Dupixent changed my life completely. 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. From my experience (in the US) I had to get oreapproval first from my insurance company. This medicine should be given by a caregiver in children 6 months to less than 12 years of age. If you don’t have health insurance, talk. 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. Serious side effects can occur. 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. Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. Your email is on its way. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. Come back and visit us using a device with a larger screen (laptop, desktop, tablet) at web. The relief is indescribable, honestly. Dupixent. You can be eligible for and DUPIXENT MyWay Copay Card if you:. Assistance may be available for patients who do not have insurance. 5K subscribers. 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. It is supplied in a carton with two pens or syringes in each package. Re-check each area has been filled in correctly. DUPIXENT MyWay complements your office’s process for accessing DUPIXENT. Add the date to the sample using the Date feature. 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. g. Date of birthAt NiceRx, we help eligible individuals to enroll in the Dupixent patient assistance program. Dupixent® should be given by or under the supervision of an adult in children 12 years of age and older. Press and hold the Dupixent Pre-filled Pen firmly against your skin until you cannot see the yellow needle cover. The dupixent my way enrollment form isn’t an exception. Then it got worse, 2nd derm said psoriasis hence humira for about 1 month, no improvement. 2. Reload page. Acaregiver or patient 12 years of age and older may inject DUPIXENT using the pre-filled syringe or pre-filled pen. Please see Important Safety Information and Patient Information on. So far this has happened 4 times - once with 2 injections from the. Like. A SingleCare savings card could reduce the cost of Dupixent without insurance as much as $1,600 per month. 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). It allows to complete any PDF or Word document right in the web, customize it depending on. Have commercial insurance, including health insurance. SIGN UP TO SPEAK WITH A DUPIXENT MyWay ® MENTOR . Surgery may remove your nasal polyps, but it may not treat an underlying cause of inflammation—allowing them to grow back. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,Through the Patient Assistance Program, qualified patients who are uninsured or whose insurance does not cover DUPIXENT could receive DUPIXENT at no cost. PRESCRIBER TO FILL OUT Section 6a. Patient assistance program. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. <br> <br> Best, <br> Ashley</p> reactions . 2020;157 (4):790-804. The way it works for me and Dupixent is I pay $250 co-pay a month at the pharmacy. This morning my nose was less congested than usual, that's a positive sign. Dupixent® (dupilumab) Note: Precertification review for this medication is handled by Aetna Pharmacy Management Precertification at 1-855-240-0535 or fax applicable request forms to 1-877-269-9916. Program Website : Program Applications and Forms. About Dupixent. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. 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. I already know about the Dupixent my way, and programs, trust me when I say, it’s not happening for me, it’s also not only my choice. ®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. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. Serious side effects can occur. Dupixent® should be given by or under the supervision of an adult in children 12 years of age and older. The appeal process Example letters. DUPIXENT MyWay®. In order to be effective and work properly, biologics are injectable medicines. Female Preferred pronouns Last 4 digits of SSN . It's hard enough dealing with all of this and having different doctors tell you different things is mind boggling. My issue on dupixent wasn’t joint pain but I started having elevated liver enzymes which if left untreated. 5. Yes it was left out and room temp. Based on the questions answered above, you are not eligible to register for a new copay card or to activate a copay card. *Please enter your patient. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. In this case Dupixent myway will cover the first 13k, which is probably like 5 months. 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. Enroll eligible patients in the DUPIXENT MyWay® patient support program for DUPIXENT® (dupilumab) access, financial assistance & nursing support. 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). 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. The DUPIXENT MyWay Copay Card Program includes the Copay Card, the Debit Card, and any direct patient rebate, and has a combined annual maximum benefit of $13,000 per patient per calendar year. Find DUPIXENT® (dupilumab) injection videos and instructions for the pre-filled syringe (200 mg or 300 mg) with needle shield for ages 6 months & older. They are especially crucial when it comes to stipulations and signatures associated with them. 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. Just got the fun news that I will need to pay $2,700 for a monthly dose of Dupixent. 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. 2 cartons. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Dupixent is the first and only medicine indicated to treat eosinophilic esophagitis in the United States; approval granted more than two months ahead of FDA’s Priority Review action dateSince [Date], [Patient Full Name] has been under my care for [diagnosis] (ICD-10-CM code: [insert code]). Refer your appropriate uncontrolled asthma patients to an allergist or pulmonologist to learn if DUPIXENT® (dupilumab) is a treatment option. For any questions or concerns, please contact us at the phone number located on your enrollment form. It felt like they were controlling me when it should have been the other way around. Serious adverse side effects can occur. If you still have questions, you can speak with a DUPIXENT MyWay or request to join the program over the phone. Atopic Dermatitis: The most common adverse reactions (incidence ≥1%) in patients are injection site reactions, conjunctivitis, blepharitis, oral herpes, keratitis, eye pruritus, other herpes simplex virus infection, dry eye, and eosinophilia. Although you are not eligible, you can sign up DUPIXENT MyWay emails about DUPIXENT below. 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. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. There are a number of things that really resonate with the patients, and one of them is the lack of laboratory monitoring. For more information, call 1-844-DUPIXENT ( 1-844-387-4936) option 1. Being a nurse for DUPIXENT MyWay is very rewarding. For brand name drugs under review and drug reviews completed on or. Caring. I chose to be a nurse because I wanted to help people, and I believe that people should be in service to others. (I am one of those patients!) have seen a great results. I honestly started to taper off Dupixent because I wanted to see how well my body would do without it. Luckily my supplemental ins pays it all with Medicare paying nothing. “My eyes are a little itchy and gunky, but I would choose that side effect in a heartbeat rather than go back to the way things were before starting the treatment. 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. Leaving me with $12,400 left on the card. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Store DUPIXENT Syringes in the original carton to protect them from light. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing, state-specific. Count to 5 to be sure you get the full dose. The formulary status tool below can help check DUPIXENT coverage for various plans. 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. ( 1-844-387-4936), option 1. living with prurigo nodularis are most in need of new treatment options . Dupixent for Eczema User Reviews. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack. numbness, pain, tingling, or unusual sensations in the palms of the hands or bottoms of the feet. insurer. Available in two delivery options, pre-filled syringe & pre-filled pen (300mg) for ages 12+ years. ca,. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Serious side effects can occur. Nationally are Covered for DUPIXENT. Sign up or activate your card here. DUPIXENT® (dupilumab) Full Prescribing Information: Patient Information: Learn more about DUPIXENT: Show more. I authorize the Alliance to use my Social Security number and/or additional. DUPIXENT has been FDA approved for use in adults with uncontrolled moderate-to-severe eczema since 2017. My dr told me Dupixent costs around $10,000 a month at full cost, so insurance companies are bound to put up lots of red tape. For more information, dial 1-844-DUPIXENT1-844-387-4936), option 1. The DUPIXENT MyWay program also provides useful tools and resources to help you stay on track with your treatment. Monday-Friday, 8 am-9 pm ET. Prurigo Nodularis: The most common adverse reactions (incidence ≥2%) are nasopharyngitis, conjunctivitis, herpes infection, dizziness, myalgia, and diarrhea. Learn how to inject DUPIXENT® (dupilumab), a biologic subcutaneous injectable prescription medicine for eosinophilic esophagitis (EoE) in patients 12 years and older who weigh at least 88lb (40kg). In clinical trials, the impact of DUPIXENT on lung function was studied in patients 6 to 11 years of age and patients 12 years of age and older. After your injection is done, pull the pen straight up to remove the Dupixent pen from the skin. 2) Pull the needle cap off the syringe, and inject the medication under the skin at a 45-degree angle. Be sure the details you add to the Dupixent Enrollment Form is updated and correct. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offerEvery enrolled patient is assigned a DUPIXENT MyWay® Nurse Educator who can provide tools, resources, and education throughout the treatment journey. I think it is a true wonder drug and I am grateful for it. 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. Step 1: Let the syringe sit outside of the fridge for at least 45 minutes. 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. You need to have a prescription for DUPIXENT as well as. LONG-LASTING CLEARER SKIN AT 16 and 52 Weeks 22% taking. Please see Important Safety Information and Patient Information on website. My husband has been on it several months for severe asthma. DUPIXENT MyWay Appeal Specialists can help provide support throughout the appeal process. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. What makes the dupixent digital document center legally binding? As the society ditches in-office work, the completion of documents more and more takes place electronically. Being a nurse for DUPIXENT MyWay is very rewarding. The parts of the DUPIXENT Syringe are shown below: • The DUPIXENT Pre-filled Syringe • 1 alcohol wipe* • 1 cotton ball or gauze* • a sharps disposal container* In children 6 months to less than 12 years of age, DUPIXENT should be given by a caregiver. DATA UP TO 52 WEEKS is 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 processed by my Healthcare Providers, Health Insurers,DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. This will allow the specialty pharmacy to conduct the benefits investigation, and DUPIXENT MyWay will provide additional support to the patient. She looked at my broke out skin and said I could definitely benefit from Dupixent, especially. Filter by condition. 