“It’s an incredible feeling to be validated and. DUPIXENT is not a steroid or immunosuppressant; it is a prescription biologic medicine given under the skin (subcutaneous injection). After removal from the refrigerator, DUPIXENT must be used within 14 days or discarded; DUPIXENT should not be exposed to heat or direct sunlight; Do NOT freeze. 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 have applied for grants, financial hardships (my household income surpasses every programs caps, even with 6 children), etc and now I'm just being told to pay $3,000/month or too bad. 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) is a. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. S. Household Income. In SINUS-24 and SINUS-52, 74% fewer patients required SCS use at Week 52 with DUPIXENT 300 mg Q2W + INCS compared to placebo + INCS (HR: 0. 09. 6 Submitting a PA request The appeal. Depends if your insurance cares that Dupixent myway is paying your deductible. I suppose it doesn't really matter now. (DUPIXENT + Topical Corticosteroids (TCS) vs TCS only): CLEAR OR ALMOST CLEAR SKIN AT 16 Weeks 39% taking DUPIXENT + TCS vs 12% using TCS only. Please see. Call 1-844-387-4936 SUMIT COMPLETED PAGES 1 2 Fax: 1-844-387-9370 MF, 8am9pm ET Document Drop: (code: 8443879370) Patient Name DO / / Prescriber Name Prescriber AddressDupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. DUPIXENT MyWay®. For more information, please call 1-844-DUPIXENT (1-844-387-4936) or visit got Dupixent MyWay copay assistance and they never asked one question about my income. It may be covered by your Medicare or insurance plan. You may be able to lower your total cost by filling a greater quantity at one time. So, even with a "prior authorization" and a "formulary override", the cost to me is $2900 per month, or about $1450. They will begin the benefits investigation and inform your office of the next steps. 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. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. With the DUPIXENT MyWay Copay Card, eligible,. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. Also, make sure to store the DUPIXENT MyWay phone number in your phone’s contacts so you. LASTING CHANGE IS ACHIEVABLE. Get a Quick Start. 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. Enrolled patients receive: One-on-one support from our DUPIXENT MyWay support team; Help understanding insurance coverage; Financial assistance (for eligible patients only) Help. DUPIXENT MyWay® A program to provide support to patients starting DUPIXENT. ago. From my understanding, the Dupixent MyWay Program pays the $125 since your insurance is covering the rest. I found the carnivore diet helps immensely for autoimmune issues. Lancet. 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. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. If I am completing Section 5b, I authorize for my commercially insured patient one. So the nurse told me to fax receipts for year to date prescriptions and last year's income forms (W2, 1099, etc). Please see Important Safety Information and Prescribing Information and Patient Information on website. 0156 Past Update: March 2023 DUP. financial assistance for eligible patients, provide one-on-one nursing support, and more. I've been on Dupixent for over 2 years now and it has been such a great experience keeping my eczema under control. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. O. Income at or below: Not Published: Medical expenses can be deducted from reported income:. 0156 Past Update: March 2023 DUP. who are prescribed Dupixent gain access to the medicine and receive the support they may need with the DUPIXENT MyWay ® program. 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 this case Dupixent myway will cover the first 13k, which is probably like 5 months. DUPIXENT® (dupilumab) Prescription Information Quick Start may be able to provide DUPIXENT at no cost to help bridge patients to therapy if there is a coverage delay. including household income, to qualify. The majority of DUPIXENT patients with commercial/employer-provided insurance use the DUPIXENT MyWay ® Copay Card. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. It may be covered by your Medicare or insurance plan. Nationally are Covered for DUPIXENT. Use DUPIXENT exactly as prescribed by your doctor. 5. For more information, call 1. For more information, call 1-844-DUPIXEN (T) (1-844-387-4936. Especially tell your healthcare provider if you. Eosinophilic Esophagitis: DUPIXENT is indicated for the treatment of adult and pediatric patients aged 12 years and older, weighing at least 40 kg, with eosinophilic esophagitis (EoE). 14 mL, or 300 mg/2 mL)My insurance provider covers 85% and our Canadian version of 'MyWay' pays the remainder. Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase 3 program consisting of two pivotal trials About 75,000 adults in the U. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. For me, the side effects didn’t really bother me or have me second guess my decision with Dupixent because my skin was. My insurance plan only covers a small amount of it with the rest being carried by the Copay program, which has a limit per year. . 