Last name . *. It is a single-dose injection that can be taken at home after proper training once a week. If you’re eligible, you can enroll online or by phone and receive your card by email. 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. Once I got a new job, I called Dupixent MyWay to tell them my status changed and I could now get drugs through my insurance's specialty pharmacy. DO NOT inject DUPIXENT into skin that is tender,Welp, got prescribed Dupixent. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing useful tools and resources. Have commercial insurance, including health insurance. I chose to be a nurse because I wanted to help people, and I believe that people should be in service to others. I honestly started to taper off Dupixent because I wanted to see how well my body would do without it. In children 12 years of age and older,Hello! The Medisafe Web Portal doesn’t work on small screens (yet). Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat. For patients wanting a copay card, they can access that by visiting our product website at DUPIXENT. In children 12 years of age and older,I agre e to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. View all Regeneron Pharmaceuticals Inc. And whether they're directly caused by dupixent, some dupixent other drug/illness interaction, or wind up being an unrelated comorbidity they do have people monitoring stuff and can. Injection. 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 3: Take the needle cap off of the syringe right before you are going to inject. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. The cost of Dupixent may vary based on the strength and dosage form you use. 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. PK !Ñ'/ å è · [Content_Types]. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. , 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. 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. Dupixent MyWay pays the $500 copay. brand. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. To help identify you in our system, please provide the following information. 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. Learn more about DUPIXENT® (dupilumab) in moderate-to-severe asthma and if it may be the right treatment option for you. I authorize the Alliance to use my Social Security number and/or additional. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Registered nurses are also available to speak with eligible patients about DUPIXENT. 1-844-DUPIXENT. When Dupixent is used to treat asthma, there are two possible starting dosages for adults and children ages 12 years and older. Dupixent Side Effects (Took my first 2 shots about 2 weeks ago) Hello all. 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. Biologic Drug: Biologic drugs are made from living cells and are often expensive. If you are a New York prescriber, please use an original New York State prescription form. 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. The cost for Dupixent subcutaneous solution (200 mg/1. 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. 03. All I can say is, I don’t know if I would be here today without Dupixent. 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. financial assistance for eligible patients, provide one-on-one nursing support, and more. Eligible patients covered by commercial health insurance may pay as little as a $0 p copay per fill of DUPIXENT. Thus, the member is now $500 from hitting his deductible and $1500 from hitting his out-of-pocket maximum. Normally my copay would be about $970 per refill, but with about 12 refills per year this does not max out the Dupixent MyWay copay card. Well at a cost of roughly $3,500/dose which lasts a month, that will all be used up in four months. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Please see Important Safety Information. It was pretty smooth, the only difference with a vaccine is that the injection is much longer (5. Pregnancy: A pregnancy exposure registry monitors pregnancy outcomes in women exposed to DUPIXENT during pregnancy. 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. 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. Current patient Patient’s first name . Patient is responsible for any out-of-pocket amounts that exceed the program limit. Of the total drug interactions, 38 are major, 29 are moderate, and 7 are minor. Press and hold the Dupixent Pre-filled Pen firmly against your skin until you cannot see the yellow needle cover. 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. Program has an annual maximum of $13,000. Foradil Aerolizer - Save up to $120. My arms and legs are nowhere near as red and there is pretty much no itch to them. Please see Important Safety Information and Prescribing Information and Patient Information on website. DUPIXENT can cause allergic reactions that can sometimes be severe. a Coverage varies by type and plan. Inflammation of your blood vessels. The dupixent appeal letter is a Word document that should be submitted to the relevant address in order to provide some information. 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. TRANSFORM THE WAY YOU MANAGE EoE. PK !û˜õ ‹ _ [Content_Types]. ”. 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. DUPIXENT blocks the signaling of two key sources of Type 2 inflammation (IL-4 and IL-13). Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. Dupixent Prices, Coupons and Patient Assistance Programs. If you are struggling please consider this drug. I pay nothing. 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. 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. 02. I have tried everything you can think of, to manage my nasal polyps. There are a number of things that really resonate with the patients, and one of them is the lack of laboratory monitoring. Eligible patients will receive their cards by email. It may be covered by your Medicare or insurance plan. Education and Nurse Support: One-on-one nursing support is available to educate and empower patients to use DUPIXENT as prescribed. ca,. Caring. ReplyPRESCRIBER TO FILL OUT Section 6a. 