DUPIXENT is not a steroid or immunosuppressant; it is a prescription biologic medicine given under the skin (subcutaneous injection). DUPIXENT MyWay® is a patient support program designed to help you get access to DUPIXENT and help eligible patients cover the out-of-pocket costs of DUPIXENT. Eligible US residents with an FDA-approved prescription for DUPIXENT may pay as little as $0 copay per fill of DUPIXENT (annual maximum of $13,000). Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. 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 Enrollment FormYes, it does appear that Dupixent can cause weight gain, although this is not listed as a side effect in the product information. 0252 Last Update: Feb 2023 DUP. After removal from the refrigerator, DUPIXENT must be used within 14 days or discarded; DUPIXENT should not be exposed to heat or direct sunlight; Do NOT freeze. 0kg. DUPIXENT® (dupilumab) Prescription Information Quick Start may be able to provide DUPIXENT at no cost to help bridge patients to therapy if there is a coverage delay. ) Please refer to Section 8, Patient Certifications, for. 22. 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. Pregnancy: A pregnancy exposure registry monitors pregnancy outcomes in women exposed to DUPIXENT during pregnancy. ) I agree that Regeneron Pharmaceuticals, Inc. Monday-Friday, 8 am - 9 pm ET 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. store above 77 °F (25 °C). Click Tap to Learn More In an open-label extension study, the long-term safety profile of DUPIXENT ± TCS in pediatric patients observed through Week 52 was consistent with that seen in adults with atopic dermatitis, with hand-foot-and-mouth disease and skin papilloma (incidence ≥2%) reported in patients 6 months to 5 years of age. A group of skin conditions characterized by skin inflammation, rash, and itch. Learn how DUPIXENT helped treat children 6 to 11 years old with their moderate-to-severe asthma. Please see Important Safety Information and Patient Information on website. 4 ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pm01. will need to meet the eligibility criteria, including household income, to qualify. 28. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may payable as little while $0* copay per fill by DUPIXENT. Find videos and downloadable instructions for the two injection administration options available for DUPIXENT® (dupilumab), pre-filled syringe (200 mg or 300 mg) with needle shield for ages 6 months & older, or pre-filled pen (200 mg or 300 mg) for ages 2+ years. Continuation in the program is conditioned upon timely verification of income. DUPIXENT® (dupilumab) Prescription Information Quick Start may be able to provide DUPIXENT at no cost to help bridge patients to therapy if there is a coverage delay. Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase 3 program consisting of two pivotal trials About 75,000 adults in the U. DUPIXENT can cause serious side effects, including: The most common side effects in patients with eczema include. Serious side effects can occur. Dupixent side effects. He continued with Dupixent and his symptoms had partially improved 24 weeks after their onset. 74 (2023), plus an amount based on how much you. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based on1-844-DUPIXENT 1-844-387-4936. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. Refrigerate it at 36 °F to 46 °F. That is good, because I was quoted 1400+ a month by my Medicare D provider. About Dupixent. I don't know what medical issues your son is having, but it's likey autoimmune issues. Additionally, Dupixent MyWay ™ offers personalized support from registered nurses and other specialists who are available 24/7 to speak with patients and help them navigate the complex insurance. Section 5a. Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. Rx: DUPIXENT® (dupilumab) (100 mg/0. I’m Laurie. Does anyone know of any assistance programs I can use to help assist in the copay after dupixent my way limit is reached?I experienced cold sores and eye issues for about the first 6 months of being on Dupixent. Ways to save on Dupixent. 2017;5 (6):1519-1531. 1kg to 18. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing useful tools and resources. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based onto DUPIXENT MyWay at 1-844-387-9370. 67 mL, 200 mg/1. Patient has been compliant on Dupixent therapy 4. 