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. Available. Address: 4255 Laurel St, Vancouver, BC V5Z 2G9. headache. Review patient eligibility for the DUPIXENT MyWay® Copay Card for DUPIXENT® (dupilumab) and explore patient assistance programs for eligible patients. Box 5925 Mailstop 55A-220A Bridgewater, NJ 08807. And despite those massive growth forecasts, some analysts figure Dupixent could be on. Dupixent changed my life in 12 days. I chose to be a nurse because I wanted to help people, and I believe that people should be in service to others. 1-844-DUPIXENT. (I don't know when it is expiring, I have to look this up). For more information, dial 1-844-DUPIXENT1-844-387-4936), option 1. 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 have included a detailed explanation of the severity of [Patient’s First Name]’s disease, informationWith DUPIXENT, and less nasal polyps, you can do more of what matters most. Here’s what you can expect from DUPIXENT MyWay: (1) Help getting DUPIXENT to you: We research and explain your insurance benefits to help you understand how the process works to get DUPIXENT. Pregnancy: A pregnancy exposure registry monitors pregnancy outcomes in women exposed to DUPIXENT during pregnancy. xml ¢³ ( ¼–ËnÛ0 E÷ ú ·…E' Š¢°œE Ë6@] [š ÙDù 9Nâ¿ïPŠÙÄq¬$Žº ‘sï!çaÏ. Select a tab below to get you to helpful information depending on where you are in your treatment journey. I don't know what medical issues your son is having, but it's likey autoimmune issues. My dr pioneered eoe for many years and ran a lot of the trials. Tips. Please see Important Safety Information and Prescribing Information and Patient. Please see Important Safety Information and Patient Information on website. VO: DUPIXENT® (dupilumab) is a prescription medicine used to treat people aged 6 years and older with moderate-to-severe atopic dermatitis (eczema) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. My insurance covers most of my Dupixent cost, but MyWay Dupixent pays for my remaining co-pay. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. If you are a New York prescriber, please use an original New York State prescription form. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing, state-specific. Check the liquid in the prefilled pen or syringe. DUPIXENT® is a subcutaneous injectable prescription medicine for adults and children aged 6 months & older, with uncontrolled, moderate-to-severe eczema (atopic dermatitis). Sex at birth: Male . Your experience with DUPIXENT is unique, and sharing your journey can inspire and empower people facing similar challenges. Some Medicare plans may help cover the cost of mail-order drugs. I found the carnivore diet helps immensely for autoimmune issues. 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. If this is the case, write the preferred specialty pharmacy name and then check the box indicating that you have sent the prescription to the specialty pharmacy, which will. For more information or to enroll in the patient support program, dial 1‑844‑DUPIXENT ( 1-844-387-4936 Monday-Friday, 8 am-9 pm EST. It has to be completed and signed, which can be done manually in hard copy, or by using a certain software like PDFfiller. O. Long-term results from a clinical trial that studied DUPIXENT for 52 weeks. DUPIXENT ® ️ can cause allergic reactions that can sometimes be severe. I agre e to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. DUPIXENT Syringes can be stored at room temperature up to 77°F (25°C) up to 14 days. Im thankful for any progress. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. Do not store DUPIXENT pre-filled syringes at room temperatures more than 77°F (25°C) Do not keep DUPIXENT at room temperature. Terms & Restrictions apply. See available events. 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:. 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. · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. 05. If you are a New York prescriber, please use an original New York State prescription form. 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. , Benefits Investigation, Prior Authorization, and Appeals Support) Patient Access Support (e. If you are a New York prescriber, please use an original New York State prescription form. I chose to be a nurse because I wanted to help people, and I believe that people should be in service to others. Eligible patients will receive their cards by email. web. Within 24 hours, one of our patient advocates will call you for a brief interview. O. Before using DUPIXENT, tell your healthcare provider about all your medical conditions, including if you: have eye problems; have a parasitic (helminth)The most foolproof way to reduce out-of-pocket costs for Dupixent is a free coupon from SingleCare. com. One-on-one supplemental injection support training with nurse educators in person, virtually, or by phone. Clinical, histologic, and. Especially tell your healthcare provider if you. Originally went on dupixent as 1st derm thought I had eczema. My name is Shari and I’m a registered nurse with DUPIXENT MyWay. 