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. You likely have a specialty Pharmacy but just aren't aware of it since you're new to the Dupixent scene. Combivent - Pay as little as $10 a month. Limitation of Use: Not for the relief of acute bronchospasm or status asthmaticus. DUPIXENT, a biologic, is a type of medication that is processed in the body differently than oral or topical medications. Rotate the injection site with each injection. Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase 3 program consisting of two pivotal trials. More common side effects in people taking Dupixent for asthma include: reactions where the drug is injected, such as pain and swelling. So far this has happened 4 times - once with 2 injections from the. Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. The cost of the 300-milligrams per 2-milliliters (mg/mL) shot of Dupixent will vary based on several factors. LONG-LASTING CLEARER SKIN AT 16 and 52 Weeks 22% taking. Watch videos from experts [,download materials,] and explore future events to further understand DUPIXENT® (dupilumab). I’m ready to make a difference. One-on-one nursingsupport is availableforDUPIXENT. Dupixent changed my life completely. •Store DUPIXENT Syringes in the refrigerator between 36°F to 46°F (2°C to 8°C). medisafe. Eligible patients will receive their cards by email. Throw away (dispose of) anyI can give my personal experience, for what it's worth. Coverage varies by type and plan. 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. There’s no laboratory monitoring required, not at the beginning, not during therapy. Ask the prescriber for a free sampleDUPIXENT® 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. *Please enter your. 5K subscribers. living with prurigo nodularis are most in need of new treatment options . 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. That being said, please remember that not everyone is fortunate enough to be able to afford it, either because they don't have insurance or because their insurance won't cover enough/has denied them outright (sometimes appealing this. With our help, you could get your Dupixent prescription for a flat fee of $49 per month. swelling of the face, lips, mouth, tongue, or throat. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. Helminth infections (5 cases of enterobiasis and 1 case of ascariasis) were reported in pediatric patients 6 to 11 years old in the pediatric asthma development program. Depended on my insurance. Is412270-I have been on Dupixent for 4 months. (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. (I am one of those patients!) have seen a great results. 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 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. Once you’ve been prescribed DUPIXENT, your healthcare provider can download the enrollment form, help you fill it out, and fax it back to DUPIXENT MyWay at 1-844-387-9370. Refer your appropriate uncontrolled asthma patients to an allergist or pulmonologist to learn if DUPIXENT® (dupilumab) is a treatment option. 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. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack. e. The DUPIXENT MyWay Patient App gives patients enrolled in DUPIXENT MyWay access to tools to help you start and stay on track with your treatment. Daliresp - Pay as little as $25. 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. Even when using the Copay Card, that would cover only cover 4 months worth, and would not go towards my deductible, totaling about. FDA approves Dupixent ® (dupilumab) as first treatment for adults and children aged 12 and older with eosinophilic esophagitis. Dupixent is prescribed for eczema and certain types of asthma. But either way, after you or Dupixent myway meets your deductible, it should be free to you. Especially tell your healthcare provider if you. 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. Check the liquid in the prefilled pen or syringe. For more information, dial 1‑844‑DUPIXENT 1-844-387-4936 Monday-Friday, 8 am-9 pm ET. Call 1-844-387-4936, Option 1 to contact DUPIXENT MyWay ®. Monday-Friday, 8 am-9 pm ET. 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. with DUPIXENT Help schedule deliveries of DUPIXENT Provide supplemental injection training—in person, virtually, or over the phone—to help patients or caregivers become more familiar with injecting DUPIXENT Offer a needle disposing kit, or sharps container, for proper disposal of DUPIXENT Remind patients when it is time toMy doctor gave me a copay card to cover mine. cramps in your stomach-area. FUN Documents, MMIT, and Policy Reporter as of July 12, 2023. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. Start Program product to the patient named herein. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing. 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. Be sure to. If you are a New York prescriber, please use an original New York State prescription form. The $500 payment counts towards the member’s deductible and out-of-pocket maximum. I think it is a true wonder drug and I am grateful for it. You may be able to. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. Important Safety Information and Indication. 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 ready to make a difference. after two days im at about a 6 to 7. My dermatologist said I had some of the worst eczema she had ever seen and literally cried at one of my visits. 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. Assistance may be available for patients who do not have insurance. Everything they say sounds like they are reading it from the owners manual. The yellow needle cover will cover the needle. 2677 patients were treated with 300 mg QW for up to 204. Atopic Dermatitis: DUPIXENT is indicated for the treatment of adult and pediatric patients aged 6 months and older with moderate-to-severe atopic dermatitis whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. DUPIXENT ® ️ can cause allergic reactions that can sometimes be severe. I need another treatment. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. DUPIXENT MyWay® Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay®. Website Link: GF Strong Rehabilitation Centre. The way it works for me and Dupixent is I pay $250 co-pay a month at the pharmacy. 14 mL) is around $3,788 for a supply of 2. This is very helpful!Dupixent MyWay Program Dupixent (dupilumab injection) CONTACT INFODupixent is an injection that is usually given under the skin every other week for the treatment of asthma, eczema, and some other inflammatory conditions. Pay as little as $0 per month. 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. I then submit a copy of my receipt via snail mail to the Dupixent my way reimbursement program and they send me a check for $250 via snail mail. SCHEDULING. For additional information or if you have questions, contact your Field Representative or call DUPIXENT MyWay at 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. difficulty in breathing. ®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. 98% of Commercially Insured Patients. Copay Reimbursement Program, 200 Jefferson Park, Whippany, NJ 07981. Step 1: Let the syringe sit outside of the fridge for at least 45 minutes. This will allow the specialty pharmacy to conduct the benefits investigation, and DUPIXENT MyWay will provide additional support to the patient. xml ¢ ( ´•ËjÃ0 E÷…þƒÑ¶ØJº(¥ÄÉ¢ e hú Š5vD Òäõ÷ ÇŽ)%‰C o Ö̽÷h Òh²Ñe´ ”5) & ɬT¦HÙ×ì-~dQ@a¤( ”m!°Éøöf4Û: ©MHÙ Ñ=q ² h ëÀP%·^ ¤__p'²oQ¿ xf ‚Á + 6 ½@. Step 2: After washing your hands, clean the area you are going to inject with an alcohol wipe. Terms & Restrictions Apply. Well at a cost of roughly $3,500/dose which lasts a month, that will all be used up in four months. My husband has been on it several months for severe asthma. DUPIXENT can be used with or without topical corticosteroids. Page couldn't load • Instagram. See available events. Learn how to prepare, inject, and dispose of the syringe safely and correctly. In clinical studies utilizing a symptom measurement tool, people taking DUPIXENT saw a meaningful improvement in their nasal polyps symptoms, which included, but were not limited to: • Nasal blockage • Facial pain/pressure • Difficulty falling asleep • FatigueThe recommended dosage of DUPIXENT for adult patients is an initial dose of 600 mg (two 300 mg injections), followed by 300 mg given every other week (Q2W). g. If you are a New York prescriber, please use an original New York State prescription form. Im thankful for any progress. The safety profile in pediatric patients through. 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. 1 Patient Information Please provide copies of front and back of all medical and prescription insurance cards. . 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. The most common side effects may include injection site reactions, pink eye, eyelid inflammation, cold sores, and mouth or throat. I tried Dupixent and it changed my life. You need to have a prescription for DUPIXENT as well as. Your email is on its way. Connect with someone, ask questions, and learn about their experience with DUPIXENT® (dupilumab) treatment. 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. For more information, dial 1-844-DUPIXENT 1-844-387-4936 ), option 5, Monday-Friday, 9 am – 9 pm ET. Please see Important Safety Information and. medisafe. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,My wife is on Dupixent, and has the MyWay card which allows up to $13,000/year. 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. It is given as a subcutaneous (under the skin) injection. I felt my Atopic problem went away for first 2 months ( I took 3 shots for the 1st month, and 2 shots from 2nd months). After that, we will have met our family deductible. Dupixent for Eczema User Reviews. DUPIXENT is an injectable medicine that is administered by subcutaneous injection and is intended for use under the guidance of a healthcare provider. throat pain or soreness. Complete every fillable area. Maybe try that while waiting for the Dupixent. An eDocument can be viewed as legally binding provided that certain requirements are satisfied. Patient assistance program. You need to have a prescription for DUPIXENT as well as commercial insurance. · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. You can email or print the enrollment forms below. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. It allows to complete any PDF or Word document right in the web, customize it depending on. Stop using DUPIXENT ®. Available. Tell your healthcare provider about any new or worsening joint symptoms. The formulary status tool below can help check DUPIXENT coverage for various plans. Copay Reimbursement Program, 200 Jefferson Park, Whippany, NJ 07981. If you don’t have health insurance, talk. DATA UP TO 52 WEEKS is available. About Dupixent Dupixent is administered as an injection under the skin (subcutaneous injection) at different injection sites. Serious adverse reactions may occur. 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. Sign up or activate your card here. Dupixent on a High Deductible Health Plan. How to use Dupixent (dupilumab) syringes: 1) Wash your hands with soap and water before injection. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Yesterday the nurse injected the first dose using a syringe in my leg. I agree to assist in e Éorts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. I started Dupixent on Sunday May 21 (2 shots as the first dosage is double) and I must say for me there have been some positive quick/noticeable changes. Brovana - Save up to $30 per month. Option 1- you have to meet your deductible without Dupixent myway. chevron_right. There is another biologic very similar to Dupixent called Adbry. Visit the official website of Dupixent My Way enrollment. 