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) Education and Nurse Support: One-on-one nursing support is available to educate and empower patients to use DUPIXENT as prescribed. Needed additional leadership equipped the enrollment process? Contact your section accessories dedicated or call DUPIXENT MyWay. It should only be given by an adult caregiver in children 6 to 11 years of age. For more information, call 1-844-DUPIXEN (T) (1-844-387-4936. Depends if your insurance cares that Dupixent myway is paying your deductible. For more information, call 1-844-DUPIXENT. Dupixent® should be given by or under the supervision of an adult in children 12 years of age and older. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. - Rachel, DUPIXENT Patient Mentor, living with asthma. You or your patients can contact DUPIXENT MyWay® at 1-844-DUPIXEN(T) (1-844-387-4936) 1-844-DUPIXEN(T) (1-844-387-4936) to learn more. Lancet. DUPIXENT® (dupilumab) is indicated as an add-on maintenance treatment in adult patients with inadequately controlled chronic rhinosinusitis with nasal polyposis (CRSwNP). 00. 71 for Dupixent compared to 0. 89 and -1. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. 34 milliliters 200 mg/1. FUN Documents, MMIT, and Policy Reporter as of July 12, 2023. Browse the DUPIXENT® (dupilumab) sitemap to help you learn more about uncontrolled moderate- to-severe eczema in adults and children aged 6 months & older and navigate DUPIXENT. 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. Monday-Friday, 8 am-9 pm ET. Program Website : Patient Assistance Applications for DUPIXENT® dupilumab therapy My Information. S. Declining androgen levels correlated with increased frailty. 1. If you still have questions, you can speak with a DUPIXENT MyWay or request to join the program over the phone. If you don’t have health insurance, talk. I was given the MyWay copay card but it had a limit of $13,000/calendar year and that has been exhausted at this point. 01. Check the liquid in the prefilled pen or syringe. 23. 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. ®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. 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. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. 33% and 27% reduction in their nasal polyps score compared to a 7% and 4% increase with placebo in SINUS-24 and SINUS-52, respectively (LS mean change from baseline of -1. According to the manufacturers, Dupixent can be dosed to a maximum daily dose as indicated below. Página de inicio de franquicias ; Eczema moderado a grave (6 meses de edad o más) Asma moderada a grave (6 años de edad o más) DUPIXENT Pricing Information For Healthcare Professionals. Guam or the USVI, and demonstrate a financial need with a total annual adjusted gross income of $100,000 or less. Eligible patients will receive their cards by email. DUPIXENT has been FDA approved for use in adults with uncontrolled moderate-to-severe eczema since 2017. You may be eligibility on the DUPIXENT MyWay Copay Card if you:DUPIXENT MyWay Copay Card if you:Dupixent® should be given by or under the supervision of an adult in children 12 years of age and older. Since 2018, DUPIXENT has been prescribed to over 100,000 asthma patients in the US. I understand the disclosure to the Alliance will be for the purposes of enrolling me in, and providing certain services through the DUPIXENT MyWay Program, including • to determine if I am eligible to participate in DUPIXENT MyWay coverage assistance programs, patient assistance programs, or other 4 ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pm This will allow the specialty pharmacy to conduct the benefits investigation, and DUPIXENT MyWay will provide additional support to the patient. For more information, call 1-844-DUPIXEN (T) (1-844-387-4936. 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. 67 mL Dupixent subcutaneous solution from $3,787. Form more information phone: 844-387-4936 or Visit website Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. 01. Type text, add images, blackout confidential details, add comments, highlights and more. Eligible commercially insured patients may pay $0 per prescription with a maximum savings of $13,000 per year; for additional information contact the program at 844-387-4936. form on DUPIXENT. The U. Your doctor will tell you how much DUPIXENT to inject and how often to inject it. In clinical trials, the impact of DUPIXENT on lung function was studied in patients 6 to 11 years of age and patients 12 years of age and older. Manufacturer Coupon. And very recently got laid off due to Covid-19. DUPIXENT® (dupilumab) Prescription Information Quick Start may be able to provide DUPIXENT at no cost to help bridge patients to therapy if there is a coverage delay. S. for DUPIXENT® dupilumab therapy My Information. 