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. Enrolled patients have access to: 1‑844‑387‑4936. DUPIXENT 200 mg injections at different injection sites. Monday-Friday, 8 am - 9 pm ET. 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. Dupixent MyWay pays the $500 copay. My skin is now 90 percent cleared. New pati ent . Administer subcutaneous injection into the thigh or abdomen, except for the 2 inches (5 cm) around the navel. g. æoßÌ Û©¢h— ¶F Ÿ8Or V¤Ú p´Òúh Òkñ ä ± ~> ~àÒ; ‡ Ì l>û Ø ¬¾ÞÐçž$¸ «>÷û²UôÍñù;?x Keep DUPIXENT Syringes and all medicines out of the reach of children. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 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. (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. DUPIXENT can be used with or without topical corticosteroids. Foradil Aerolizer - Save up to $120. But either way, after you or Dupixent myway meets your deductible, it should be free to you. The DUPIXENT pre-filled syringe is for use in adult and pediatric patients aged 6 months and older. –%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. Working with it utilizing electronic means is different from doing this in the physical world. 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. 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. Monday-Friday, 8 am-9 pm ET. Eligible commercially insured patients may submit a rebate if they paid in full for their prescription at the pharmacy or their prescription was filled before they enrolled in the program; visit to begin the rebate process; for additional information contact the program at 844-387-4936. ( 1-844-387-4936 ), option 1. Tell your healthcare provider about any new or worsening joint symptoms. You may be eligible for the DUPIXENT MyWay Copay Card if you:. pain, redness, irritation, itching, or swelling of the eye, eyelid, or inner lining of the eyelid. Learn how to prepare, inject, and dispose of the syringe safely and correctly. If given in a pill, our digestive tract will easily break these proteins down – much like it does when we eat a piece of steak – and make the drug ineffective. Provide information about your healthcare provider, including their name, address, and contact information. insurer. b Data as of January 2023. For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. Appears that my out of pocket maximum will be $8000 through insurance. •Store DUPIXENT Syringes in the refrigerator between 36°F to 46°F (2°C to 8°C). Dupixent (Dupilumab Injection) may treat, side effects, dosage, drug interactions, warnings, patient labeling, reviews, and related medications including drug comparison and health resources. Dupixent Prices, Coupons and Patient Assistance Programs. It offers financial assistance, nursing support, and information on the safety profile of DUPIXENT and its interactions with other medications. Be sure to. We do not interview candidates on Google Hangouts. fainting, dizziness, feeling lightheaded. My arms and legs are nowhere near as red and there is pretty much no itch to them. ago. Nationally are Covered for DUPIXENT. DUPIXENT, a biologic, is a type of medication that is processed in the body differently than oral or topical medications. ®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. Save. Eye pain, redness, irritation, or discharge with blurry or decreased vision. Dupilumab también se usa junto con otros medicamentos para tratar el asma de moderado a severo que no se. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,Learn about DUPIXENT® (dupilumab) for moderate-to-severe asthma treatment. 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. Call 1-844-387-4936, Option 1 to contact DUPIXENT MyWay ®. brand. Patient Rebate Portal. chevron_right. What it is used for. DUPIXENT MyWay. DUPIXENT® (dupilumab) is 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. His experience and mine are night and day different. Throw away (dispose of) anyI can give my personal experience, for what it's worth. DUPIXENT is not indicated for relief of acute bronchospasm or status. 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. This will allow the specialty pharmacy to conduct the benefits investigation, and DUPIXENT MyWay will provide additional support to the patient. 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,Full Prescribing Information: Patient Information: Learn more about DUPIXENT: Thanks for c. facilitate the filling of my patient’s prescription; to assess, if applicable, my patient’s eligibility for patient assistance and other support programs; and to otherwise administer DUPIXENT MyWay for the patient. 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. 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,1‑844‑DUPIXENT 1-844-387-4936. Ways to save on Dupixent. In children 12 years of age and older,Hello! The Medisafe Web Portal doesn’t work on small screens (yet). reply . Each time you fill your DUPIXENT prescription, please ensure your. My allergist doctor said I was a super reactive patient to Dupixent, in a positive way. How are you finding the program? I received a missed call from them last week but the message they left on my phone was cut short so I don't have a name or. swelling of the face, lips, mouth, tongue, or throat. At that point we will owe 20% of the cost of the medication, which adds up to just under $700/month. The formulary status tool below can help check DUPIXENT coverage for various plans. Please see Important Safety Information and Prescribing. It was "free" my first 2 years with my insurance hitting me with a $1,000 / month copay but the dupixent my way program gives you $13,000 a year copay assistance so $0 3rd year my insurance changed and it was $3300 a month copay so that sucked the dupixent my way help dry by March so I have been without most of 2022. Fill a 90-Day Supply to Save. If you are a New York prescriber, please use an original New York State prescription form. 