It is important that the patient consents to receiving communication from DUPIXENT MyWay and indicates how they would like to be contacted, whether it be via email, phone, or text. pediatric patients aged 12 years and Remember to monitor and document the patients progress for reauthorization. If you do not have insurance that covers your prescription medications, or if your insurance does not NeedyMeds Drug Discount Card; . YETUNDE: in adult patients with inadequately Risk Associated with Abrupt Reduction of Corticosteroid Dosage: Do not discontinue systemic, topical, or inhaled corticosteroids abruptly upon initiation of DUPIXENT. 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. DUPIXENT is not used to treat sudden breathing problems. There are several reasons for this, including incomplete documentation, administrative errors, clinical reasons or a no-coverage determination, or a plan exclusion. Stop using DUPIXENT and tell your healthcare provider or get emergency help right away if you get any of the following signs or symptoms: breathing problems or wheezing, swelling of the face, lips, mouth, tongue, or throat, fainting, dizziness, feeling lightheaded, fast pulse, fever, hives, joint pain, general ill feeling, itching, skin rash, swollen lymph nodes, nausea or vomiting, or cramps in your stomach-area. If youre eligible, you can enroll online and recieve your card by email. MAT-US-2019257-v3.0-01/2022. In those situations, the program may change its terms. Once youve been prescribed DUPIXENT, your healthcare provider can download the enrollment form, help you fill it out, and fax it back toDUPIXENT MyWayat1-844-387-9370. The cost for Dupixent subcutaneous solution (200 mg/1.14 mL) is around $3,788 for a supply of 2.28 milliliters, depending on the pharmacy you visit. Patients prescribed DUPIXENT and enrolled inDUPIXENT MyWaycan access: Supplemental injection training in person, virtually, or by phone, Help scheduling deliveries of your prescription, Insightful tips and tools to help you along the way. Ive been withDUPIXENT MyWaysince the very beginning. Stop using DUPIXENT and tell your healthcare provider or get emergency help right away if you get any of the following signs or symptoms: breathing problems or wheezing, swelling of the face, lips, mouth, tongue, or throat, fainting, dizziness, feeling lightheaded, fast pulse, fever, hives, joint pain, general ill feeling, itching, skin rash, The DUPIXENT MyWay Copay Card may help eligible, commerciallyinsured patients cover the out-of-pocket cost of DUPIXENT. Years, Weighing at I wanted to go out and make a difference and help people. Putting the pieces together for acquiring DUPIXENT. Use DUPIXENT exactly as prescribed by your healthcare provider. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. reserves the right to rescind, revoke, terminate, or amend this oer, eligibility, and terms of use at any time without notice. Available at https://aspe.hhs.gov/poverty-guidelines. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. Approval is not guaranteed. Contact Sanofi US or Regeneron Pharmaceuticals, Inc. or call 1-844-387-4936 to contact DUPIXENT MyWay. DUPIXENT MyWay PROGRAM OVERVIEW Help eligible patients start and stay on track with their therapy 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. It is not known whether DUPIXENT will harm your unborn baby. Atopic Dermatitis: DUPIXENT is indicated for the treatment of adult and pediatric patients aged 6 months and older with moderate-to-severe atopic dermatitis whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable. Legal Disclaimer | Privacy Policy | Contact Sanofi are pregnant or plan to become pregnant. 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. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. ORE: Enter your email address and we will send you your requested resource. DUPIXENT can cause serious side effects, including: Allergic reactions. What do most people with this insurance type pay? They will not ship your medicine without first confirming delivery details with you. You are encouraged to report negative side effects of prescription drugs to the FDA. Patients must verify their coverage directly with their health plan. Ests a punto de abandonar este sitio para visitar nuestro sitio en ingls. This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back. The PATIENT SUPPORT CoverMyMeds support is available for DUPIXENT. Monday-Friday, one-on-one nursing support, and Eye problems. 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). I dont really get scared anymore. Even if a medication is on the drug formulary, health plans may have policies you and your doctor must follow before the drug is approved. Atopic Dermatitis: DUPIXENT is indicated for the treatment of adult and pediatric patients aged 6 months and older with moderate-to-severe atopic dermatitis whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable. Please refer to Regeneron's Privacy Noticeand Sanofi'sPrivacy Policy for more information regarding processing of your personal data. Learn how to get your patients started with DUPIXENT MyWay. Please refer to Regeneron's Privacy Noticeand Sanofi'sPrivacy Policyfor more information regarding processing of your personal data. Baltimore, MD: Centers for Medicare and Medicaid Services; 2019. Eosinophilic Esophagitis: DUPIXENT is indicated for the treatment of adult and pediatric patients aged 12 years and older, weighing at least 40 kg, with eosinophilic esophagitis (EoE). 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). patients situation and determine eligibility. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. A causal association between DUPIXENT and these conditions has not been established. In children 12 years of age and older, its recommended DUPIXENT be administered by or under supervision of an adult. In some denial cases, a plan may require a peer-to-peer review with a medical reviewer at the health plan. o A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. All rights reserved. DUPIXENT: your first choice to adequately control this chronic, systemic disease VIEW RESULTS 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. This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back. As a reminder, with all of these folks helping to get you off to good start with DUPIXENT, you may receive phone calls from your doctors office, specialty pharmacy, and aDUPIXENT MyWayNurse Educator. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. For families/households with more than 8 persons, add $5,910 for each additional person. A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. Centers for Medicare and Medicare website. Maximum allowable copayments determined by eligible populations household income. These are not all possible side effects of DUPIXENT. Be sure to check your inbox. This information is intended for U.S. Healthcare Professionals. 866-452-5017 or Connect one-on-one with a trained patient or caregiver, ask questions, and hear about their personal journey living with their condition and life on DUPIXENT. This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back. Tell your healthcare provider if you have any side effect that bothers you or that does not go away. Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. Dupixent MyWay Program Dupixent (dupilumab injection) Last Updated: 03/09/2023 Application Forms & Instructions The following documents are provided in interactive PDF format, allowing you to type information directly into the form. are breastfeeding or plan to breastfeed. Phenotype or Some people who use DUPIXENT have had trouble walking or moving due to their joint symptoms, and in some cases needed to be hospitalized. The list price* of DUPIXENT is $3,587.92 USD per carton, but most people will not pay the list price. It is not known if DUPIXENT is safe and effective in children with atopic dermatitis under 6 months of age. Healthcare providers should be alert to vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their patients with eosinophilia. Be sure to fill out your enrollment form completely and accurately. Health insurance coverage in the United States: 2016. Tell your healthcare provider if you have any side effect that bothers you or that does not go away. The decision about whether to cover a drug usually begins with whether the drug is on the plans drug formulary. The DUPIXENT MyWayteam can research each patient's situation and determine eligibility. Months, For Patients Ages 6+ Years 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. 32 % Support & Education 24 % Awareness We have multiple resources available for patients. Vaccinations: Consider completing all age-appropriate vaccinations as recommended by current immunization guidelines prior to initiating DUPIXENT. 2023Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. 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. 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. I dont really get scared anymore. (1-844-387-4936), option 1. Use the cost and coverage tool to see whether DUPIXENT may be covered by your insurance plan. charges. Prurigo Nodularis: PROGRAM, https://mothertobaby.org/ongoing-study/dupixent/. working with specialty pharmacies to get dupixent. Mentor or sharing Tell your healthcare provider about any new or worsening joint symptoms. Ests a punto de abandonar este sitio para visitar nuestro sitio en ingls. This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back. Whether youre considering treatment with DUPIXENT or youre a DUPIXENT patient or caregiver, you can sign up for emails and additional resources from DUPIXENT MyWay that can help you: Uncontrolled moderate-to-severe eosinophilic or oral steroid dependent asthma, Uncontrolled chronic rhinosinusitis with nasal polyposis. Select your current prescription insurance to have eye problems. Patients will need to meet the eligibility criteria, including household income, to qualify. Be sure to check your inbox. Haz clic en "Continuar" si quieres proseguir. Any savings provided by the program may vary depending on patients' out-of-pocket costs. Patients may have insurance plans that attempt to dilute the impact of the assistance available under the program. ORE: Prurigo Nodularis: DUPIXENT is indicated for the treatment of adult patients with prurigo nodularis (PN). DUPIXENT MyWay will not conduct the benefits investigation, nor send a Summary of Benefits Form, for providers who have checked the specialty pharmacy box on the Enrollment Form, as this indicates that they wish the specialty pharmacy to conduct the benefits investigation. Need additional guidance with the enrollment process? DUPIXENT MyWay is a patient support program that can help enable access to DUPIXENT and offers Some people with Medicare Part D coverage are eligible for the Social Security Administration's Extra Help 4 program (also known as the Low-Income Subsidy or "LIS"), and they typically pay $3-$9 for their prescriptions. I give supplemental injection training to the patient and the patients caregiver. This is called prior authorization and is common for specialty medicines. moderate-to-severe asthma Its an injection given under the skin (subcutaneous injection). Eosinophilic Conditions: Patients being treated for asthma may present with serious systemic eosinophilia sometimes presenting with clinical features of eosinophilic pneumonia or vasculitis consistent with eosinophilic granulomatosis with polyangiitis (EGPA), conditions which are often treated with systemic corticosteroid therapy. to Learn More. is a patient support program to treat adults and children 12 years of age and older, who weigh at least 88 pounds (40 kg), with eosinophilic esophagitis (EoE). 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. Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a healthcare provider. Not valid for prescriptions paid, in whole or in part, by Medicaid, Medicare, VA, DOD, TRICARE, or other federal or state programs including any state pharmaceutical assistance programs. Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. Before using DUPIXENT, tell your healthcare provider about all your medical conditions, including if you: are scheduled to receive any vaccinations. In those situations, the program may change its terms. In children 6 months to less than 12 years of age, DUPIXENT should be given by a caregiver. This can help you avoid potential delays in getting your prescription. How are your donations impacting the community? Please be aware that not all Sanofi products are covered under the Sanofi Patient Assistance program. I think its very important to just be patient. prescription therapies or when those Out-of-pocket costs were standardized to a 30-day supply period. Announcement of Calendar Year (CY) 2022 Medicare Advantage capitation rates and Medicare Advantage and Medicare Part D payment policies and final call letter. Next, your prescription may have to be authorized by insurance. Once enrolled, a benefits investigation to determine coverage begins.
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