I have included a detailed explanation of the severity of [Patient’s First Name]’s disease, informationWith DUPIXENT, and less nasal polyps, you can do more of what matters most. In children 12 years of age and older,I agre e to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM. It may be covered by your Medicare or insurance plan. Appears that my out of pocket maximum will be $8000 through insurance. 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). Registered nurses are also available to speak with eligible patients about DUPIXENT. It's hard enough dealing with all of this and having different doctors tell you different things is mind boggling. DUPIXENT is a weekly single-dose injection that can be given by your doctor in an office or a clinic, or can be taken at home. For brand name drugs under review and drug reviews completed on or. I need another treatment. 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. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack. Dupixent is administered as an injection under the skin (subcutaneous injection) at different injection sites. DUPIXENT was studied in adults and children 6 months of age and older. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. fainting, dizziness, feeling lightheaded. a Coverage varies by type and plan. high levels of white blood cells. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. For more information, dial 1-844-DUPIXENT1-844-387-4936), option 1. DUPIXENT Syringes can be stored at room temperature up to 77°F (25°C) up to 14 days. 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. - Rachel, DUPIXENT Patient Mentor, living with asthma. To request access to someone else's record in MyHealth complete the Request Access to Someone Else’s Account form . DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. 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. I’m ready to make a difference. Also like all biologics, Dupixent is considered a “large molecule” drug. It felt like they were controlling me when it should have been the other way around. For children aged 6 months to 5 years, it is taken as 1 injection every 4 weeks. 56 billion in sales in 2019 and turned in 8% growth in the first quarter to $832 million. Subscribe to our channel to stay up-to-date with all things DUPIXENT. DUPIXENT is taken by injection under the skin (subcutaneous injection) once every two weeks. I saw my dermatologist today(a new one, my other passed away) and she did not think the hair loss is from coming off of the prednisone, so I still do to know what is going on. You may be eligible for the DUPIXENT MyWay Copay Card if you:. They never mentioned only covering a certain amount of injections, just said they would cover it for a year. Plus, get the latest information about DUPIXENT, exclusive tools,. 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. Those who may qualify must be at least 18 years of age or older, a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI, and demonstrate a financial need. Something went wrong. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. How is Dupixent supplied? Dupixent comes as a single-use pre-filled syringe (with a needle shield) or as a pre-filled pen. Monday-Friday, 8 am - 9 pm ET Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. coverage delay for DUPIXENT by the patient’s insurer. Dupixent is the first and only medicine indicated to treat eosinophilic esophagitis in the United States; approval granted more than two months ahead of FDA’s Priority Review action dateSince [Date], [Patient Full Name] has been under my care for [diagnosis] (ICD-10-CM code: [insert code]). Get the dupixent copay card and you will likely get it for no charge for a while. Watch videos from experts [,download materials,] and explore future events to further understand DUPIXENT® (dupilumab). I really enjoy the patient interaction. Dupixent is prescribed for eczema and certain types of asthma. . Find DUPIXENT® (dupilumab) injection videos and instructions for the pre-filled syringe (200 mg or 300 mg) with needle shield for ages 6 months & older. Dupixent hit $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. •Store DUPIXENT Syringes in the refrigerator between 36°F to 46°F (2°C to 8°C). I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Exception: Requests for drugs administered by a healthcare professional that will be billed to the medical plan, call 1-866-752-7021 or fax. Sign up or activate your card here. Most dermatologists should know about it. DUPIXENT can be used with or without topical corticosteroids. 14 mL) is around $3,788 for a supply of 2. How DUPIXENT MyWay® Helped Shawn Get Started. Contact Phone Number: (604) 734-1313. I go to college, and already had to extend my time due to eczema and TSW. Nationally are Covered for DUPIXENT. Dupixent® should be given by or under the supervision of an adult in children 12 years of age and older. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. At that point we will owe 20% of the cost of the medication, which adds up to just under $700/month. I would literally give whoever made this drug my life. See available events. *Please enter your patient. Enrolled patients have access to: 1‑844‑387‑4936. 03. 