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. Although you are not eligible, you can sign up DUPIXENT MyWay. Once the prescription went to the pharmacy I called the pharmacy and they did the myway paperwork for me. MELINDA: Before I started DUPIXENT, I told my doctor about all the medical conditions I had and medications I was taking. After that, it is taken as 1 injection every 2 weeks or every 4 weeks, depending on your age and weight. - Rachel, DUPIXENT Patient Mentor, living with asthma. FUN Documents, MMIT, and Policy Reporter as of July 12, 2023. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 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. x DUPIXENT Syringes can be stored at room temperature up to 77°F (25°C) up to 14 days. DUPIXENT® (dupilumab) is a. Contact Phone Number: (604) 734-1313. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. 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. DUPIXENT can be used with or without topical corticosteroids. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,How someone else should inject Dupixent. Prescriber Certification My signature certifies that the person named on this form is my patient the information provided on this application, to the best of my knowledge, is complete and accurate that therapy with DUPIXENT is medically necessary and that I have prescribed DUPIXENT to the patient named on this form for an DA-approved indication. I’m on the dupixent my way savings program as well as another one called “save on” iirc. Full. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. The Dupixent pre-filled pen is only for use in patients 12 years of age and older. •DUPIXENT Syringes can be stored at room temperature up to 77°F (25°C) up to 14 days. Get the dupixent copay card and you will likely get it for no charge for a while. Keep DUPIXENT Syringes and all medicines out of the reach of children. •Store DUPIXENT Syringes in the original carton to protect them from light. financial assistance for eligible patients, provide one-on-one nursing support, and more. Find DUPIXENT® (dupilumab) injection videos and instructions for the pre-filled pen (200 mg or 300 mg) for ages 2+ years. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. “It was like something out of a dermatology fairy tale. 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. For Healthcare Professionals. DUPIXENT MyWay® can work with your insurance provider to identify a preferred, in-network specialty pharmacy. I started dupixent a month and a half ago. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. That took about a week. , Quick Start, Copay Card, and Patient Assistance Program) Nursing Support (e. DUPIXENT can be used with or without topical corticosteroids. I tried Dupixent and it changed my life. Serious side effects can occur. Dupixent is prescribed for eczema and certain types of asthma. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. This letter serves as my determination of medical necessity for DUPIXENT® (dupilumab) for this patient. More common side effects in people taking Dupixent for asthma include: reactions where the drug is injected, such as pain and swelling. I'm supposed to start myself at some point, I guess with the pen though I know there's a choice. 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. 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. If you are a New York prescriber, please use an original New York State prescription form. With of DUPIXENT MyWay Copay Card, right, commercially insured patients might pay as little as $0* copay per fill of DUPIXENT. Program has an annual maximum of $13,000. I authorize the Alliance to use my Social Security number and/or additional. In children 6 months to less than 12 years of age, DUPIXENT should. Please see Important Safety Information and Patient Information on website. I really enjoy the patient interaction. 2 cartons. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing. Although you are not eligible, you can sign up. 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® (dupilumab) is taken as an injection by a pre-filled syringe or pre-filled pen. PRESCRIBER TO FILL OUT Section 5a. If you are a New York prescriber, please use an original New York State prescription form. medisafe. The way it works without copay accumulators is: myway covers your copay/deductible and by the time you have exhausted the benefit you’ve hit your deductible and your insurance is footing the bill for the rest of the year. I have tried everything you can think of, to manage my nasal polyps. I feel so lucky I have one of the best insurance companies at the moment. Dupixent on a High Deductible Health Plan. Dymista - Pay as little as $29. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. insurer. com is a great place to begin your research. FDA approves Dupixent ® (dupilumab) as first treatment for adults and children aged 12 and older with eosinophilic esophagitis. A total joke Reply According_Land_581 • Additional comment actions. DUPIXENT® is a subcutaneous injectable prescription medicine for adults with uncontrolled chronic. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. 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. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. To request access to someone else's record in MyHealth complete the Request Access to Someone Else’s Account form .