8K subscribers in the eczeMABs community. DUPIXENT use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. For any questions or concerns, or to report side effects with a Sanofi and Regeneron product while enrolled in DUPIXENT MyWay®, please contact 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. Maximum Monthly Gross Income. Eligible patients will receive they cards by e-mail. Rx: DUPIXENT® (dupilumab) (100 mg/0. 23. If this is the case, write the preferred specialty pharmacy. As far as choosing a better plan with a lower deductible, I don't really have much of a choice. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT (maximum of $13,000 per patient per calendar year) if they meet the eligibility requirements, including: Have commercial insurance, including health insurance exchanges, federal employee plans, or state employee plans DUPIXENT MyWay is a patient support program that can help enable access to DUPIXENT and offers financial assistance to eligible patients, one-on-one nursing support, and more. with household income, to qualify. Serious side effects can occur. About 75,000 adults in the U. I’m Laurie. Página de inicio de franquicias ; Eczema moderado a grave (6 meses de edad o más) Asma moderada a grave (6 años de edad o más) DUPIXENT Pricing Information For Healthcare Professionals. 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, 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. Opinions clash over private equity’s effect on dermatology. Does anyone know the eligibility process for the dupixent copay assistance? Do they ask for tax forms? Is there an income limit? comments sorted by Best Top New Controversial Q&A Add a Comment More posts you may like. If you are a New York prescriber, please use an original New York. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. 0252 Last Update: Feb 2023 DUP. Share your form with others. It still covers the same amount. For more information, dial 1‑844‑DUPIXENT 1-844-387-4936 Monday-Friday, 8 am-9 pm ET. How to fill out dupixent reimbursement: 01. any time by mailing or faxing a written request to DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. Monday-Friday, 8 am-9 pm ET. DUPIXENT® (dupilumab) Prescription Information Quick Start may be able to provide DUPIXENT at no cost to help bridge patients to therapy if there is a coverage delay. 0254 Last Update: February 2023 DUP. $125 is the amount Dupixent assistance pays. , Sanofi US, and their affiliates and agents (together, the “Alliance”) may verifyBy checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. The most common side effects include: DUPIXENT MyWay. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. Fill a 90-Day Supply to Save. It may be covered by your Medicare or insurance plan. Throw away (dispose of) any DUPIXENT that has been left at room temperature for longer than 14 days. Do not store DUPIXENT pre-filled syringes at room temperatures more than 77°F (25°C) Do not keep DUPIXENT at room temperature. Learn more about DUPIXENT® (dupilumab), is the first FDA-approved biologic to treat eosinophilic esophagitis (EoE) in patients 12 years and older who weigh at least 88lb (40kg). 0185 Last Update: November 2022 DUP. 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. The Dupixent MyWay program is not available to medicare patients. He continued with Dupixent and his symptoms had partially improved 24 weeks after their onset. for DUPIXENT® dupilumab therapy My Information. Want to be a part of the DUPIXENT MyWay® Ambassador Program? Fill out this self-nomination form to see if you qualify. DUPIXENT MyWay. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. Dupixent is an injection under the skin (subcutaneous injection) at different injection sites. It's like $35k-$40k. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. com, help you fill it out, and fax it back to DUPIXENT MyWay at 1-844-387-9370 • You or your healthcare provider can call 1-844-DUPIXEN(T), option 1 • Providing your email address allows DUPIXENT MyWay to give you more support resources about DUPIXENT HAS YOUR DOCTOR PRESCRIBED DUPIXENT ® (dupilumab)? 14 15. Patient is responsible for any out-of-pocket amounts that exceed the program limit. 2. For patients with commercial insurance who are new to DUPIXENT and experiencing a. DUPIXENT MyWay Appeal Specialists can help provide support throughout the appeal process. Susie16 Aug 29, 2023 • 2:03 AM. Serious side effects can occur. There is currently no generic alternative to Dupixent. If you are a New York prescriber, please use an original New York State. $0 is the amount you pay. If you are a New York prescriber, please use an original New York State prescription form. Serious side effects can occur. If you are a New York prescriber, please use an original New York State prescription form. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. Copay Card or you wish to discontinue your participation, please contact us. Serious side effects can occur. LH Patient View; data through June 16, 2023. DUP. Patient Signature _____ If you have questions about the . Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. 