Terms & Restrictions Apply. Dupixent changed my life completely. g. I pay nothing. Hello cinc: I have been on Dupixent approx 1-1/2 years with very rare eye irritation. In order to be effective and work properly, biologics are injectable medicines. Want to be a part of the DUPIXENT MyWay® Ambassador Program? Fill out this self-nomination form to see if you qualify. Clinical, histologic, and. 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. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. To get patient-specific information about coverage for a drug, phone Health Insurance BC. Dupixent® should be given by or under the supervision of an adult in children 12 years of age and older. There are a number of things that really resonate with the patients, and one of them is the lack of laboratory monitoring. DUPIXENT® (dupilumab) 13. 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 adverse reactions may occur. Program has an annual maximum of $13,000. Subscribe to our channel to stay up-to-date with all things DUPIXENT. insurer. Education and Nurse Support: One-on-one nursing support is available to educate and empower patients to use DUPIXENT as prescribed. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. Eligible patients will receive their cards by email. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing, state-specific. Serious side effects can occur. 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. 2677 patients were treated with 300 mg QW for up to 204. 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, _____, certify that the information provided for this reimbursement request is accurate to the best of my knowledge, and the product-specific copay, DUPIXENT MyWay is a patient support program designed to help you get access to DUPIXENT and stay on track while providing helpful tools and resources. Ways to save on Dupixent. Be sure to check your inbox. 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. insurer. Although you are not eligible, you can sign up DUPIXENT MyWay. Your email is on its way. I agre e to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 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. ago. Please see Important Safety Information and. Send the completed form to: MyHealth@islandhealth. My allergist doctor said I was a super reactive patient to Dupixent, in a positive way. DUPIXENT is a form of medicine called a biologic that targets Type 2 inflammation, an underlying cause of nasal polyps. I, _____, certify that the information provided for this reimbursement request is accurate to the best of my knowledge, and. Luckily my supplemental ins pays it all with Medicare paying nothing. The dupixent my way enrollment form isn’t an exception. 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. 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. 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. I really enjoy the patient interaction. 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. insurer. 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. b Data as of January 2023. medisafe. This inflammation is an important component in. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. from our Health Equity Funds? PAF has established disease specific health equity funds that provide financial support to eligible patients living in certain counties. Contact Phone Number: (604) 734-1313. See if you live in an eligible county and learn more about the health equity funds here. 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. Eligible patients will receive their cards by email. It's hard enough dealing with all of this and having different doctors tell you different things is mind boggling. Depended on my insurance. 1‑844‑DUPIXENT. Dupixent will run about $3000 per month with my insurance until my maximum is met. I agre e to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. Check out the links below to learn more on our website, view the full Prescribing Information, Patient Information, and. •Store DUPIXENT Syringes in the original carton to protect them from light. Monday-Friday, 8 am-9 pm ET. 1-844-DUPIXENT 1-844-387-4936. Learn More. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. 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. insurer. patients cover the out-of-pocket cost of DUPIXENT. Limitation of Use: Not for the relief of acute bronchospasm or. 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. My question is - my next refill for 2024 would be early January. 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. Dupixent is administered as an injection under the skin (subcutaneous injection) at different injection sites. 03. If you are a New York prescriber, please use an original New York State prescription form. Within 24 hours, one of our patient advocates will call you for a brief interview. 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. In my second year on Dupixent (2020), it was covered in full as the copay assistance payments of $13,000 counted against my deductible/out-of-pocket maximum ($8,500). DUPIXENT® (dupilumab)'s patient education program events let you meet other adults living with moderate-to-severe eczema (atopic dermatitis) or caregivers of a patient living with moderate-to-severe eczema (atopic dermatitis). Well at a cost of roughly $3,500/dose which lasts a month, that will all be used up in four months. And very recently got laid off due to Covid-19. I chose to be a nurse because I wanted to help people, and I believe that people should be in service to others. . Dupilumab, sold under the brand name Dupixent, is a monoclonal antibody blocking interleukin 4 and interleukin 13, used for allergic diseases such as eczema (atopic dermatitis), asthma and nasal polyps which result in chronic sinusitis. DUPIXENT MyWay®. Dupixent Prices, Coupons and Patient Assistance Programs. If you are a New York prescriber, please use an original New York State prescription form. Nationally are Covered for DUPIXENT. Compare monoclonal antibodies. chevron_right. Monday-Friday, 8 am-9 pm ET. DUPIXENT MyWay is a patient support program that can help enable access to DUPIXENT and offers financial assistance for eligible patients, one-on-one nursing support, and more. 