I dont really get scared anymore. 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. A causal association between DUPIXENT and these conditions has not been established. 2023Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. 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, Make it into their routine and let them go at their own pace. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. 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. Appealing the health plans denial does not always result in approval of DUPIXENT. The program is intended to help patients afford DUPIXENT. FAQs About DUPIXENT (dupilumab) Consider ophthalmological examination for patients who develop conjunctivitis that does not resolve following standard treatment or signs and symptoms suggestive of keratitis, as appropriate. I'm afraid that's going to happen. Use DUPIXENT exactly as prescribed by your healthcare provider. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM For more information, call 1-844-DUPIXENT ( 1-844-387-4936) option 1 Monday-Friday, 8 am - 9 pm ET (1-844-387-4936), option 1. with other medicines for the maintenance treatment of chronic rhinosinusitis with nasal polyposis (CRSwNP) in adults whose disease is not controlled. *48 Contiguous States and District of Columbia Source: US Dept of Health & Human Services. Program has an annual maximum of $13,000. This site is intended for use by U.S. residents only. The majority of DUPIXENT patients with commercial/employer-provided insurance use the Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. to contact Regeneron Pharmaceuticals, Inc. 202333322 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. Publication 60-260. For more information, dial1-844-DUPIXENT You may pay more in the beginning of the year or more later in the year depending on which phase of the Part D benefit you are in. Medicaid and CHIP overview for assisters. Your email is on its way. This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back. Dupixent is the only thing that has given me true relief from eczema my entire life (mid-30s), quitting isn't something I want . 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). The prior authorization information required by the patients insurance to approve coverage for DUPIXENT may include the patients history, medication, and clinical information. Additional terms and conditions apply. It is not known if DUPIXENT is safe and effective in children with chronic rhinosinusitis with nasal polyposis under 18 years of age. option 1. We provide general product support and education, as well as supplemental injection training, and injection and refill reminder calls. List price as of 1/3/2023. Learn how to get your patients started with, Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP), DUP.23.01.0156 Last Update: March 2023, DUP.22.09.0185 Last Update: November 2022, DUP.22.09.0183 Last Update: October 2022, DUP.23.01.0254 Last Update: February 2023, DUP.23.01.0252 Last Update: February 2023, DUP.23.01.0261 Last Update: February 2023, Chronic Rhinosinusitis with Nasal Polyposis, https://mothertobaby.org/ongoing-study/dupixent/. Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. 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. Chronic Rhinosinusitis with It is not known whether DUPIXENT will harm your unborn baby. If the prior authorization is reviewed by the patients insurance carrier and is approved, the prescription is triaged to the specialty pharmacy for fulfillment. . DUPIXENT is not indicated for the You or your doctor can download the enrollment form on DUPIXENT.com or call 1-844-DUPIXENT, Option 1 to enroll. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. Voice-over (VO): Losing Dupixent Due to Changes in MyWay Program : r/eczeMABs - Reddit These are not all possible side effects of DUPIXENT. ORE: Accessed 01/18/23. It is not known if DUPIXENT is safe and effective in children with eosinophilic esophagitis under 12 years of age and who weigh at least 88 pounds (40 kg). DUPIXENT (dupilumab) for Moderate-to-Severe Atopic Dermatitis That is 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. Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a healthcare provider. Enter your email address and we will send you your requested resource. Its important to understand the specialty pharmacy process and its role in obtaining DUPIXENT. DUPIXENT can cause serious side effects, including: Allergic reactions. reserves the right to rescind, revoke, terminate, or amend this oer, eligibility, and terms of use at any time without notice. Voice-over (VO): We have time. Asthma: DUPIXENT is indicated as an add-on maintenance treatment of adult and pediatric patients aged 6 years and older with moderate-to-severe asthma characterized by an eosinophilic phenotype or with oral corticosteroid dependent asthma. DUPIXENT MyWay Portal And that helps us so that we can practice before we do the real thing. Failure to do so could cause delays. Blue Cross Blue Shield Blue Care Network of Michigan website. Ive been withDUPIXENT MyWaysince the very beginning. more. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. I really enjoy the patient interaction. DUPIXENT MyWayis a patient support program designed to help you get access to DUPIXENT as quickly as possible once you have a prescription, and help you stay on track while providing helpful tools and resources. Once DUPIXENT is approved by your insurer, a specialty pharmacy works with you to schedule the shipments of DUPIXENT to your home or other preferred location, so be sure to answer their calls to prevent delays. Vaccinations: Consider completing all age-appropriate vaccinations as recommended by current immunization guidelines prior to initiating DUPIXENT. prescription therapies or when those Store your specialty pharmacys name and phone number in your phones contacts. You may be eligible for the DUPIXENT MyWay Copay Card if you: Approval is not guaranteed. Download the Sanofi Patient Connection Application, 1-888-847-4877, MonFri, 9AM8PM ET 1-888-847-1797 Dupixent Enrollment Form - ENT/Pumonologist Dupixent Enrollment Form - Dermatologists It is not known if DUPIXENT is safe and effective in children with asthma under 6 years of age. Commercial health insurance plans are operated by privately owned companies and are available7: The following types of plans are considered commercial health plans: People with commercial health plans can contribute to a Health Care Flexible Spending Account (FSA) offered by their employer to pay for certain medical, pharmacy, dental, and vision costs.8 Money is deducted from your paycheck before taxes, but your employer can keep any money not spent by the end of the year.8. DUPIXENT (dupilumab) for Moderate-to-Severe Eczema that is Uncontrolled 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. to Learn More. So, now you know what to expect from prescription to delivery. When our patients call in, they get to speak to a real person, an experienced clinician who can provide them support along their journey. Extra Help is a low-income subsidy . DUPIXENT is covered under the pharmacy benefit plan, which requires a patient to coordinate delivery with a specialty pharmacy. You should not receive a live vaccine right before and during treatment with DUPIXENT. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay, and that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. Call your doctor for medical advice about side effects. It is not known whether DUPIXENT will harm your unborn baby. Your email is on its way. Payments are averaged across all phases of Medicare coverage, and include coverage gap and catastrophic phase payments. 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. The program is intended to help patients afford DUPIXENT. Registered nurses are also available to speak with eligible patients about DUPIXENT. A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. DUPIXENT MyWay Patient Enrollment I feel like one day I will do it myself, but I think right now assisted injection is better. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. CONTRAINDICATION: DUPIXENT is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients. I help them to relax. So, I asked the parents, Would it be OK if I just come back the next day?. Patients will need to meet the eligibility criteria, including household income, to qualify. Ores dermatologist trained us on how to do the injection under the skin, and then when we contacted DUPIXENT MyWay, they sent a nurse to the house to give additional training to make sure that we were comfortable giving the injection. Accessed 01/18/23. Tell your healthcare provider if you have any side effect that bothers you or that does not go away. Be sure to ask your doctor about enrolling inDUPIXENT MyWay, which can provide additional support for you. Your email is on its way. Call your doctor for medical advice about side effects. It is not known if DUPIXENT is safe and effective in children with atopic dermatitis under 6 months of age. Database current as of, https://www.ssa.gov/benefits/medicare/prescriptionhelp.html, https://www.cms.gov/files/document/2022-announcement.pdf, https://marketplace.cms.gov/technical-assistance-resources/fast-facts-medicaid-chip.pdf, 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.22.03.0194 Last Update: August 2022, 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 oral steroid, https://mothertobaby.org/ongoing-study/dupixent/, https://www.census.gov/content/dam/census/library/publications/2017/demo/p60-260.pdf, https://www.bcbsm.com/index/health-insurance-help/faqs/plan-types/health-spending-accounts/fsa.html, Whether you have prescription drug insurance, Whether your insurance provider considers the medication to be preferred or not preferred. 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. (EoE). Contact, Powered by Managed Markets Insight & Technology, LLC. For families/households with more than 8 persons, add $5,140 for each additional person. Many specialty medications, such as DUPIXENT, have longer turnaround times because of the prior authorization process. It is not known whether DUPIXENT passes into your breast milk. Treat patients with pre-existing helminth infections before initiating therapy with DUPIXENT. Your healthcare provider may send you to an ophthalmologist for an eye exam if needed. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. TEL: 844-387-4936 I feel like one day I will do it myself, but I think right now assisted injection is better. Questions or comments? Use DUPIXENT exactly as prescribed by your healthcare provider.
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