23. any time by mailing or faxing a written request to DUPIXENT MyWay at 1800 Innovation Point, Fort Mill, SC 29715; Fax: 1-844-387-9370. The most common side effects include: DUPIXENT MyWay. I’ve been with DUPIXENT MyWay since the very beginning. Continuation in the DUPIXENT MyWay Patient Assistance Program is conditioned upon timely verification of income. So, how can you save? Manufacturer Sanofi offers Dupixent MyWay, a patient support program. any time by mailing or faxing a written request to DUPIXENT MyWay at 1800 Innovation Point, Fort Mill, SC 29715; Fax: 1-844-387-9370. · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. Eligible patients will receive they cards by e-mail. Serious side effects can occur. Connect with someone, ask questions, and learn about their experience with DUPIXENT® (dupilumab) treatment. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. Upon receipt of the completed Enrollment Form, DUPIXENT MyWay will: Conduct a benefits investigation to confirm commercial coverage Assess if the patient meets the eligibility criteria for the Quick Start Program 1 2 Approve the patient (if they are eligible). For pediatric patients aged 6 to 11 years, Dupixent dosing is based on weight (100 mg every two weeks or 300 mg every four weeks for children ≥15 to <30 kg, and 200 mg every two weeks for children ≥30 kg) and is supplied as a pre-filled syringe. 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. r/eczema • I wish there was an eczema simulator so others could feel what we do when they say “don’t. Although you are not eligible, you can sign up DUPIXENT MyWay. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM. 2 cartons. Get a Quick Start. This DUPIXENT Pre-filled Pen is a single-dose device. Sign up or activate your card here. who are prescribed Dupixent gain access to the medicine and receive the support they may need with the DUPIXENT MyWay® program. Susie16 Oct 15, 2023 • 9:37 PM. Enrollment Form FOR DERMATOLOGISTS Complete the entire form and submit pages 1-2 to DUPIXENT MyWay® via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) For assistance, call 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm ET Patient Name DOB Prescriber. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. There is currently no generic alternative to Dupixent. -The original form (from the first guy) was still in the system and the folks at MyWay were “confused” by it. Do not store DUPIXENT pre-filled syringes at room temperatures more than 77°F (25°C) Do not keep DUPIXENT at room temperature. DUPIXENT MyWay team will research each patient’s situation and determine eligibility. Please see. 02. 89 and -1. Need additional guidance with the enrollment process? Call DUPIXENT MyWay at 1-844-387-4936 Monday through Friday, 8 am to 9 pm Eastern Time. Maybe try that while waiting for the Dupixent. 78 L) was seen at Week 2 in patients taking DUPIXENT 200 mg Q2W + SOC (n=264) (baseline blood EOS ≥300 cells/μL, QUEST, secondary endpoint). 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. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. Especially tell your healthcare provider if you. It may be covered by your Medicare or insurance plan. I was given the MyWay copay card but it had a limit of $13,000/calendar year and that has been exhausted at this point. 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. Dupixent is indicated for the treatment of severe atopic dermatitis in patients aged 6 to 11Dupilumab. Patient is responsible for any out-of-pocket amounts that exceed the program limit. These programs and tips can help make your prescription more affordable. Even when using the Copay Card, that would cover only cover 4 months worth, and would not go towards my deductible, totaling about. If you are a New York prescriber, please use an original New York State prescription form. 4 ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pm 01. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. any time by mailing or faxing a written request to DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. Fill out sections 5a and 5b completely to determine patient eligibility. Support. Want to be a part of the DUPIXENT MyWay® Ambassador Program? Fill out this self-nomination form to see if you qualify. So the nurse told me to fax receipts for year to date prescriptions and last year's income forms (W2, 1099, etc). To enroll or obtain information call 1-877-311. In order to meet the financial eligibility criteria for receiving Sanofi medication at no cost, you must have an annual household income of ≤ 400% of the current Federal Poverty. 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. DUPIXENT MyWay®. For more information, call 1-844-DUPIXENT ( 1-844-387-4936) option 1. Edit your dupixent myway enrollment form online. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. But either way, after you or Dupixent myway meets your deductible, it should be free to you. for DUPIXENT® dupilumab therapy My Information. 38]). Not valid for prescriptions paid, in whole or in part, by Medicaid, Medicare, VA, DOD, TRICARE, or. Household Size. Find the safety profile, including most common side effects, of DUPIXENT® (dupilumab) for infant to preschoolers 6 months to 5 years of age with uncontrolled moderate-to-severe atopic dermatitis . if speciality. 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. A 48-year-old man developed left thumb tenderness and bilateral Achilles tendinopathy after 6 weeks of Dupixent. “It’s an incredible feeling to be validated and. financial assistance for eligible patients, provide one-on-one nursing support, and more. Find the safety profile, including most common side effects, of DUPIXENT® (dupilumab) for infant to preschoolers 6 months to 5 years of age with uncontrolled moderate-to-severe atopic dermatitis . The most common side effects include: DUPIXENT MyWay. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. 0129 Last Update:. For patients with commercial insurance who are new to DUPIXENT and experiencing a. 22. Got off of it as soon as I realized it was getting worse with every shot after spacing them out every other month. LONG-LASTING CLEARER SKIN AT 16 and 52 Weeks 22% taking. It took the price from 2K to 1K. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. DUPIXENT MyWay ENROLLMENT FORMS; English Enrollment Form. If necessary, DUPIXENT may be kept at room temperature up to 77 °F (25 °C) for a maximum of 14 days. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing useful tools and resources. DUPIXENT® (dupilumab) is a. Deductible is at $3k out of pocket insurance pays 80% and at $6k insurance pays 100%. Caring. Dupixent Myway . THE DUPIXENT MyWay PROGRAM. Injection in children 12 and older should be supervised by an adult. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. $0!!!!! On April 6 I sent them income paperwork and my year to date prescription invoices. For any questions or concerns, or to report side effects with a Sanofi and Regeneron product while enrolled in DUPIXENT MyWay®, please contact 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. It's like $35k-$40k. 0254 Last Update: February 2023 DUP. 10 for placebo; difference between Dupixent and placebo: -2. After that, we will have met our family deductible. DUPIXENT® is indicated as an add-on maintenance treatment of adult and pediatric patients 6 years and older with moderate-to-severe asthma characterized by an eosinophilic phenotype or with oral corticosteroid dependent asthma. Assistance may be available for patients who do not have insurance. Most do, some don't. (The patient is lucky / unlucky enough to have an income that would rule out the Patient Assistance Program. March 27, 2018. 67 mL, 200 mg/1. If I am completing Section 5b, I authorize for my commercially insured patient one. g. , chart notes, laboratory values) and use of claims history documenting the following: 1. ) 2 Prescription Informationany time by mailing or faxing a written request to DUPIXENT MyWay at 1800 Innovation Point, Fort Mill, SC 29715; Fax: 1-844-387-9370. It's like $35k-$40k. 23. Just got the fun news that I will need to pay $2,700 for a monthly dose of Dupixent. Appears that my out of pocket maximum will be $8000 through insurance. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. SINCE 2017, ≈253,000 PATIENTS HAVE FILLED AT LEAST 1 DUPIXENT PRESCRIPTION b,c. For more information or to enroll in the patient support program, contact us at: 1‑844‑DUPIXENT 1-844-387-4936 Monday-Friday, 8 am-9 pm ET. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. Does anyone know of any assistance programs I can use to help assist in the copay after dupixent my way limit is reached?33% and 27% reduction in their nasal polyps score compared to a 7% and 4% increase with placebo in SINUS-24 and SINUS-52, respectively (LS mean change from baseline of -1. For more information, call 1-844-DUPIXENT. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. In order to meet the financial eligibility criteria for receiving Sanofi medication at no cost, you must have an annual household income of ≤ 400% of the current Federal Poverty Level. Required if enrolling in the DUPIXENT MyWay. For more information, please call 1-844-Dupixent (1-844-387-4936) or visit a personalized discussion guide to make the most of your doctor's visit whether you're beginning your EoE treatment journey or looking for another option. Clip the card and save • Save up to 80% on medications* Tell your healthcare provider about any new or worsening joint symptoms. Rx: DUPIXENT® (dupilumab) (100 mg/0. Browse the DUPIXENT® (dupilumab) sitemap to help you learn more about eosinophilic esophagitis (EoE) in patients 12 years and older who weigh at least 88lb (40kg) and navigate DUPIXENT. I just spoke to someone through the MyWay Program. a ®® ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pmAdditionally, Dupixent MyWay TM offers personalized support from registered nurses and other specialists who are available 24/7 to speak with patients and help them navigate the complex insurance process. The most common side effects include: DUPIXENT MyWay. S. About 75,000 adults in the U. There is currently no generic alternative to Dupixent. 01. I’m a registered nurse with DUPIXENT MyWay. Please see accompanying full Prescribing Information. Upon receipt of the completed Enrollment Form, DUPIXENT MyWay will: Conduct a benefits investigation to confirm commercial coverage Assess if the patient meets the eligibility criteria for the Quick Start Program 1 2 Approve the patient (if they are eligible). Social Security income, unemployment insurance benefits, disability income, any other income for the household. 0254 Last Update: February 2023 DUP. 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. At that point we will owe 20% of the cost of the medication, which adds up to just under $700/month. At one point, I was getting cold sores every 2 to 3 weeks consistently. DUPIXENT® (dupilumab) is a subcutaneous injectable medication used in the treatment of patients aged 6 years and older with uncontrolled moderate-to-severe atopic dermatitis with two delivery options available, pre-filled syringe & pre-filled pen (aged 12+ years). Section 5a. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. 2 pens of 300mg/2ml. “Eczema otherwise unspecified” is not indicated for Dupixent. Dupixent has been studied in more than 8,000 patients ages 6 years and older across more than 40 clinical trials. Sign it in a few clicks. . 14 mL, or 300 mg/2 mL)I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. Quantity Limits: Dupixent: 200 mg/1. any time by mailing or faxing a written request to DUPIXENT MyWay at 1800 Innovation Point, Fort Mill, SC 29715; Fax: 1-844-387-9370. DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. the info from that copay savings card you will give to alliance and they process that after insurance (so the $170 copay they’d cover) which would leave you with $0 copay. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. 2022;400 (10356):908-919. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. This copay card may be for you if you. And, if you're eligible, you can sign up and receive your card today. If you don't have insurance at all, the only realistic option is to qualify for income-based help from Dupixent directly. Copay Card or you wish to discontinue your participation, please contact us. Step One - let's gather our materials. you offering to give them $170 they assumed you didn’t want to bother contacting dupixent myway. Learn about the DUPIXENT® (dupilumab) mechanism of action inhibiting IL-4 and IL-13 signaling in appropriate asthma patients. 1-844-DUPIXENT 1-844-387-4936. Serious side. Especially tell your healthcare provider if you. For children aged 6 months to 5 years, it is taken as 1 injection every 4 weeks. 