2020;157 (4):790-804. Welcome to the Patient Support Portal! This site provides patients and healthcare professionals a fast secure way to submit the patient enrollment and supporting documentation to our patient services program team. DUPIXENT MyWay. In patients aged 18 years and older with prurigo nodularis, Dupixent 300 mg is administered with a pre-filled syringe or pre-filled pen every two weeks following an initial loading dose. You will find 3 options; typing, drawing, or uploading one. headache. DUPIXENT has been FDA approved for use in adults with uncontrolled moderate-to-severe eczema since 2017. Compare monoclonal antibodies. For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. A total joke Reply According_Land_581 • Additional comment actions. The upper arm can also be used if a caregiver administers the injection. Sign up or activate your card here. After another six weeks I could smell and taste. Serious side effects can occur. TRANSFORM THE WAY YOU MANAGE EoE. Fill a 90-Day Supply to Save. Be sure to. Eligible commercially insured patients may submit a rebate if they paid in full for their prescription at the pharmacy or their prescription was filled before they enrolled in the program; visit to begin the rebate process; for additional information contact the program at 844-387-4936. You need to have a prescription for DUPIXENT as well as. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. The most common side effects may include injection site reactions, pink eye, eyelid inflammation, cold sores, and mouth or throat. This medicine should be given by a caregiver in children 6 months to less than 12 years of age. muscle aches. training on the right way to prepare and inject DUPIXENT. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,Pharmaceuticals, Inc. 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. If you are a New York prescriber, please use an original New York State prescription form. Serious side effects can occur. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. 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. ( 1-844-387-4936), option 1. Your email is on its way. xml ¢ ( ´•ËjÃ0 E÷…þƒÑ¶ØJº(¥ÄÉ¢ e hú Š5vD Òäõ÷ ÇŽ)%‰C o Ö̽÷h Òh²Ñe´ ”5) & ɬT¦HÙ×ì-~dQ@a¤( ”m!°Éøöf4Û: ©MHÙ Ñ=q ² h ëÀP%·^ ¤__p'²oQ¿ xf ‚Á + 6 ½@. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. Click on the Sign button and make a signature. We can also connect you with your specialty pharmacy to access DUPIXENT. Dupixent Prices, Coupons and Patient Assistance Programs. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 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. 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. 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. Welcome to Co-Pay Relief! Are you eligible to get help. Middle initial . I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. His experience and mine are night and day different. Dulera - Save up to $90 on 12 Prescriptions, Free Trial. Coverage varies by. patients cover the out-of-pocket cost of DUPIXENT. Monday-Friday, 8 am - 9 pm ET. And whether they're directly caused by dupixent, some dupixent other drug/illness interaction, or wind up being an unrelated comorbidity they do have people monitoring stuff and can. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. My allergist doctor said I was a super reactive patient to Dupixent, in a positive way. 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. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. . The cost of Dupixent may vary based on the strength and dosage form you use. Monday-Friday, 8 am-9 pm ET. Serious side effects can occur. GF Strong Rehabilitation Centre. 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,DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. Nationally are Covered for DUPIXENT. Ways to save on Dupixent. Learn about the DUPIXENT® (dupilumab) mechanism of action inhibiting IL-4 and IL-13 signaling in appropriate asthma patients. It may be covered by your Medicare or insurance plan. Complete every fillable area. Actual costs to patients, payers and health systems are anticipated to be lower as WAC pricing does not reflect discounts, rebates or patient. Despite all of the freedom this miracle drug has graciously granted me, I purposely and consciously chose to begin tapering off Dupixent in May of 2017. My wife is on Dupixent, and has the MyWay card which allows up to $13,000/year. Clinical, histologic, and. If you are a New York prescriber, please use an original New York State prescription form. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. My insurance provider covers 85% and our Canadian version of 'MyWay' pays the remainder. Monday-Friday, 8 am-9 pm ET. ️ ️ ReplyDupixent® (dupilumab) Four simple steps to submit your referral. Have commercial insurance, including health insurance. Step 2: After washing your hands, clean the area you are going to inject with an alcohol wipe. Quitting my job and going back to school isn’t affordable option. As noticed side effect, my eyes got dry and itchy which is still bearable. My Dupixent auto injector people, where you at, I have a question for you. Dupixent. The average monthly retail price of Dupixent is $4,910 per 2, 2 mL of 300 mg/2 mL prefilled syringes. Step 3: Take the needle cap off of the syringe right before you are going to inject. In children 6 months to less than 12 years of age, DUPIXENT should. Serious adverse reactions may occur. Throw away (dispose of) anyI can give my personal experience, for what it's worth. DUPIXENT can be used with or without topical corticosteroids. 