67 mL, 200 mg/1. ) 2 Prescription InformationDUPIXENT MYWAY ENROLLMENT FORM Moderate-to-Severe Atopic Dermatitis SUBMIT COMPLETED PAGES 1 & 2 Fax: 1-844-387-9370 Document Drop: (code: 8443879370) Patient Name DOB / / Prescriber Name Prescriber Address NPI # Prescriber State License # (Required in Puerto Rico only). Watch videos for a supplemental demonstration on how to use and dispose of DUPIXENT® (dupilumab), a prescription medicine for subcutaneous injection. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. For more information, call 1-844-DUPIXEN (T) (1-844-387-4936. DUPIXENT® (dupilumab) is a. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. It's like $35k-$40k. 23. Find the safety profile, including most common side effects, of DUPIXENT® (dupilumab) for infant to preschoolers 6 months to 5 years of age with uncontrolled moderate-to-severe atopic dermatitis . Serious adverse reactions may occur. Please see accompanying full Prescribing Information. • Store DUPIXENT in the refrigerator at 36°F to 46°F (2°C to 8°C). LONG-LASTING CLEARER SKIN AT 16 and 52 Weeks 22% taking. Compare . Especially tell your healthcare provider if you. The patient must then take the following actions:I just got approved for dupixent this week however the copay is 3,000$ a month! The dupixent my way program only covers up to 13k or something like that. Refrigerate it at 36 °F to 46 °F. Fax the Enrollment Form to DUPIXENT MyWay. Ways to save on Dupixent. 14 mL Dupixent subcutaneous solution from $3,787. March 27, 2018. Effective Sept. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. In order to meet the financial eligibility criteria for receiving Sanofi medication at no cost, you must have an annual household income of ≤ 400% of the current Federal Poverty. 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. SIGN UP TO SPEAK WITH A DUPIXENT MyWay ® MENTOR . com. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. Find videos and downloadable instructions for the two injection administration options available for DUPIXENT® (dupilumab), pre-filled syringe (200 mg or 300 mg) with needle shield for ages 6 months & older, or pre-filled pen (200 mg or 300 mg) for ages 2+ years. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based on1-844-DUPIXENT 1-844-387-4936. Eligible commercially insured patients may pay $0 per prescription with a maximum savings of $13,000 per year; for additional information contact the program at 844-387-4936. Lot EXP Mfd. S. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. Your experience with DUPIXENT is unique, and sharing your journey can inspire and empower people facing similar challenges. For patients with commercial insurance who are new to DUPIXENT and experiencing a. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. Program Website : Program Applications and Forms will need to meet the eligibility criteria, including household income, to qualify. Since MyWay covers 13,000 a year, that will count towards your deductible. DUPIXENT MyWay is a patient support program that can help enable access to DUPIXENT and offers financial assistance to eligible patients, one-on-one nursing support, and. Thus, the member is now $500 from hitting his deductible and $1500 from hitting his out-of-pocket maximum. 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. Last time I checked income didn’t matter? The only way it became affordable for me was to get the deluxe package of my insurance. 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. You may be eligible for the DUPIXENT MyWayDUPIXENT MyWayAbout Dupixent Dupixent is administered as an injection under the skin (subcutaneous injection) at different injection sites. To more financial assistance news, dial 1‑844‑DUPIXENT ( 1-844-387-4936), option 1 Monday-Friday, 8 am - 9 pm ESTPRESCRIBER TO FILL OUT Section 6a. Some Medicare plans may help cover the cost of mail-order drugs. If I am completing Section 5b, I authorize for my commercially insured patient one. Social Security income, unemployment insurance benefits, disability income, any other income for the household. Fill a 90-Day Supply to Save. In an open-label extension study, the long-term safety profile of DUPIXENT ± TCS in pediatric patients observed through Week 52 was consistent with that seen in adults with. 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. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. It temporarily provides eligible patients DUPIXENT at no cost, subject to program terms and conditions. 00. DUPIXENT should not be stored above 77 °F (25 °C). Dupixent MyWay Copay Card. 33% and 27% reduction in their nasal polyps score compared to a 7% and 4% increase with placebo in SINUS-24 and SINUS-52, respectively (LS mean change from baseline of -1. Griffinej5 • 2 yr. ) 2 Prescription InformationDupixent® (dupilumab) approved by FDA as the first and only treatment indicated for prurigo nodularis. financial assistance for eligible patients, provide one-on-one nursing. For any questions or concerns, or to report side effects with a Sanofi and Regeneron product while enrolled in DUPIXENT MyWay®, please contact 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. The $500 payment counts towards the member’s deductible and out-of-pocket maximum. Decreased utilization of rescue medications 3. I also have the dupixent myway card that covers a total of $13,000 for the year. 0129 Last Update:. 