, DUP.22.05.0386 Last Update: September 2022, Moderate-to-Severe Eczema (Ages 6+ Months), Moderate-to-Severe Asthma (Ages 6+ Years), Chronic Rhinosinusitis with Nasal Polyposis, Uncontrolled moderate-to-severe eosinophilic or oral steroid, https://mothertobaby.org/ongoing-study/dupixent/, https://www.census.gov/content/dam/census/library/publications/2017/demo/p60-260.pdf, https://www.bcbsm.com/index/health-insurance-help/faqs/plan-types/health-spending-accounts/fsa.html, Whether you have prescription drug insurance, Whether your insurance provider considers the medication to be preferred or not preferred. Two of these common policies are called prior authorization and step edits. What's an FSA and how do I use it? LimitationofUse: to treat adults and children 6 months of age and older with moderate-to-severe eczema (atopic dermatitis or AD) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. For information on insurance coverage, dial, For more financial assistance information, dial, Contact your plan directly for more accurate information or Call, This tool is intended to provide a summary of available coverage information for certain prescription drug plans and is not a guarantee of coverage for DUPIXENT for any specific patient. And that helps us so that we can practice before we do the real thing. If you do not have insurance that covers your prescription medications, or if your insurance does not Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. Mail: DUPIXENT MyWay Copay Reimbursement Program, 200 Jefferson Park, Whippany, NJ 07981 Fax: 1-908-809-6249 I, _____, certify that the information provided for this reimbursement request is accurate to the best of my knowledge, and the product-specific copay, I dont really get scared anymore. Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Your healthcare provider will decide if you or your caregiver can inject DUPIXENT. Do not use if you are allergic to dupilumab or to any of the ingredients in DUPIXENT. Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. It is not known if DUPIXENT is safe and effective in children with chronic rhinosinusitis with nasal polyposis under 18 years of age. How are your donations impacting the community? option 1. Some of the common questions we get: How much is it going to cost me? When will I get started? How do I take my DUPIXENT injections when Im traveling?. I chose to be a nurse because I wanted to help people, and I believe that people should be in service to others. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. are scheduled to receive any vaccinations. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. Ive been withDUPIXENT MyWaysince the very beginning. . Limitation of Use: DUPIXENT is not indicated . Risk Associated with Abrupt Reduction of Corticosteroid Dosage: Do not discontinue systemic, topical, or inhaled corticosteroids abruptly upon initiation of DUPIXENT. ORE: You should not receive a live vaccine right before and during treatment with DUPIXENT. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. Dupixent MyWay Program Enrollment Form for Allergists (AD, Asthma, CRSwNP)(Spanish) . with other asthma medicines for the maintenance treatment of moderate-to-severe eosinophilic or oral steroid dependent asthma in adults and children 6 years of age and older whose asthma is not controlled with their current asthma medicines. with nasal polyposis. ORE: Monday-Friday, Call DUPIXENT MyWay to receive a more in-depth and personalized explanation. of U.S. patients with [insurance type] insurance are covered nationally. Learn how to get your patients started with DUPIXENT MyWay. Each of these phases has different cost-sharing amounts. DUPIXENT andDUPIXENT MyWayare registered trademarks of Sanofi Biotechnology. 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. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. 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. Please see adjacent links for full Prescribing Information including Patient Information. Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. Especially tell your healthcare provider if you are taking oral, topical or inhaled corticosteroid medicines or if you have atopic dermatitis and asthma and use an asthma medicine. Additional terms and conditions apply. DUPIXENT andDUPIXENT MyWay are registered trademarks of Sanofi Biotechnology. *List price is also referred to as wholesale acquisition cost or WAC. Patients may have insurance plans that attempt to dilute the impact of the assistance available under the program. Be sure to check your inbox. to a Ores dermatologist trained us on how to do the injection under the skin, and then when we contacted DUPIXENT MyWay, they sent a nurse to the house to give additional training to make sure that we were comfortable giving the injection. Unfortunately, your plan does not cover DUPIXENT ( dupilumab). Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections. DUPIXENT andDUPIXENT MyWayare registered trademarks of Sanofi Biotechnology. Sanofi offers a Dupixent MyWay copay card to some patients with commercial insurance, but it has eligibility requirements and a yearly maximum of $13,000. Ests a punto de abandonar este sitio para visitar nuestro sitio en ingls. Store your specialty pharmacys name and phone number in your phones contacts. 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. Before using DUPIXENT, tell your healthcare provider about all your medical conditions, including if you: are scheduled to receive any vaccinations. DUPIXENT is a prescription medicine used: Questions or comments? for the treatment of adult and After final approval and payment are received, the specialty pharmacy will ship DUPIXENT to your patients home or preferred location. Advise patients to report new onset or worsening eye symptoms to their healthcare provider. Stop using DUPIXENT and tell your healthcare provider or get emergency help right away if you get any of the following signs or symptoms: breathing problems or wheezing, swelling of the face, lips, mouth, tongue, or throat, fainting, dizziness, feeling lightheaded, fast pulse, fever, hives, joint pain, general ill feeling, itching, skin rash, swollen lymph nodes, nausea or vomiting, or cramps in your stomach-area.
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