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. Try checking out MyWay Dupixent Program!! They cover costs of Dupixent and whatever your insurance won't pay (up to a certain yearly amount). Depends if your insurance cares that Dupixent myway is paying your deductible. x Store DUPIXENT Syringes in the original carton to protect them from light. Being a nurse for DUPIXENT MyWay is very rewarding. Call 1-844-387-4936, Option 1 to contact DUPIXENT MyWay ®. That would be $3,400 and then the Dupixent MyWay card would pay that $3,400, I assume. For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. 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. In fact, I mentioned that I agree drugs should be used as an aid and catalyst to one's healing, but not something to be dependent on for the rest of one's life. if you are allergic to dupilumab or to any of the ingredients in DUPIXENT®. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. In this case Dupixent myway will cover the first 13k, which is probably like 5 months. pain, redness, irritation, itching, or swelling of the eye, eyelid, or inner lining of the eyelid. My daughter's Dupixent is free with the card and they ship it with cold packs to our front door. 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. Step 4: Hold the syringe at a 45-degree angle. Serious side effects can occur. 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. (20% of ~$3,500) DUPIXENT use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. Save. How to use Dupixent (dupilumab) syringes: 1) Wash your hands with soap and water before injection. The formulary status tool below can help check DUPIXENT coverage for various plans. Otherwise, it's been a miracle for me, after suffering terrible with eczema for 20 years. Have commercial services, including health insurance markets,. Today my left knee. . DUPIXENT MyWay®. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. Patients may be eligible for the DUPIXENT MyWay Copay Card if: They have a DUPIXENT prescription for an FDA-approved condition. Dupixent is the only monoclonal antibody approved by the FDA to treat atopic dermatitis and eczema. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. DUPIXENT can be used with or without topical corticosteroids. DUPIXENT is a prescription medicine used to treat certain skin conditions, asthma, and chronic rhinosinusitis with nasal polyps. Monday-Friday, 8 am-9 pm ET. insurer. I agre e to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. About Dupixent. 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. Date of birthAt NiceRx, we help eligible individuals to enroll in the Dupixent patient assistance program. Being a nurse for DUPIXENT MyWay is very rewarding. I, _____, certify that the information provided for this reimbursement request is accurate to the best of my knowledge, and. Dupixent (Dupilumab Injection) may treat, side effects, dosage, drug interactions, warnings, patient labeling, reviews, and related medications including drug comparison and health resources. Both through prescribing physicians, but dupixent's gone pro-active and implemented the my way reporting line for patients to self report adverse events as well. In children 12 years of age and older,Q7: Why will copay card support no longer be contributed toward my accumulator totals (i. Store DUPIXENT Syringes in the refrigerator between 36°F to 46°F (2°C to 8°C). Ways to save on Dupixent. DUPIXENT is administered by subcutaneous injection and intended for use under the guidance of a healthcare provider 1; Rotate injection site with each injection 1; A patient may self-inject DUPIXENT after training in subcutaneous injection technique using the pre-filled syringe or pre-filled pen 1; Provide proper training to patients and/or caregivers on the. The website is All of the information, including these side effects and videos on giving yourself the shot, and. My name is Shari and I’m a registered nurse with DUPIXENT MyWay. I cried hopeful tears as I gave myself my. Peter Bunting Moderator & Contributor <p>Thanks for your response, Ashley. Injection site reactions and eye conditions are the most common side effects reported and, unlike several other biologics, the risk of infection is low. 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. DUPIXENT is a form of medicine called a biologic that targets Type 2 inflammation, an underlying cause of nasal polyps. Needed additional leadership equipped the enrollment process? Contact your section accessories dedicated or call DUPIXENT MyWay. 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. Throw away. g. b Data as of January 2023. 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). Select a tab below to get you to helpful information depending on where you are in your treatment journey. Eligible patients will receive their cards by email. Support. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. Good luck. 98% of Commercially Insured Patients. 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. For more information, call 1-844-DUPIXENT ( 1-844-387-4936) option 1. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,1‑844‑DUPIXENT 1-844-387-4936. 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. Although you are not eligible, you can sign up DUPIXENT MyWay. This inflammation is an important component in. excessive tearing. Dupixent changed my life in 12 days. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. The DUPIXENT pre-filled syringe is for use in adult and pediatric patients aged 6 months and older. I guess ill have to see how much more improvement comes. It is a single-dose injection that can be taken at home after proper training once a week. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Learn how DUPIXENT® (dupilumab), the first FDA-approved weekly injectable biologic treatment for eosinophilic esophagitis (EoE) in patients 12 years and older who weigh at least 88lb (40kg) targets a source of inflammation, which contributes to EoE. DUPIXENT MyWay Appeal Specialists can help provide support throughout the appeal process. 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. These programs and tips can help make your prescription more affordable. ago. For any questions or concerns, please contact us at the phone number located on your enrollment form. (2) Financial support for eligible patients: Get information about potential. 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, DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. Asthma:. If you are a New York prescriber, please use an original New York State prescription form. · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. This was my journal entry for that day: “…I decided I’m going to withdraw from Dupixent to see how “bad” my body is and if it’s still going through TSW. Within 24 hours, one of our patient advocates will call you for a brief interview. ReplyPRESCRIBER TO FILL OUT Section 6a. It has to be completed and signed, which can be done manually in hard copy, or by using a certain software like PDFfiller. Welcome to RxCrossroads. And despite those massive growth forecasts, some analysts figure Dupixent could be on. pretty obvious to both my pharmacist and MyWay nurses that simply running through the $13,000 in a few months is not the way the copay assistance is intended to be used, but. VO: DUPIXENT is a prescription medicine used: to treat people aged 6 years and older with moderate-to-severe atopic dermatitis (eczema) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. Check your eligibility for the DUPIXENT MyWay® Copy Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. Serious side effects can occur. DUPIXENT blocks the signaling of two key sources of Type 2 inflammation (IL-4 and IL-13). I have tried everything you can think of, to manage my nasal polyps. What it is used for. insurer. xml ¢³ ( ¼–ËnÛ0 E÷ ú ·…E' Š¢°œE Ë6@] [š ÙDù 9Nâ¿ïPŠÙÄq¬$Žº ‘sï!çaÏ. Serious side effects can occur. Yesterday the nurse injected the first dose using a syringe in my leg. There’s no laboratory monitoring required, not at the beginning, not during therapy. You must be shown the right way by your healthcare provider before injecting DUPIXENT. Website Link: GF Strong Rehabilitation Centre. It has extremely quickly resolved almost all of my eczema. after two days im at about a 6 to 7. 98% of Commercially Insured Patients. Start Program product to the patient named herein. Find local businesses, view maps and get driving directions in Google Maps. That being said, please remember that not everyone is fortunate enough to be able to afford it, either because they don't have insurance or because their insurance won't cover enough/has denied them outright (sometimes appealing this. Fax: 1-908-809-6249. My itching was a 15 out of 10. 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. 02. If you are a New York prescriber, please use an original New York State prescription form. And, if you're eligible, you can sign up and receive your card today. Caring. There is currently no generic alternative to Dupixent. It is supplied in a carton with two pens or syringes in each package. If you’re eligible, you can enroll online or by phone and receive your card by email. Serious adverse reactions may occur. There are a number of things that really resonate with the patients, and one of them is the lack of laboratory monitoring. For more information, dial 1-844-DUPIXENT 1-844-387-4936 ), option 5, Monday-Friday, 9 am – 9 pm ET. Do not try to inject DUPIXENT until you have been shown the right way by your healthcare provider. About Dupixent Dupixent is administered as an injection under the skin (subcutaneous injection) at different injection sites. 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. It offers financial assistance, nursing support, and information on the safety profile of DUPIXENT and its interactions with other medications. insurer. I y are a Ne r resrer, ease se a ra Ne r Sae resr r Te resrer s y ser sae-se resr rerees, s as e-resr, sae-se resr r, a aae, e N-ae sae-se rerees res rea e resrer. Click on the "Enroll Now" button or link. Sign up or activate your card here. jobs in Sleepy Hollow, NY - Sleepy Hollow jobs - Director of Strategy jobs in Sleepy Hollow, NYDUPIXENTDupixent plays in managing their condition • What to expect from treatment and long-term adherence success • Lifestyle counselling and goal setting For many patients, having someone they can turn to for advice, or simply chat with, makes all the difference when navigating a long-term chronic condition and a new treatment. PRESCRIBER TO FILL OUT Section 5a. Insurance providers often require use of a specialty pharmacy instead of your local retail pharmacy. Learn more about DUPIXENT® (dupilumab), the first and only FDA approved treatment option for prurigo nodularis (PN) in adults aged 18 years and older. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. New pati ent . In children 12 years of age and older,Dupilumab se usa para tratar el eczema (dermatitis atópica) de moderado a severo que no se puede controlar con medicamentos tópicos aplicados a la piel. Eligible patients will receive their cards by email. The phone number is 1‑844‑DUPIXEN (T) (1-844-387-4936) Option 1, Monday–Friday, 8 AM–9 PM Eastern time. 