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 (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. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. 98% of Commercially Insured Patients. PK !Ñ'/ å è · [Content_Types]. Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. In patients aged 18 years and older with prurigo nodularis, Dupixent 300 mg is administered with a pre-filled syringe or pre-filled pen every two weeks following an initial loading dose. Refer your appropriate uncontrolled asthma patients to an allergist or pulmonologist to learn if DUPIXENT® (dupilumab) is a treatment option. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. Dosage in Pediatric Patients 6 Months to 5 Years of Age. Inspire has over 250 health communities supporting more than 3000 conditions. Monday-Friday, 8 am-9 pm ET. from our Health Equity Funds? PAF has established disease specific health equity funds that provide financial support to eligible patients living in certain counties. 3 views 1 minute ago. 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. I only felt a pinch, like for the covid vaccine. You need to have a prescription for DUPIXENT as well as. Compare monoclonal antibodies. The DUPIXENT MyWay nurse connects patients to a variety of helpful resources, including one-on-one nursing support, financial assistance for eligible patients, and helpful refill. Dupixent - Pay as little as $0 per month. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Manufacturer Coupon. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. 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. Once the prescription went to the pharmacy I called the pharmacy and they did the myway paperwork for me. Serious adverse side effects can occur. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. numbness, pain, tingling, or unusual sensations in the palms of the hands or bottoms of the feet. 2 pens of 300mg/2ml. Your email is on its way. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Learn more about DUPIXENT® (dupilumab), the first and only FDA approved treatment option for prurigo nodularis (PN) in adults aged 18 years and older. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. 2 pens of 300mg/2ml. Fluticasone Propionate / Salmeterol - Pay As Little As $10. Serious side. In order to be effective and work properly, most biologics are injectable medicines. 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. Check your eligibility for the DUPIXENT MyWay® Copy Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. coverage delay for DUPIXENT by the patient’s insurer. 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 isn’t available in a biosimilar form. <br> <br> Best, <br> Ashley</p> reactions . 02. I took Dupixent over 6 months, and having trouble now. I also enrolled in the dupixent my way program and my ambassador told me that as long as you don’t make $100,000 a year you qualify for the program to get dupixent free for a year. For more information, to speak with a member of the DUPIXENT MyWay support team, or to enroll over the phone, call our toll-free line. 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. With of DUPIXENT MyWay Copay Card, right, commercially insured patients might pay as little as $0* copay per fill of DUPIXENT. Dosage for asthma. DUPIXENT is not a steroid or immunosuppressant; it is a prescription biologic medicine given under the skin (subcutaneous injection). Please see Important Safety Information and Patient Information on website. I certify that I have obtained my patient’s written authorization in accordance with applicable Patients may be eligible for the DUPIXENT MyWay® copay card if they: Have commercial insurance; Have a DUPIXENT prescription for an FDA-approved condition; Are a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI; and are a patient or caregiver aged 18 years or older For patients wanting a copay card, they can access that by visiting our product website at DUPIXENT. Fill a 90-Day Supply to Save. Im in the same boat, my out of cost payment with insurance is also $325 but is now 0 when i applied and was approved for my way. DUPIXENT® (dupilumab) is a. 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. The $500 payment counts towards the member’s deductible and out-of-pocket maximum. DUPIXENT is taken by injection under the skin (subcutaneous injection) once every two weeks. Terms & Restrictions apply. Step 3: Take the needle cap off of the syringe right before you are going to inject. We work directly with your healthcare provider and will handle the full enrollment process on your behalf. 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. Stop using DUPIXENT ®. , One-on-One Nurse Education, and Supplemental Injection Training) Please click “Continue. You may be able to lower your total cost by filling a greater quantity at one time. Manufacturer Coupon. I honestly started to taper off Dupixent because I wanted to see how well my body would do without it. Serious side effects can occur. Registered nurses are also available to speak with eligible patients about DUPIXENT. Please see Important Safety Information and Patient Information on website. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. That took about a week. 421 adult patients were randomized to DUPIXENT + TCS or placebo + TCS. DUPIXENT MyWay Appeal Specialists can help provide support throughout the appeal process. For patients wanting a copay card, they can access that by visiting our product website at DUPIXENT. 2 cartons. If you are a New York prescriber, please use an original New York State prescription form. 38]). In addition to the guidance your doctor provides, the app lets you connect with your DUPIXENT MyWay Support Team with one tap. FUN Documents, MMIT, and Policy Reporter as of July 12, 2023. com. 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. 2020;157 (4):790-804. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. It is supplied in a carton with two pens or syringes in each package. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. Box 5925 Mailstop 55A-220A Bridgewater, NJ 08807. Ways to save on Dupixent. My husband has been on it several months for severe asthma. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing, state-specific. DUPIXENT MyWay® can work with your insurance provider to identify a preferred, in-network specialty pharmacy. , 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. Pay as little as $0 per month. Eligible patients will receive their cards by email. 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. Monday-Friday, 8 am - 9 pm ET. LONG-LASTING CLEARER SKIN AT 16 and 52 Weeks 22% taking. Serious side effects can occur. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. I'm supposed to start myself at some point, I guess with the pen though I know there's a choice. 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. DUPIXENT MyWay Copay Card may help eligible, commercially‑insured patients cover the out-of-pocket cost of DUPIXENT. Check the liquid in the prefilled pen or syringe. 1‑844‑DUPIXENT. You need to have a prescription for DUPIXENT as well as commercial insurance. All I can say is, I don’t know if I would be here today without Dupixent. Peter Bunting Moderator & Contributor <p>Thanks for your response, Ashley. Dupixent Prices, Coupons and Patient Assistance Programs. Being a nurse for DUPIXENT MyWay is very rewarding. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing. Got me approved for Dupixent right away (insurance company is Cigna). I'm an adult and I just started Dupixent yesterday. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. Please see Important Safety Information and. How do my patients enroll in <em>DUPIXENT MyWay®</em>? 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. ca,. ”. Dupixent may cause serious side effects. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 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. Complete every fillable area. Send the completed form to: MyHealth@islandhealth. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Administer subcutaneous injection into the thigh or abdomen, except for the 2 inches (5 cm) around the navel. DUPIXENT Syringes can be stored at room temperature up to 77°F (25°C) up to 14 days. If you are a New York prescriber, please use an original New York State prescription form. For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. You must be shown the right way by your healthcare provider before injecting DUPIXENT. After that, we will have met our family deductible. DUPIXENT® is a subcutaneous injectable prescription medicine for adults and children aged 6 months & older, with uncontrolled, moderate-to-severe eczema (atopic dermatitis). DUPIXENT® is a subcutaneous injectable prescription medicine for adults with uncontrolled chronic. 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. One of my favorite parts of providing nursing care to our patients is being able to walk them through their journey, hold their hand through the process, just to give them confidence along the way and we always want them to know that they. An eDocument can be viewed as legally binding provided that certain requirements are satisfied. The dupixent appeal letter is a Word document that should be submitted to the relevant address in order to provide some information. And, if you're eligible, you can sign up and receive your card today. 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. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. DUPIXENT has been FDA approved for use in adults with uncontrolled moderate-to-severe eczema since 2017. 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. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing, state-specific. Study description: The safety data in this open-label extension study reflect exposure to DUPIXENT in 2677 subjects, including 2207 exposed for up to 52 weeks, 1065 exposed for up to 100 weeks, 557 exposed for up to 148 weeks, 352 exposed up to 204 weeks, and 202 exposed up to 244 weeks. I agre e to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. It is not an immunosuppressant or a steroid. Also like all biologics, Dupixent is considered a “large molecule” drug. GF Strong Rehabilitation Centre. Caring. DUPIXENT is a prescription medicine used to treat certain skin conditions, asthma, and chronic rhinosinusitis with nasal polyps. - Rachel, DUPIXENT Patient Mentor, living with asthma. best of luck!! i hope you can get on dupixent soon. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack. O. 