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. Long-term results from a clinical trial that studied DUPIXENT for 52 weeks. 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. DUPIXENT® (dupilumab) is a. pain, redness, irritation, itching, or swelling of the eye, eyelid, or inner lining of the eyelid. Currently no side effects, just 95% clear and I had full body, severe eczema. Peter Bunting Moderator & Contributor <p>Thanks for your response, Ashley. Serious side effects can occur. 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. after two days im at about a 6 to 7. There are 74 drugs known to interact with Dupixent (dupilumab), along with 2 disease interactions. As noticed side effect, my eyes got dry and itchy which is still bearable. 1 Disease severity was defined by an IGA score ≥3 in the overall assessment of atopic dermatitis. Especially tell your healthcare provider if you. From my experience (in the US) I had to get oreapproval first from my insurance company. It offers financial assistance, nursing support, and information on the safety profile of DUPIXENT and its interactions with other medications. 1‑844‑DUPIXENT 1-844-387-4936 ), option 1 Monday-Friday, 8 am-9 pm ET. The way it works for me and Dupixent is I pay $250 co-pay a month at the pharmacy. I authorize the Alliance to use my Social Security number and/or additional. DUPIXENT is an injectable medicine that is administered by subcutaneous injection and is intended for use under the guidance of a healthcare provider. The most common side effects include: DUPIXENT MyWay. Serious side effects can occur. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. Or you can google their info and contact them directly. Eligible patients will receive their cards by email. My dermatologist said I had some of the worst eczema she had ever seen and literally cried at one of my visits. muscle aches. 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. 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. 73K likes, 905 comments - krisaquino on November. Manufacturer Coupon. 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. Education and Nurse Support: One-on-one nursing support is available to educate and empower patients to use DUPIXENT as prescribed. living with prurigo nodularis are most in need of new treatment options . DUPIXENT can be used with or without topical corticosteroids. Serious side effects can occur. Then, one day, my doctor suggested we try adding DUPIXENT. A SingleCare savings card could reduce the cost of Dupixent without insurance as much as $1,600 per month. Coverage varies by. I need another treatment. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. n¬©® &í]ÃÎê)«ÀI¯´[5ì×âÛä#« §„ñ ¶…Ä. Assistance may be available for patients who do not have insurance. There is currently no generic alternative to Dupixent. DUPIXENT MyWay complements your office’s process for accessing DUPIXENT. There’s no laboratory monitoring required, not at the beginning, not during therapy. *Please enter your. Just got the fun news that I will need to pay $2,700 for a monthly dose of Dupixent. We can also connect you with your specialty pharmacy to access DUPIXENT. My issue on dupixent wasn’t joint pain but I started having elevated liver enzymes which if left untreated. 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. 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. Injection site reactions and eye conditions are the most common side effects reported and, unlike several other biologics, the risk of infection is low. Depends if your insurance cares that Dupixent myway is paying your deductible. Dupixent Interactions. ago. DUPIXENT is an injectable medication that requires special shipping and handling. , One-on-One Nurse Education, and Supplemental Injection Training) Please click “Continue. Fax: 1-908-809-6249. For more information, dial 1-844-DUPIXENT1-844-387-4936), option 1. Sorry you interpreted my post that way. 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 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. Find DUPIXENT® (dupilumab) injection videos and instructions for the 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. 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. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. How DUPIXENT MyWay® Helped Shawn Get Started. Most dermatologists should know about it. 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. If you are a New York prescriber, please use an original New York State prescription form. by McKesson's Portal! RxCrossroads is pleased to provide you with fast, reliable assistance in obtaining medication copay saving offerings. Foradil Aerolizer - Save up to $120. The best way to celebrate the drug and its benefits on your quality of life is to understand how it works and why. It is a single-dose injection that can be taken at home after proper training once a week. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing useful tools and resources. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. chevron_right. “It was like something out of a dermatology fairy tale. Some Medicare plans may help cover the cost of mail-order drugs. Limitation of Use: Not for the relief of acute bronchospasm or status asthmaticus. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. Welcome to Co-Pay Relief! Are you eligible to get help. a Coverage varies by type and plan. Your experience with DUPIXENT is unique, and sharing your journey can inspire and empower people facing similar challenges. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick 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. 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. The dupixent appeal letter is a Word document that should be submitted to the relevant address in order to provide some information. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. *. throat pain or soreness. DUPIXENT MyWay® Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. This will allow the specialty pharmacy to conduct the benefits investigation, and DUPIXENT MyWay will provide additional support to the patient. I go to college, and already had to extend my time due to eczema and TSW. Have commercial insurance, including health insurance. For more information, to speak with a member of the DUPIXENT MyWay support team, or to enroll over the phone, call our toll-free line. Registered nurses are also available to speak with eligible patients about DUPIXENT. Indication. Good luck to all! I still have it on legs and arms but it's nothing compared to full body day and night. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. <br> <br> Best, <br> Ashley</p> reactions . Serious adverse. Fill a 90-Day Supply to Save. You may be eligible for the DUPIXENT MyWay Copay Card if you:. SCHEDULING. Dupilumab se usa para el eczema en adultos y niños de 6 meses o más. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM. Have commercial insurance, including health insurance. My name is Shari and I’m a registered nurse with DUPIXENT MyWay. I've been taking Dupixent since November 2019 for nasal polypus. Some people do injections every 3 weeks, which could stretch that copay card out longer. In children 12 years of age and older,Hello! The Medisafe Web Portal doesn’t work on small screens (yet). Call 1-844-387-4936, Option 1 to contact DUPIXENT MyWay ®. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. If you are a New York prescriber, please use an original New York State prescription form. Pay as little as $0 per month. Rotate the injection site with each injection. Your experience with DUPIXENT is unique, and sharing your journey can inspire and empower people facing similar challenges. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack. 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. The my way nurses are as useless as it gets. Unusual weakness or fatigue, fever, headache, skin rash, muscle or joint pain, loss of appetite, pain, tingling, or numbness in the hands or feet. 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. In children 12 years of age and older,It was granted and I pay $0. Most do, some don't. It felt like they were controlling me when it should have been the other way around. I authorize the Alliance to use my Social Security number and/or additional. . DUPIXENT can be used with or without topical corticosteroids. DUPIXENT® is indicated as an add-on maintenance treatment of adult and pediatric patients 6 years and. And despite those massive growth forecasts, some analysts figure Dupixent could be on. 5K subscribers. It may be covered by your Medicare or insurance plan. I authorize the Alliance to use my Social Security number and/or additional. 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. WARNINGS AND PRECAUTIONS. DUPIXENT can be used with or without topical corticosteroids. DUPIXENT MyWay team will research each patient’s situation and determine eligibility. 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. My daughter's Dupixent is free with the card and they ship it with cold packs to our front door. Subscribe. Dupixent started March 2018, did little until adding the Protopic about 6-8 months later. Add the date to the sample using the Date feature. In order to be effective and work properly, most biologics are injectable medicines. Also like all biologics, Dupixent is considered a “large molecule” drug. Then it got worse, 2nd derm said psoriasis hence humira for about 1 month, no improvement. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. In children 12 years of age and older,For more information, dial 1‑844‑DUPIXENT ( 1-844-387-4936 ), option 1 Monday-Friday, 8 am - 9 pm ET. insurer. 2. Ask to speak to a nurse and ask about the "Dupixent My Way program". With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. 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. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. 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. Serious side effects can occur. I would literally give whoever made this drug my life. com. For more information, dial. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. Originally went on dupixent as 1st derm thought I had eczema. Once the prescription went to the pharmacy I called the pharmacy and they did the myway paperwork for me. Dupixent (Dupilumab Injection) may treat, side effects, dosage, drug interactions, warnings, patient labeling, reviews, and related medications including drug comparison and health resources. Sydnab • 1 yr. How do my patients enroll in <em>DUPIXENT MyWay®</em>? When filling out the DUPIXENT MyWay Enrollment Form, both you and your patient will be required to supply information, such as the patient’s insurance, diagnosis, and prescription. Allergic reactions. I’m ready to make a difference. You need to have a prescription for DUPIXENT as well as commercial insurance. Get the dupixent copay card and you will likely get it for no charge for a while. Dymista - Pay as little as $29. Im in the same boat, my out of cost payment with insurance is also $325 but is now 0 when i applied and was approved for my way. reply . 