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. I'm supposed to start myself at some point, I guess with the pen though I know there's a choice. 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. com. 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). Especially tell your healthcare provider if you. Dupixent () is a member of the interleukin inhibitors drug class and is commonly used for Asthma - Maintenance, Atopic Dermatitis, Chronic Rhinosinusitis with Nasal Polyps, and others. How possessed an annual upper of $13,000. More common side effects in people taking Dupixent for asthma include: reactions where the drug is injected, such as pain and swelling. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 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). For more information, dial 1‑844‑DUPIXENT 1-844-387-4936 Monday-Friday, 8 am-9 pm ET. Serious side effects can occur. Serious adverse. PRESCRIBER TO FILL OUT Section 6a. Available in two delivery options, pre-filled syringe & pre-filled pen (300mg) for ages 12+ years. Although you are not eligible, you can sign up. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. During that time I experienced some injection site redness that appears 3 days after the injection and takes about 7-8 weeks to go away. Tell your healthcare provider about any new or worsening joint symptoms. Check the liquid in the prefilled pen or syringe. I chose to be a nurse because I wanted to help people, and I believe that people should be in service to others. They are a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. financial assistance for eligible patients, provide one-on-one nursing support, and more. Dupixent MyWay pays the $500 copay. Leaving me with $12,400 left on the card. 1 Patient Information Please provide copies of front and back of all medical and prescription insurance cards. Important Safety Information and Indication. Please see Important Safety Information and Patient Information on website. Pregnancy: A pregnancy exposure registry monitors pregnancy outcomes in women exposed to DUPIXENT during pregnancy. 2 cartons. DUPIXENT MyWay® can work with your insurance provider to identify a preferred, in-network specialty pharmacy. 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. Especially tell your healthcare provider if you. Daliresp - Pay as little as $25. The $500 payment counts towards the member’s deductible and out-of-pocket maximum. This letter serves as my determination of medical necessity for DUPIXENT® (dupilumab) for this patient. Limitation of Use: Not for the relief of acute bronchospasm or status asthmaticus. In children 12 years of age and older, it is recommended that DUPIXENT be given by or under the supervision of an adult. I chose to be a nurse because I wanted to help people, and I believe that people should be in service to others. 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. with DUPIXENT Help schedule deliveries of DUPIXENT Provide supplemental injection training—in person, virtually, or over the phone—to help patients or caregivers become more familiar with injecting DUPIXENT Offer a needle disposing kit, or sharps container, for proper disposal of DUPIXENT Remind patients when it is time toMy doctor gave me a copay card to cover mine. For more information, call 1. 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. 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. The my way nurses are as useless as it gets. Serious side effects can occur. ago. Im thankful for any progress. At that point we will owe 20% of the cost of the medication, which adds up to just under $700/month. If you are successfully enrolled in the program, we. It’s a biologic drug, which means it’s made from parts of living organisms. I started dupixent a month and a half ago. Enroll eligible patients in the DUPIXENT MyWay® patient support program for DUPIXENT® (dupilumab) access, financial assistance & nursing support. I agre e to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 2 cartons. Talk with. (See “Children’s dosage” below for. Learn how to inject DUPIXENT® (dupilumab), a biologic subcutaneous injectable prescription medicine for eosinophilic esophagitis (EoE) in patients 12 years and older who weigh at least 88lb (40kg). Working with it utilizing electronic means is different from doing this in the physical world. I took Dupixent over 6 months, and having trouble now. The recommended dosage of DUPIXENT for pediatric patients 6 months to 5 years of age is specified in Table 1. e. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. The yellow needle cover will cover the needle. Dupilumab. Learn how DUPIXENT helped treat children 6 to 11 years old with their moderate-to-severe asthma. I started Dupixent on Sunday May 21 (2 shots as the first dosage is double) and I must say for me there have been some positive quick/noticeable changes. Refer your appropriate uncontrolled asthma patients to an allergist or pulmonologist to learn if DUPIXENT® (dupilumab) is a treatment option. 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. If you are a New York prescriber, please use an original New York State prescription form. fever. Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. I agree to assist in e Éorts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 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. Keep DUPIXENT Syringes and all medicines out of the reach of children. 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.