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. My name is Shari and I’m a registered nurse with DUPIXENT MyWay. Registered nurses are also available to speak with eligible patients about DUPIXENT. difficulty in breathing. Caring. DUPIXENT MyWay Nurse Educators are trained to help provide patients with supplemental injection training either online, over the phone, or in person with a training kit and practice syringe or practice pen. The best way to celebrate the drug and its benefits on your quality of life is to understand how it works and why. 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. Of the total drug interactions, 38 are major, 29 are moderate, and 7 are minor. Current patient Patient’s first name . For children weighing 15 kilograms (kg)* to less than 30 kg, the dosage is either: • 100 mg every other week, or. 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. Also, make sure to store the DUPIXENT MyWay phone number in your phone’s contacts so you recognize. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. Today my left knee. This letter serves as my determination of medical necessity for DUPIXENT® (dupilumab) for this patient. DUPIXENT MyWay® is a program that helps eligible patients start and stay on track with their therapy for atopic dermatitis, asthma, chronic rhinosinusitis with nasal polyposis, eosinophilic esophagitis and prurigo nodularis. I think it is a true wonder drug and I am grateful for it. Dupixent side effects. com is a great place to begin your research. Especially tell your healthcare provider if you. Needed additional leadership equipped the enrollment process? Contact your section accessories dedicated or call DUPIXENT MyWay. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing, state-specific. ear congestion. In order to get my patient and her mother more comfortable with using a medication that’s an injection, I explained to them that injection therapy is not a new treatment. Serious side effects can occur. This was my journal entry for that day: “…I decided I’m going to withdraw from Dupixent to see how “bad” my body is and if it’s still going through TSW. The way I describe DUPIXENT to my patients is that DUPIXENT inhibits IL-4 and IL-13 signaling. FDA approves Dupixent ® (dupilumab) as first treatment for adults and children aged 12 and older with eosinophilic esophagitis. 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. It has to be completed and signed, which can be done manually in hard copy, or by using a certain software like PDFfiller. 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. Dupilumab también se usa junto con otros medicamentos para tratar el asma de moderado a severo que no se. Tips. 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. It may be covered by your Medicare or insurance plan. Monday-Friday, 8 am-9 pm ET. Save. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. (Biosimilars are like. Sign up or activate your card here. 1 Disease severity was defined by an IGA score ≥3 in the overall assessment of atopic dermatitis. ®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. A SingleCare savings card could reduce the cost of Dupixent without insurance as much as $1,600 per month. Thus, the member is now $500 from hitting his deductible and $1500 from hitting his out-of-pocket maximum. 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. Nationally are Covered for DUPIXENT. Sex at birth: Male . financial assistance for eligible patients, provide one-on-one nursing support, and more. Enroll eligible patients in the DUPIXENT MyWay® patient support program for DUPIXENT® (dupilumab) access, financial assistance & nursing support. Website Link: GF Strong Rehabilitation Centre. *Please enter your patient. The DUPIXENT MyWay nurse connects patients to a variety of considerate resources, including one-on-one nursing product, financial assistance for right patients, and helpful refill and injection reminders. I have done syringes for almost 2 years now, but started to get anxiety around the needle so switched to the pen in order to hopefully avoid that anxiety. Eye pain, redness, irritation, or discharge with blurry or decreased vision. These programs and tips can help make your prescription more affordable. Learn about DUPIXENT® (dupilumab) dosage and administration options for adult and pediatric patients aged 6+ with moderate-to-severe asthma characterized by an eosinophilic phenotype or with oral corticosteroid dependent asthma using DUPIXENT® as add-on maintenance treatment. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. Dulera - Save up to $90 on 12 Prescriptions, Free Trial. Education and Nurse Support: One-on-one nursing support is available to educate and empower patients to use DUPIXENT as prescribed. Do not store DUPIXENT pre-filled syringes at room temperatures more than 77°F (25°C) Do not keep DUPIXENT at room temperature. Surgery may remove your nasal polyps, but it may not treat an underlying cause of inflammation—allowing them to grow back. 