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. 89 and -1. THE DUPIXENT MyWay PROGRAM. _____ What is your total annual household income? _____ (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. I also have the dupixent myway card that covers a total of $13,000 for the year. Also if your insurance does cover,Dupixent offers a co-pay card that. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. 03. Surgery may remove your nasal polyps, but it may not treat an underlying cause of inflammation—allowing them to grow back. Rx: DUPIXENT® (dupilumab) (100 mg/0. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. 10 for placebo; difference between Dupixent and placebo: -2. ) 2 Prescription Informationany time by mailing or faxing a written request to DUPIXENT MyWay at 1800 Innovation Point, Fort Mill, SC 29715; Fax: 1-844-387-9370. You can email or print the enrollment forms below. PRESCRIBER TO FILL OUT Section 6a. 58 for 2. Clip the card and save • Save up to 80% on medications*Tell your healthcare provider about any new or worsening joint symptoms. 50 for a single person. I’m a registered nurse with DUPIXENT MyWay. For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. 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. 0156 Last Update: March 2023 DUP. 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. Dupixent may cause serious side effects. Upon receipt of the completed Enrollment Form, DUPIXENT MyWay will: Conduct a benefits investigation to confirm commercial coverage Assess if the patient meets the eligibility criteria for the Quick Start Program 1 2 Approve the patient (if they are eligible). For more information and to find out if you’re eligible for support, call 844-DUPIXENT (844-387-4936) or visit the program website. 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. You don’t have to put your life on hold to fit your dosing schedule. DUPIXENT is available as a single dose in a pre-filled syringe (200 mg or 300 mg) with needle shield, or single-dose pre-filled pen (200 mg or 300 mg) for ages 2+ years. At that point we will owe 20% of the cost of the medication, which adds up to just under $700/month. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. S. The DUPIXENT MyWay patient support program is here to help you at every step of your DUPIXENT treatment journey. DUPIXENT MyWay®. If you still have questions, you can speak with a DUPIXENT MyWay representative or request to join the program over the phone. SINCE 2017, ≈253,000 PATIENTS HAVE FILLED AT LEAST 1 DUPIXENT PRESCRIPTION b,c. Income at or below: Not Published: Medical expenses can be. How many people live in your household? Please refer to Section 8, Patient Certifications, for additional information about the Patient Assistance Program. 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. DUPIXENT MyWay team will research each patient’s situation and determine eligibility. I know people who make six figures on a joint income and still use MyWay. 22. 1kg to 18. Manufacturer Coupon. 00 per injection. S. any time by mailing or faxing a written request to DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. Serious side effects can occur. any time by mailing or faxing a written request to DUPIXENT MyWay at 1800 Innovation Point, Fort Mill, SC 29715; Fax: 1-844-387-9370. for DUPIXENT® dupilumab therapy My Information. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. DUPIXENT® (dupilumab) is taken as an injection by a pre-filled syringe or pre-filled pen. Please note that you will receive a confirmation fax after sending the form. any time by mailing or faxing a written request to DUPIXENT MyWay at 1800 Innovation Point, Fort Mill, SC 29715; Fax: 1-844-387-9370. Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase 3 program consisting of two pivotal trials. 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. I’m Laurie. A case series of 12 people prescribed Dupixent reported an average weight gain of 6. Enroll now to receive emails and resources designed to help patients, caregivers and information seekers through the DUPIXENT® (dupilumab) treatment journey. BIN: 020750 RX PCN: NMeds RX GRP: PDFPDF ID: NMNA019309901930 This is a drug discount program, not an insurance plan. 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. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing useful tools and resources. Guam or the USVI, and demonstrate a financial need with a total annual adjusted gross income of $100,000 or less. Step One - let's gather our materials. And, if you're eligible, you can sign up and receive your card today. DUPIXENT® ® 1-844-387-9370 or Document Drop at (code: 8443879370) 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. 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. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. Partner with a specialist near you to see if DUPIXENT® (dupilumab) is an option for you for uncontrolled moderate-to-severe eczema in adults and children aged 6 months & older. With and DUPIXENT MyWay Copay Card, eligible, commercially insured care may pay when little as $0* copay by fill the DUPIXENT. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. a FDA approved since 2017 for adults, 2019 for adolescents (aged 12‑17 years), 2020 for children (aged 6-11 years), Patients may be eligible for the DUPIXENT MyWay Copay Card if: They have a DUPIXENT prescription for an FDA-approved condition. The appeal process Example letters. For Healthcare Professionals. Serious adverse reactions may occur. 67 mL, 200 mg/1. 2 Eligible US residents with an FDA-approved. Hello! Switching insurance this year and need to prepare for increasing costs of dupixent with my new insurance. Patients will need on hit the eligibility benchmark, including household income, to qualify. Follow these tips to take DUPIXENT while traveling: Store DUPIXENT in the original carton to protect it from light. a Coverage varies by type and plan. Sign it in a few clicks. I give supplemental injection training to the patient and the patient’s caregiver. I pay for it with my insurance and the myway copayment program. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. Get a Quick Start. 00. _____ What is your total annual household income? _____ (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. For more information, dial 1. , chart notes, laboratory values) and use of claims history documenting the following: 1. DUPIXENT (dupilumab) Dupixent FEP Clinical Criteria AND submission of medical records (e. For more information, please call 1-844-Dupixent (1-844-387-4936) or visit a personalized discussion guide to make the most of your doctor's visit whether you're beginning your EoE treatment journey or looking for another option. Sign up or activate your card here. It temporarily provides eligible patients DUPIXENT at no cost, subject to program terms and conditions. The fax number is 1. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. Financial criteria for patient assistance. 01. It will also depend on how much you have. Rx: DUPIXENT® (dupilumab) (100 mg/0. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. ) Please refer to Section 8, Patient Certifications, for. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. With the DUPIXENT MyWay Copay Card, eligible,. The language of the MyWay program back then never mentioned the $13,000 limit: they simply asked for income requirements, etc. Injection in children 12 and older should be supervised by an adult. Dupixent is not intended for episodic use. Monday-Friday, 8 am-9 pm ET. 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. For more information, call 1-844-DUPIXENT. S. 4. For any questions or concerns, or to report side effects with a Sanofi and Regeneron product while enrolled in DUPIXENT MyWay®, please contact 1-844-DUPIXEN(T)(1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. living with prurigo nodularis. Dupixent. On dupixent, Dupilumab, I honestly felt I was in my 60 to 70s+ with joint pains throughout my entire body even into the smallest of joints like fingers. I understand the disclosure to the Alliance will be for the purposes of enrolling me in, and providing certain services through the DUPIXENT MyWay Program, including • to determine if I am eligible to participate in DUPIXENT MyWay coverage assistance programs, patient assistance programs, or other4 ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pmDUPIXENT MyWay complements your office’s process for accessing DUPIXENT. Monday-Friday, 8 am-9 pm ET. Additionally, Dupixent MyWay ™ offers personalized support from registered nurses and other specialists who are available 24/7 to speak with patients and help them navigate the complex insurance. To enroll or obtain information call 1-877-311. After that, we will have met our family deductible. Guam or the USVI, and demonstrate a financial need with a total annual adjusted gross income of $100,000 or less. $3,645. They never mentioned only covering a. 1kg over one year – the amount of weight gained ranged from 0. Data on file, Regeneron Pharmaceuticals, Inc. 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. com. Using the drop. 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. the info from that copay savings card you will give to alliance and they process that after insurance (so the $170 copay they’d cover) which would leave you with $0 copay. I have applied for grants, financial hardships (my household income surpasses every programs caps, even with 6 children), etc and now I'm just being told to pay $3,000/month or too bad. What it is used for. The DUPIXENT MyWay team will research each patient’s situation and determine eligibility. Enroll eligible patients in the DUPIXENT MyWay® patient support program for DUPIXENT® (dupilumab) access, financial assistance & nursing support. Biologics and monoclonal antibodies (mabs) for atopic dermatitisVO: 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. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based on this Authorization made before my request is received and processed by 1‑844‑DUPIXENT 1-844-387-4936. THIS IS NOT INSURANCE. For children aged 6 months to 5 years, it is taken as 1 injection every 4 weeks. DUPIXENT® is a subcutaneous injectable prescription medicine for adults and children aged 6 months & older, with uncontrolled, moderate-to-severe eczema (atopic dermatitis). how to afford it then - it's been so helpful!! 3 Reactions.