DUP.23.01.0314 Last Update: March 2023, DUP.22.11.0007 Last Update: December 2022, DUP.23.01.0070 Last Update: February 2023, DUP.22.10.0421 Last Update: February 2023, DUP.22.03.0291 Last Update: July 2022, DUP.22.05.0386 Last Update: September 2022, Moderate-to-Severe Eczema (Ages 6+ Months), Moderate-to-Severe Asthma (Ages 6+ Years), Chronic Rhinosinusitis with Nasal Polyposis, Uncontrolled moderate-to-severe eosinophilic or, https://mothertobaby.org/ongoing-study/dupixent/, Conduct virtual or over-the-phone training, How-to supplemental injection training videos, Tips to help manage feelings of uncertainty, Have effective conversations with your healthcare provider, Learn about programs that may help cover the cost of DUPIXENT. Individual results may vary. Health insurance coverage in the United States: 2016. They will not ship your medicine without first confirming delivery details with you. 300 mg Pre-filled Pens are to contact Regeneron Pharmaceuticals, Inc. 202333322 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. For Patients Ages 6+ Terms & Restrictions Apply. prescription therapies or when those Share your story Call your doctor for medical advice about side effects. Dupixent Enrollment Form - ENT/Pumonologist Dupixent Enrollment Form - Dermatologists Sign Up for the DUPIXENT MyWay Copay Card | DUPIXENT (dupilumab) team can research each patient's situation and determine eligibility. NeedyMeds Drug Discount Card; . If you are a New York prescriber, please use an original New York State prescription form. DUPIXENT MyWaycan provide certain limited support. Medicare & You 2020. charges. Conjunctivitis also occurred more frequently in chronic rhinosinusitis with nasal polyposis subjects and prurigo nodularis subjects who received DUPIXENT compared to those who received placebo. Does my insurance cover DUPIXENT (dupilumab)? DUPIXENT MyWay will not conduct the benefits investigation, nor send a Summary of Benefits Form, for providers who have checked the specialty pharmacy box on the Enrollment Form, as this indicates that they wish the specialty pharmacy to conduct the benefits investigation. PDF Moderate-to-severe 1 Enrollment Form You must be shown the right way by your healthcare provider before injecting DUPIXENT. The most common side effects in patients with eczema include injection site reactions, eye and eyelid inflammation, including redness, swelling, and itching, sometimes with blurred vision, cold sores in your mouth or on your lips, and high count of a certain white blood cell (eosinophilia). DUPIXENT andDUPIXENT MyWay are registered trademarks of Sanofi Biotechnology. *48 Contiguous States and District of Columbia Source: US Dept of Health & Human Services. Mail: DUPIXENT MyWay Copay Reimbursement Program, 200 Jefferson Park, Whippany, NJ 07981 Fax: 1-908-809-6249 I, _____, certify that the information provided for this reimbursement request is accurate to the best of my knowledge, and the product-specific copay, The DUPIXENT MyWayPatient Assistance Program may be able to help. Legal Disclaimer | Privacy Policy | Contact Sanofi Current population reports. DUPIXENT andDUPIXENT MyWayare registered trademarks of Sanofi Biotechnology. Out-of-pocket costs were standardized to a 30-day supply period. Please see accompanying full Prescribing Information. Your email is on its way. The price you pay varies from pharmacy to pharmacy. are breastfeeding or plan to breastfeed. These events may be associated with the reduction of oral corticosteroid therapy. I do remember her dad asking, Are you sure that youre comfortable with this, it being an injection under the skin, and she was. Eosinophilic Esophagitis: DUPIXENT can be used with or without topical corticosteroids. Advise patients to report new onset or worsening joint symptoms. For more information on how to properly store DUPIXENT after delivery, please review the DUPIXENT Instructions for Use at DUPIXENT.com. Registered nurses are also available to speak with eligible patients about DUPIXENT. Sano US and Regeneron provide these links as a service to their website visitors and users; however, they take no responsibility for the information on any website but their own. After a healthcare provider prescribes DUPIXENT, the patient schedules their delivery of DUPIXENT from the specialty pharmacy, pays the copay, coordinates the shipment, and can administer DUPIXENT themselves or receive the injection from a caregiver after appropriate training from their healthcare provider. Contact Sanofi USor call18446437346 Available at https://aspe.hhs.gov/poverty-guidelines. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack . to treat adults and children 12 years of age and older, who weigh at least 88 pounds (40 kg), with eosinophilic esophagitis (EoE). Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. Enter your email address and we will send you your personalized guide. DUPIXENT MyWay We have the ability to send out package inserts that include all the important safety information for DUPIXENT. They have set aside this time for us to learn. Approximately 40% pay $100+ 2, per month of DUPIXENT. estimate my income in conjunction with the Patient Assistance Program eligibility determination process, if . 1-844-DUPIXENT See how DUPIXENT goes from being prescribed to being delivered to your doorstep. And for me to teach. Especially tell your healthcare provider if you are taking oral, topical, or inhaled corticosteroid medicines; have asthma and use an asthma medicine; or have atopic dermatitis, chronic rhinosinusitis with nasal polyposis, eosinophilic esophagitis, or prurigo nodularis and also have asthma. Additional terms and conditions apply. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. 1844DUPIXENT (1-844-387-4936), option 1. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. How much you pay for your prescription drugs may change throughout the year for some people with Part D insurance. Im the one that cringes with needles, but she does great. Consider ophthalmological examination for patients who develop conjunctivitis that does not resolve following standard treatment or signs and symptoms suggestive of keratitis, as appropriate. Connect one-on-one with a trained patient or caregiver, ask questions, and hear about their personal journey living with their condition and life on DUPIXENT. Patients must verify their coverage directly with their health plan. It is not known whether DUPIXENT will harm your unborn baby. DUPIXENT may also help reduce the amount of oral corticosteroids you need while preventing severe asthma attacks and improving your breathing. This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back. more. Prurigo Nodularis: DUPIXENT is indicated for the treatment of adult patients with prurigo nodularis (PN). Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. Phenotype or am enrolling in the DUPIXENT MyWay Program (the "Program") and authorize Regeneron PharmaceuticaIs, Inc., Sanofi US, and their affiliates and agents (together the "Alliance") to provide me services under the Program, as described in the Program Enrollment Form and as may be added in the future. DUPIXENT MyWay is a patient support program that can help with the enrollment process, offer financial assistance for eligible patients, provide one-on-one nursing support, and more. I like when my dad does my injection for me. Please refer to Regeneron's Privacy Noticeand Sanofi'sPrivacy Policyfor more information regarding processing of your personal data. When I go to see the patient, I cant wait to travel, no matter how far it is. DUPIXENT can be used with or without topical corticosteroids. Haz clic en "Continuar" si quieres proseguir. The DUPIXENT MyWay Copay Card may help eligible patients cover the out-of-pocket with an Eosinophilic Publication 60-260. To enroll or get more information call. It is not known if DUPIXENT is safe and effective in children with asthma under 6 years of age. in adult patients with inadequately (1-844-387-4936). eligible patients, provide Asthma: as Part D is included in most Medicare Advantage (Part C) plans and can be added separately if you have Original Medicare (Parts A and B).9. I think its very important for me as a nurse to go and teach these patients. Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections. . relief of acute bronchospasm or Dupixent is the only thing that has given me true relief from eczema my entire life (mid-30s), quitting isn't something I want . If you do not have insurance that covers your prescription medications, or if your insurance does not cover DUPIXENT, you can typically expect to pay the list price shown below the tool plus any additional pharmacy charges. Im ready to help our patients to have the confidence to proceed with their journey. If the prior authorization is reviewed by the patients insurance carrier and is approved, the prescription is triaged to the specialty pharmacy for fulfillment. Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. ORE: To enroll or get more information call. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. These events may be associated with the reduction of oral corticosteroid therapy. Patients with Co-morbid Asthma: Advise patients with co-morbid asthma not to adjust or stop their asthma treatments without consultation with their physicians. Commercial and Medicare health plans both use formularies. The DUPIXENT MyWay Copay Card may help eligible, commerciallyinsured patients cover the out-of-pocket cost of DUPIXENT. Some people who use DUPIXENT have had trouble walking or moving due to their joint symptoms, and in some cases needed to be hospitalized. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. 6, To find out if you qualify for Medicaid, or for more information about copays under Medicaid in your state, visit the Medicaid site. DUPIXENT is not used to treat sudden breathing problems. Learn how to get your patients started with DUPIXENT MyWay. I cant wait to go and meet them, and see where they are in their life, and be excited for them. When I get the order for the patient, I get really excited. I wanted to go out and make a difference and help people. Maximum allowable copayments determined by eligible populations household income. are breastfeeding or plan to breastfeed. Its an injection given under the skin (subcutaneous injection). What if when you leave, I dont know what to do and its time for me to give myself my injection again? I can refer the patient to the DUPIXENT website for more resources, and theres also a Nurse Educator phone number. Copay & Patient Access Support | DUPIXENT (dupilumab) Months, For Patients Ages 6+ Years *Hawaii Source: US Dept of Health & Human Services. The amount you pay for DUPIXENT will largely depend on a number of factors, including: Considering these factors, 2 people could pay very different prices for exactly the same prescription medication. Stop using DUPIXENT and tell your healthcare provider or get emergency help right away if