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. DATA UP TO 52 WEEKS is available. Welcome to the Patient Support Portal! This site provides patients and healthcare professionals a fast secure way to submit the patient enrollment and supporting documentation to our patient services program team. Serious side effects can occur. , Benefits Investigation, Prior Authorization, and Appeals Support) Patient Access Support (e. DUPIXENT can be used with or without topical corticosteroids. Click on the Sign button and make a signature. The way it works for me and Dupixent is I pay $250 co-pay a month at the pharmacy. Subscribe to our channel to stay up-to-date with all things DUPIXENT. DUPIXENT is a form of medicine called a biologic that targets Type 2 inflammation, an underlying cause of nasal polyps. 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. Learn more about DUPIXENT® (dupilumab) in moderate-to-severe asthma and if it may be the right treatment option for you. (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. If you are a New York prescriber, please use an original New York State prescription form. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. Good luck. · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. Serious side effects can occur. My dr pioneered eoe for many years and ran a lot of the trials. fever. –%F¯ Z®Iœ)Xô÷UQ)SºÒWëü ÂC þH„s¥Ê R ¯Œüà 7L )w=a¡¸£†# Uåx@£û az%!š ïBS _[/¹´ÙR“29ms€Óæ¹Ê ÕWnÎÛ B. Depending on the dose, uninsured patients can expect to pay up to $59,000 per year for Dupixent treatment. Contact Regeneron for information about corporate communications, media relations, investor relations or business development. 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. 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. 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. Store DUPIXENT Syringes in the refrigerator between 36°F to 46°F (2°C to 8°C). Eligible patients will receive their cards by email. 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. (I don't know when it is expiring, I have to look this up). The dupixent my way enrollment form isn’t an exception. As noticed side effect, my eyes got dry and itchy which is still bearable. Do not try to inject DUPIXENT until you have been shown the right way by your healthcare provider. If you are a New York prescriber, please use an original New York State prescription form. MELINDA: Before I started DUPIXENT, I told my doctor about all the medical conditions I had and medications I was taking. Using a mail-order specialty pharmacy might help lower the monthly cost of Dupixent. For more information, call 1-844-DUPIXENT ( 1-844-387-4936) option 1. My recommendation is to find an expert to help. training on the right way to prepare and inject DUPIXENT. 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. In children 12 years of age and older,Dupilumab se usa para tratar el eczema (dermatitis atópica) de moderado a severo que no se puede controlar con medicamentos tópicos aplicados a la piel. Try checking out MyWay Dupixent Program!! They cover costs of Dupixent and whatever your insurance won't pay (up to a certain yearly amount). I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. pretty obvious to both my pharmacist and MyWay nurses that simply running through the $13,000 in a few months is not the way the copay assistance is intended to be used, but. Fax: 1-908-809-6249. Full Prescribing Information: Patient Information: Learn more about DUPIXENT: Thanks for c. insurer. Yesterday the nurse injected the first dose using a syringe in my leg. For more information, dial 1-844-DUPIXENT1-844-387-4936), option 1. Most do, some don't. Each time you fill your DUPIXENT prescription, please ensure your. After another six weeks I could smell and taste. DUPIXENT MyWay® Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay®. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. 3) Push the plunger down slowly until the syringe is emptied. My insurance covers most of my Dupixent cost, but MyWay Dupixent pays for my remaining co-pay. Review patient eligibility for the DUPIXENT MyWay® Copay Card for DUPIXENT® (dupilumab) and explore patient assistance programs for eligible patients. Dupixent® should be given by or under the supervision of an adult in children 12 years of age and older. Associate Director, Global Strategy & Operations Dupixent / Immunology will work closely with Global Dupixent / Immunology leaders as well as cross-functional… Posted Posted 27 days ago · More. Dupixent may cause serious side effects. Side effects Interactions FAQ What is Dupixent? Dupixent is an injectable prescription medicine used to treat a number of inflammatory conditions. Serious side effects can. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. Tell your healthcare provider about any new or worsening joint symptoms. Welcome to Co-Pay Relief! Are you eligible to get help. Dupixent changed my life in 12 days. 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. Step 4: Hold the syringe at a 45-degree angle. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,DUPIXENT can cause allergic reactions that can sometimes be severe. DUPIXENT is a prescription medicine used 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. Find local businesses, view maps and get driving directions in Google Maps. Be sure the details you add to the Dupixent Enrollment Form is updated and correct. To get started: Contact your DUPIXENT MyWay Support Team for an 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) PRESCRIBER TO FILL OUT Section 6a. Learn how to order DUPIXENT. 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. 