98% of Commercially Insured Patients. How much does Dupixent cost without insurance? The average monthly retail price of Dupixent is $4,910 per 2, 2 mL of 300 mg/2 mL prefilled syringes. Long-term results from a clinical trial that studied DUPIXENT for 52 weeks. In a clinical trial at 16 weeks in teens (aged 12-17 years) taking DUPIXENT* when used alone compared to teens not taking DUPIXENT: Clearer skinSAW CLEAR or Almost clear SKIN 24% vs 2% not taking DUPIXENT (placebo) nOTICEABLY LESS ITCHEXPERIENCED ITCH 37% vs 5% not taking DUPIXENT (placebo) ≥75%SKIN. Sanofi offers a Dupixent MyWay copay card to some patients with commercial insurance, but it has eligibility requirements and a yearly maximum of $13,000. For any questions or concerns, or to report side effects with a Sanofi and Regeneron product while enrolled in DUPIXENT MyWay®, please contact 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. The formulary status tool below can help check DUPIXENT coverage for various plans. Support. for DUPIXENT® dupilumab therapy My Information. 14 mL, or 300 mg/2 mL)Call 1-844-387-4936, Option 1 to contact DUPIXENT MyWay ®. For more information and to find out if you’re eligible for support, call 844-DUPIXENT (844-387-4936) or visit the program website. Dupixent is indicated for the following type 2 inflammatory diseases:,Atopic Dermatitis,Adults and adolescents,Dupixent is indicated for the treatment of moderate to severe atopic dermatitis in patients aged 12 years and older who are candidates for chronic systemic therapy. Since 2017, Dupixent has increased in price by 13%. After that, it is taken as 1 injection every 2 weeks or every 4 weeks, depending on your age and weight. 3. Data on file, Regeneron Pharmaceuticals, Inc. Decreased utilization of rescue medications 3. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. Serious adverse reactions may occur. DUPIXENT MyWay Appeal Specialists can help provide support throughout the appeal process. Dupixent MyWay pays the $500 copay. was not paid in whole or in part by Medicare, Medicaid, or any federal or state programs. I understand the disclosure to the Alliance will be for the purposes of enrolling me in, and providing certain services through the DUPIXENT MyWay Program, including • to determine if I am eligible to participate in DUPIXENT MyWay coverage assistance programs, patient assistance programs, or otherDUPIXENT . DUPIXENT MyWay. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not ENROLL. Fill out the form accurately and completely, providing all. With the DUPIXENT MyWay Copay Card, eligible,. With the DUPIXENT MyWay Copay Card, eligible,. Do NOT shakeConoce las dos opciones de administración disponibles: jeringa precargada de 200 mg y 300 mg, y pluma precargada de 200 mg y 300 mg (para edades de 12 años o más), y revisa cómo inyectar DUPIXENT® (dupilumab), un medicamento para inyección subcutánea, de venta con receta, para el eczema moderado a grave en adultos y niños de 6 meses o más. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. *For patients on DUPIXENT 300 mg in a 24-week and a 52-week clinical trial vs 17% for placebo group. The $500 payment counts towards the member’s deductible and out-of-pocket maximum. _____ What is your total annual household income? _____ (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. As far as choosing a better plan with a lower deductible, I don't really have much of a choice. They are a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI. 67 mL, 200 mg/1. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. Dupixent MyWay ™ will help eligible patients who are uninsured, lack coverage, or need assistance with their out-of-pocket costs. I just got approved thru Dupixent my way for a year of free medication. If you’re the spouse or. March 27, 2018. Patient Signature _____ If you have questions about the . 0129 Last Update:. Rx: DUPIXENT® (dupilumab) (100 mg/0. a,b a Data on file, Sanofi and Regeneron, US. SIGN UP TO SPEAK WITH A DUPIXENT MyWay ® MENTOR . Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will notFor any questions or concerns, or to report side effects with a Sanofi and Regeneron product while enrolled in DUPIXENT MyWay®, please contact 1-844-DUPIXEN(T)(1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. For more information, please call 1-844-DUPIXENT (1-844-387-4936) or visit . 58 for 1. Serious side effects can occur. XXXX 00/0000 b y: A B C c o m pa n y, I n c. 09. It temporarily provides eligible patients DUPIXENT at no cost, subject to program terms and conditions. Dupixent. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. living with prurigo nodularis are most in need of new treatment options . 