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. Want to be a part of the DUPIXENT MyWay® Ambassador Program? Fill out this self-nomination form to see if you qualify. Please see Important Safety Information and Prescribing Information and Patient. 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. Please see Important Safety Information and Prescribing. Do not try to inject DUPIXENT until you have been shown the right way by your healthcare provider. For children aged 6 months to 5 years, it is taken as 1 injection every 4 weeks. In children 12 years of age and older, it. Dupixent. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. 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. Fast forward to tonight, first time using the pen, and it took me FOREVER to commit. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. com is a great place to begin your research. Plus, get the latest information about DUPIXENT, exclusive tools,. Based on the questions answered above, you are not eligible to register for a new copay card or to activate a copay card. This information will ONLY be used to validate your eligibility. I've been taking Dupixent since November 2019 for nasal polypus. tamagootchi • 1 yr. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. 99% of commercial patients (6+ months of age) nationally are covered for DUPIXENT. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing, state-specific. 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). Find information on insurance coverage, ordering through a specialty pharmacy, and the cost of DUPIXENT® (dupilumab), a prescription medicine FDA-approved to treat five conditions. Actual costs to patients, payers and health systems are anticipated to be lower as WAC pricing does not reflect discounts, rebates or patient. PRESCRIBER TO FILL OUT Complete the entire form and submit pages 1-2 to ®DUPIXENT MyWay via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) 1‑844‑DUPIXENT 1-844-387-4936. For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. SIGN UP TO SPEAK WITH A DUPIXENT MyWay ® MENTOR . high levels of white blood cells. Dosage for asthma. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. My daughter's Dupixent is free with the card and they ship it with cold packs to our front door. There is currently no generic alternative to Dupixent. After your injection is done, pull the pen straight up to remove the Dupixent pen from the skin. 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. Went to the dermatologist today and came clean on my over use of steroid topical that my Primary Dr. 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. Dupilumab se usa para el eczema en adultos y niños de 6 meses o más. 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. 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. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. After that, we will have met our family deductible. DUPIXENT® (dupilumab) Full Prescribing Information: Patient Information: Learn more about DUPIXENT: Show more. 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:. 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. Nationally are Covered for DUPIXENT. 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). Learn more about DUPIXENT® (dupilumab), the first and only FDA approved treatment option for prurigo nodularis (PN) in adults aged 18 years and older. DUPIXENT is a biologic and can help reduce your patients' use of systemic corticosteroids. DUPIXENT 200 mg injections at different injection sites. 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. If you are a New York prescriber, please use an original New York State prescription form. DUPIXENT has been FDA approved for use in adults with uncontrolled moderate-to-severe eczema since 2017. Manufacturer Coupon. Working with it utilizing electronic means is different from doing this in the physical world. Count to 5 to be sure you get the full dose. 1-844-DUPIXENT 1-844-387-4936. I authorize the Alliance to use my Social Security number and/or additional. I really enjoy the patient interaction. Serious side effects can occur. Talk with. ” IMPORTANT SAFETY INFORMATION: Do not use if you are allergic to dupilumab or to any of the ingredients in DUPIXENT ®. Depending on the dose, uninsured patients can expect to pay up to $59,000 per year for Dupixent treatment. Monday-Friday, 8 am-9 pm ET. Sydnab • 1 yr. Mine had just exhausted a few months ago after 2 years, and I'm currently paying $70 for 2 shots with Blue Cross Blue Shield. . Tell your healthcare provider about any new or worsening joint symptoms. If you are a New York prescriber, please use an original New York State prescription form. DUPIXENT can be used with or without topical corticosteroids. 04. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. If you are a New York prescriber, please use an original New York State prescription form. DUPIXENT MyWay team will research each patient’s situation and determine eligibility. 73K likes, 905 comments - krisaquino on November. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUQuick Start Program product to the patient named herein. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Hello! Switching insurance this year and need to prepare for increasing costs of dupixent with my new insurance. Ways to save on Dupixent. 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. Female Preferred pronouns Last 4 digits of SSN . x DUPIXENT Syringes can be stored at room temperature up to 77°F (25°C) up to 14 days. 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. Then, one day, my doctor suggested we try adding DUPIXENT. Dupixent only comes as a brand-name drug. 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. This medicine should be given by a caregiver in children 6 months to less than 12 years of age. Dupixent is a miracle. My name is Shari and I’m a registered nurse with DUPIXENT MyWay. 421 adult patients were randomized to DUPIXENT + TCS or placebo + TCS. My dr pioneered eoe for many years and ran a lot of the trials. The phone number is 1‑844‑DUPIXEN (T) (1-844-387-4936) Option 1, Monday–Friday, 8 AM–9 PM Eastern time.