26 [95% CI: 0. There is another biologic very similar to Dupixent called Adbry. Leaving me with $12,400 left on the card. 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. Something went wrong. In fact, I mentioned that I agree drugs should be used as an aid and catalyst to one's healing, but not something to be dependent on for the rest of one's life. 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. Do not try to inject DUPIXENT until you have been shown the right way by your healthcare provider. DUPIXENT can be used with or without topical corticosteroids. In adults and children 6 years and older, your initial dose of DUPIXENT is 2 injections under the skin (subcutaneous injection) at different injection sites. Date of birthAt NiceRx, we help eligible individuals to enroll in the Dupixent patient assistance program. One of my favorite parts of providing nursing care to our patients is being able to walk them through their journey, hold their hand through the process, just to give them confidence along the way and we always want them to know that they. Dupixent is indicated for the following type 2 inflammatory diseases:,Atopic Dermatitis,Adults and adolescents,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. ReplyPRESCRIBER TO FILL OUT Section 6a. Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat. I don't know what medical issues your son is having, but it's likey autoimmune issues. Maybe try that while waiting for the Dupixent. Eligible patients will receive their cards by email. 1‑844‑DUPIXENT 1-844-387-4936 Monday-Friday, 8 am-9 pm ET. After that, it is taken as 1 injection every 2 weeks or every 4 weeks, depending on your age and weight. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. DUPIXENT ® ️ can cause allergic reactions that can sometimes be severe. Fill a 90-Day Supply to Save. Support. For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. high levels of white blood cells. Dupixent is not intended for episodic use. THE DUPIXENT MyWay COPAY CARD. The yellow needle cover will cover the needle. ®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. Find the definitions of commonly used terms related to uncontrolled, moderate-to-severe eczema, atopic dermatitis, and DUPIXENT® (dupilumab). DUPIXENT® (dupilumab), in moderate-to-severe asthma treatment, is taken as an injection by a pre-filled syringe or pre-filled pen, review both options here. Actual costs to patients, payers and health systems are anticipated to be lower as WAC pricing does not reflect discounts, rebates or patient. LEARN HOW WE CAN HELP DUPIXENT MyWay. Foradil Aerolizer - Save up to $120. DUPIXENT® is a prescription medicine used as an add-on maintenance treatment for uncontrolled moderate-to-severe eosinophilic or oral steroid dependent asthma in people aged 6 years and older. In children 12 years of age and older,Q7: Why will copay card support no longer be contributed toward my accumulator totals (i. æoßÌ Û©¢h— ¶F Ÿ8Or V¤Ú p´Òúh Òkñ ä ± ~> ~àÒ; ‡ Ì l>û Ø ¬¾ÞÐçž$¸ «>÷û²UôÍñù;?x Keep DUPIXENT Syringes and all medicines out of the reach of children. Working with it utilizing electronic means is different from doing this in the physical world. Severely painful. Patients in each age group saw improved lung function in as little as 2 weeks. INJECTION SUPPORT. DUPIXENT MyWay® is a program that helps eligible patients start and stay on track with their therapy for atopic dermatitis, asthma, chronic rhinosinusitis with nasal polyposis,. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. 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. 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. This inflammation is an important component in. Indication. Sydnab • 1 yr. Terms & Restrictions Apply. For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. Learn how to prepare, inject, and dispose of the syringe safely and correctly. I have tried everything you can think of, to manage my nasal polyps. Injection site reactions and eye conditions are the most common side effects reported and, unlike several other biologics, the risk of infection is low. Discover clinical, histologic, and endoscopic results 1-3. 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. The dupixent my way enrollment form isn’t an exception. Serious side effects can. Then you give the specialty pharmacy a call regarding the refill & give them the required insurance information and schedule a delivery. When Dupixent is used to treat asthma, there are two possible starting dosages for adults and children ages 12 years and older. Have commercial insurance, including health insurance. Watch videos from experts [,download materials,] and explore future events to further understand DUPIXENT® (dupilumab). CHRONOS was a 52-week pivotal clinical trial evaluating the efficacy and safety of DUPIXENT in adult patients with uncontrolled moderate-to-severe atopic dermatitis. Enrolled patients have access to: 1‑844‑387‑4936. How DUPIXENT MyWay® Helped Shawn Get Started. com . I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. The help you get from a copay card is provided by theBUT, the Dupixent MyWay card paid the $600 for me. You may be able to. Is412270-I have been on Dupixent for 4 months. TRANSFORM THE WAY YOU MANAGE EoE. DUPIXENT can be used with or without topical corticosteroids.