0156 Last Update: March 2023 DUP. DUPIXENT MyWay is a patient support program that can help enable access to DUPIXENT and offers financial assistance to eligible patients, one-on-one nursing support, and. For any questions or concerns, or to report side effects with a Sanofi and Regeneron product while enrolled in DUPIXENT MyWay®, please contact 1-844-DUPIXEN(T)(1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. I wanted to go out and make a difference and help people. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. Eligible patients or caregivers of a patient must be: *For more information, dial 1-844-DUPIXENT 1-844-387-4936 option 5, Monday-Friday, 9 am - 9 pm ET. I've been on Dupixent for over 2 years now and it has been such a great experience keeping my eczema under control. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. com. - Rachel, DUPIXENT Patient Mentor, living with asthma. O. 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. If you are moderate to low-income person with eczema or just need help paying for your health care or prescription costs, you’ve come to the right place. DUPIXENT ® is a fully human monoclonal antibody that inhibits the signaling of the interleukin-4 (IL-4) and interleukin-13 (IL-13) proteins 3 and is not an immunosuppressant. Patient Assistance Program. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. DUPIXENT® (dupilumab), in moderate-to-severe asthma treatment, is taken as an injection by a pre-filled syringe or pre-filled pen, review both options here. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. Serious adverse reactions may. Registered nurses are also available to speak with eligible patients about DUPIXENT. The increase was approved by the Minnesota Legislature and will help expand SNAP eligibility to families who may have previously been ineligible for the. Dupixent is indicated for the treatment of moderate to severe atopic dermatitis in patients aged 12 years and older who are candidates for chronic systemic therapy. For more information or to enroll in the patient support program, contact us at: 1‑844‑DUPIXENT. Please see accompanying full Prescribing InformationTell us about yourself. It temporarily provides eligible patients DUPIXENT at no cost, subject to program terms and conditions. How many people live in your household? Please refer to Section 8, Patient Certifications, for additional information about the Patient Assistance Program. For more information, please call 1-844-DUPIXENT (1-844-387-4936) or visit got Dupixent MyWay copay assistance and they never asked one question about my income. 80). Thus, the member is now $500 from hitting his deductible and $1500 from hitting his out-of-pocket maximum. Rx: DUPIXENT® (dupilumab) (100 mg/0. Program has an annual maximum of $13,000. Hello! Switching insurance this year and need to prepare for increasing costs of dupixent with my new insurance. 00, but I do have some money invested. I have a $40 copay but I got the dupixent my way copay card its free for me. 99% of commercial patients (6+ months of age) nationally are covered for DUPIXENT. DUPIXENT® (dupilumab) is a. withdraw this Authorization at any time by mailing or faxing a written request to DUPIXENT MyWay at 1800 Innovation Point, Fort Mill, SC 29715; Fax: 1-844-387-9370. 1 Reactions. If you still have questions, you can speak with a DUPIXENT MyWay representative or request to join the program over the phone. THE DUPIXENT MyWay PROGRAM. 02. Learn about DUPIXENT® (dupilumab) for moderate-to-severe asthma treatment. DUPIXENT® is a subcutaneous injectable prescription medicine for adults and children aged 6 months & older, with uncontrolled, moderate-to-severe eczema (atopic dermatitis). 14 mL, or 300 mg/2 mL)Section 5a. My doctor gave me a copay card to cover mine. With and DUPIXENT MyWay Copay Card, eligible, commercially insured care may pay when little as $0* copay by fill the DUPIXENT. · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. was not paid in whole or in part by Medicare, Medicaid, or any federal or state programs. who are prescribed Dupixent gain access to the medicine and receive the support they may need with the DUPIXENT MyWay ® program. Just got off the phone with Dupixent My Way. 23. Throw away (dispose of) any DUPIXENT that has been left at room temperature for longer than 14 days. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. 0156 Last Update: March 2023 DUP. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. DUPIXENT MyWay. For more informational, page 1‑844‑DUPIXENT (1-844-387-4936), option. Dupixent will run about $3000 per month with my insurance until my maximum is met.