421 adult patients were randomized to DUPIXENT + TCS or placebo + TCS. LONG-LASTING CLEARER SKIN AT 16 and 52 Weeks 22% taking. ago. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. If patients become infected while receiving treatment with DUPIXENT and do not respond to anti-helminth treatment, discontinue treatment with DUPIXENT until the infection resolves. VO: DUPIXENT® (dupilumab) is a prescription medicine used to treat people aged 6 years and older with moderate-to-severe atopic dermatitis (eczema) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. excessive tearing. Welcome to RxCrossroads. Dupixent also isn’t financially in the cards for me. Eligible patients or caregivers of a patient must be: *For more information, dial 1-844-DUPIXENT 1-844-387-4936 option 5, Monday-Friday, 9 am - 9 pm ET. DUPIXENT MyWay Appeal Specialists can help provide support throughout the appeal process. xml ¢³ ( ¼–ËnÛ0 E÷ ú ·…E' Š¢°œE Ë6@] [š ÙDù 9Nâ¿ïPŠÙÄq¬$Žº ‘sï!çaÏ. PK !Ñ'/ å è · [Content_Types]. The Dupixent pre-filled pen is only for use in patients 12 years of age and older. PK !û˜õ ‹ _ [Content_Types]. FUN Documents, MMIT, and Policy Reporter as of July 12, 2023. DUPIXENT MyWay® Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay®. If you are a New York prescriber, please use an original New York State prescription form. Option 1- you have to meet your deductible without Dupixent myway. The cost of Dupixent may vary based on the strength and dosage form you use. S. Learn more about DUPIXENT® (dupilumab) in moderate-to-severe asthma and if it may be the right treatment option for you. 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. Good luck. Serious side effects can occur. yes! i am currently using both my insurance and dupixent my way. 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. At that point we will owe 20% of the cost of the medication, which adds up to just under $700/month. It is not an immunosuppressant or a steroid. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing. ( 1-844-387-4936 ), option 1. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. 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. 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. Explore safety data across clinical trials in patients aged 12+ with moderate-to-severe asthma characterized by an eosinophilic phenotype or with oral corticosteroid dependent asthma using DUPIXENT® (dupilumab) as add-on maintenance treatment. Store DUPIXENT Syringes in the refrigerator between 36°F to 46°F (2°C to 8°C). 98% of Commercially Insured Patients. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. DUPIXENT® is a subcutaneous injectable prescription medicine for adults with uncontrolled chronic. In children 6 months to less than 12 years of age, DUPIXENT should. DUPIXENT is not a steroid. 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. Program has an annual maximum of $13,000. Find the definitions of commonly used terms related to uncontrolled, moderate-to-severe eczema, atopic dermatitis, and DUPIXENT® (dupilumab). DUPIXENT can cause allergic reactions that can sometimes be severe. You must be shown the right way by your healthcare provider before injecting DUPIXENT. Patient assistance program. DUPIXENT is not a steroid or immunosuppressant; it is a prescription biologic medicine given under the skin (subcutaneous injection). DUPIXENT, a biologic, is a type of medicine that is processed in the body differently than oral medicines (pills) or steroids. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Daliresp - Pay as little as $25. Step 2: After washing your hands, clean the area you are going to inject with an alcohol wipe. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,How someone else should inject Dupixent. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. , Sanofi US, and their affiliates and agents (together, the “Alliance”) may verify 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. Experience: Been on Dupixent since May 15, 2017. Dupixent is prescribed for eczema and certain types of asthma. 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. You’ll need to become a Simplefill member for us to find you the prescription assistance you need to pay for your Dupixent. Patient Rebate Portal. Monday-Friday, 8 am-9 pm ET. The way I describe DUPIXENT to my patients is that DUPIXENT inhibits IL-4 and IL-13 signaling. Press and hold the Dupixent Pre-filled Pen firmly against your skin until you cannot see the yellow needle cover. 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. GF Strong Rehabilitation Centre. ®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. Tell your healthcare provider about any new or worsening joint symptoms. If you’re eligible, you can enroll online and recieve your card by email. 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. Dupixent® should be given by or under the supervision of an adult in children 12 years of age and older. Please see Important Safety Information and full PI on website. In this case Dupixent myway will cover the first 13k, which is probably like 5 months. 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. An eDocument can be viewed as legally binding provided that certain requirements are satisfied. Product Monograph – DUPIXENT (dupilumab injection) Page 4 of 82 Asthma DUPIXENT is indicated as an add-on maintenance treatment in patients aged 12 years and older with severe asthma with a type 2/eosinophilic phenotype or oral corticosteroid-dependent asthma. Start Program product to the patient named herein. , Quick Start, Copay Card, and Patient Assistance Program) Nursing Support (e. 3 views 1 minute ago.