you get any of the following signs or symptoms: breathing problems or wheezing, swelling of the face, lips, mouth, tongue, or throat, fainting, dizziness, feeling lightheaded, fast pulse, fever, hives, joint pain, general ill feeling, itching, skin rash, Accessed 01/18/23. ORE: DUPIXENT is a prescription medicine used: Questions or comments? Every day is different depending on the type of calls that we have. DUPIXENT MyWay Sanofi US and Regeneron provide these links as a service to their website visitors and users; however, they take no responsibility for the information on any website but their own. If you do not have insurance that covers your prescription medications, or if your insurance does not Its just really neat. ORE: Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. characterized by an eosinophilic NeedyMeds adult and pediatric patients aged 6 with eosinophilic esophagitis During my first year on the medication (2019), it was covered fully through the MyWay Program. Do not try to prepare and inject DUPIXENT until you or your caregiver have been trained by your healthcare provider. In the case of a denial, you may consider writing an appeal, if appropriate, making sure to address the plans specific concerns. Monday-Friday, I dont really get scared anymore. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. Enter your email address and we will send you your requested resource. Any savings provided by the program may vary depending on patients' out-of-pocket costs. are scheduled to receive any vaccinations. -to cover DUPIXENT, you can typically expect to pay the list price shown above plus any additional pharmacy Do not try to prepare and inject DUPIXENT until you or your caregiver have been trained by your healthcare provider. are pregnant or plan to become pregnant. DUPIXENT (dupilumab) for Moderate-to-Severe Eczema that is Uncontrolled Help Heal Your Skin From Within DUPIXENT treats adults and children 6 months of age and older with moderate-to-severe eczema that is not well controlled with topical prescription therapies. Arthralgia: Arthralgia has been reported with the use of DUPIXENT with some patients reporting gait disturbances or decreased mobility associated with joint symptoms; some cases resulted in hospitalization. You are encouraged to report negative side effects of prescription drugs to the FDA. 9 pm ET. Learn About DUPIXENT Real patients. are pregnant or plan to become pregnant. THIS IS NOT INSURANCE. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. to treat adults with prurigo nodularis (PN). for the treatment of adult patients with prurigo nodularis (PN). (EoE). Tell your healthcare provider if you have any side effect that bothers you or that does not go away. Have commercial insurance,including health insurance exchanges, federal employee plans, or state employee plans, Are a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI, Are prescribed DUPIXENT for an indication approved by the US Food and Drug Administration, Purchased on your own from an insurance company or through a state or federal exchange established under the Affordable Care Act. If symptoms persist or worsen, consider rheumatological evaluation and/or discontinuation of DUPIXENT. I make sure that I gather all of the things that I may need to help the experienced person, and then the person thats never even touched a needle. There are several reasons for this, including incomplete documentation, administrative errors, clinical reasons or a no-coverage determination, or a plan exclusion. All Rights Reserved. When DUPIXENT is prescribed by a healthcare professional, you can work with the patient to complete the Enrollment Form, and then fax the Enrollment Form with all signatures, dates, and ICD-10 codes to DUPIXENT MyWay. It is recommended that you fax a copy of prior authorization approval to DUPIXENT MyWay to help the office staff continue the process in several ways, such as: Initiating contact with the patient regarding the approval and sharing the specialty pharmacy name and phone number. Maternal IgG is known to be present in human milk. Sometimes at the end of the training, Ill get some questions about, You know, we did great today, but what else? option 1 The price you pay varies from pharmacy to pharmacy. Uncontrolled moderate-to-severe eosinophilic or oral steroid dependent asthma, Uncontrolled chronic rhinosinusitis with nasal polyposis, For more information or to enroll in the patient support program, dial 1844DUPIXENT(1-844-387-4936), your story? DUPIXENT can cause serious side effects, including: Allergic reactions. It is not known whether DUPIXENT passes into your breast milk. Extra Help with Medicare Prescription Drug Costs. When I was very young, I knew that I wanted to be a nurse. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. For more information, dial1-844-DUPIXENT Stop using DUPIXENT and tell your healthcare provider or get emergency help right away if you get any of the following signs or symptoms: breathing problems or wheezing, swelling of the face, lips, mouth, tongue, or throat, fainting, dizziness, feeling lightheaded, fast pulse, fever, hives, joint pain, general ill feeling, itching, skin rash, swollen lymph nodes, nausea or vomiting, or cramps in your stomach-area. financial assistance for Please see adjacent links for full Prescribing Information including Patient Information. Stop using DUPIXENT and tell your healthcare provider or get emergency help right away if you get any of the following signs or symptoms: breathing problems or wheezing, swelling of the face, lips, mouth, tongue, or throat, fainting, dizziness, feeling lightheaded, fast pulse, fever, hives, joint pain, general ill feeling, itching, skin rash, swollen lymph nodes, nausea or vomiting, or cramps in your stomach-area. So, I asked the parents, Would it be OK if I just come back the next day?. moderate-to-severe asthma Learn how to get your patients started with DUPIXENT MyWay. Shari:I grew up in a very small townone stoplight, if you blink you might miss it. with other asthma medicines for the maintenance treatment of moderate-to-severe eosinophilic or oral steroid dependent asthma in adults and children 6 years of age and older whose asthma is not controlled with their current asthma medicines. I like to go out and do this job. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. Tell your healthcare provider if you have any new or worsening eye problems, including eye pain or changes in vision, such as blurred vision. Patient Assistance Program may be able to help. First, your doctor writes a prescription for DUPIXENT. Especially tell your healthcare provider if you are taking oral, topical or inhaled corticosteroid medicines or if you have atopic dermatitis and asthma and use an asthma medicine. for the treatment of adult and You will now be exiting the Sanofi Patient Connection website. Determine the maximum household income requirement to be considered for Patient Assistance Connection by selecting your household size and then viewing the 400% column. Especially tell your healthcare provider if you are taking oral, topical or inhaled corticosteroid medicines or if you have atopic dermatitis and asthma and use an asthma medicine. Unsure how often they ask for financial info from me, it's only been six months and the only thing they ever ask is who would pay for the medicine if I didn't have insurance. Blue Cross Blue Shield Blue Care Network of Michigan website. Some people who use DUPIXENT have had trouble walking or moving due to their joint symptoms, and in some cases needed to be hospitalized. If youre eligible, you can enroll online and recieve your card by email. Once youve been prescribed DUPIXENT, your healthcare provider can download the enrollment form, help you fill it out, and fax it back toDUPIXENT MyWayat1-844-387-9370. Visit our Pricing and Insurance page to get more information on coverage, ordering through a specialty pharmacy, or cost. Not only to teach them how to give themselves the medicine, but also to just come and give them encouragement, and show them kindness and patience. All rights reserved. Patients will need to meet the eligibility criteria, including household income, to qualify. Conjunctivitis and Keratitis: Conjunctivitis and keratitis occurred more frequently in atopic dermatitis subjects who received DUPIXENT versus placebo, with conjunctivitis being the most frequently reported eye disorder. 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). You are encouraged to report negative side effects of prescription drugs to the FDA. Sanofi US and Regeneron provide these links as a service to its website visitors and users; however, they take no responsibility for the information on any website but their own. I'm afraid that's going to happen. Terms & In children 6 months to less than 12 years of age, DUPIXENT should be given by a caregiver. Be sure to check your inbox. Please refer to Regeneron's Privacy Noticeand Sanofi'sPrivacy Policy for more information regarding processing of your personal data. Sanofi US and Regeneron provide these links as a service to their website visitors and users; however, they take no responsibility for the information on any website but their own. Use DUPIXENT exactly as prescribed by your healthcare provider. DUPIXENT MyWayreserves the right to rescind, revoke, terminate, or amend this oer, eligibility, and terms of use at any time without notice. Losing Dupixent Due to Changes in MyWay Program : r/eczeMABs - Reddit an add-on maintenance treatment of are scheduled to receive any vaccinations. You could tell that the patient was just not comfortable. The Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. Please see adjacent links for full Prescribing Information including Patient Information. adequately controlled with topical Restrictions Apply. Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. I feel like one day I will do it myself, but I think right now assisted injection is better. You may be eligible for the DUPIXENT MyWay Copay Card if you: Approval is not guaranteed. A Summary of Benefits Form will be faxed to your office within a few days, detailing the patients coverageincluding prior authorization requirements and out-of-pocket costs. Be sure to check your inbox. I see the injection as something that I just have to do, and it doesnt freak me out as much as it did in the beginning. DUPIXENT is given as an injection under the skin (subcutaneous injection) into different injection sites. Lastly, the specialty pharmacy reviews the prescription and contacts the patient to arrange for payment and delivery. Your unique experience with DUPIXENT can inspire and empower others. aThe My name is Shari, and Im a registered nurse withDUPIXENT MyWay. Before using DUPIXENT, tell your healthcare provider about all your medical conditions, including if you: are scheduled to receive any vaccinations. Dupixent MyWay Program - NeedyMeds
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