Program has an annual maximum of $13,000. -The MyWay forms themselves changed to a new revision and had to be resubmitted by my doctor -The revised new form needed me to resign then over the phone. March 27, 2018. Applies to: Dupixent Number of uses: per prescription per year. 2. It may be covered by your Medicare or insurance plan. 1‑844‑DUPIXENT 1-844-387-4936. Nationally are Covered for DUPIXENT. 01. 67 mL; 200 mg per 1. , Sanofi US, and their affiliates and agents (together, the “Alliance”) may verifyBy checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. Watch videos for a supplemental demonstration on how to use and dispose of DUPIXENT® (dupilumab), a prescription medicine for subcutaneous injection. The fax number is 1. 2 pens of 300mg/2ml. 00. With of DUPIXENT MyWay Copay Card, right, commercially insured patients might pay as little as $0* copay per fill of DUPIXENT. My wife is on Dupixent, and has the MyWay card which allows up to $13,000/year. 22. ®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. Box 5925 Mailstop 55A-220A Bridgewater, NJ 08807. 0129 Last Update:. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. Edit your dupixent myway enrollment form online. Dupixent will run about $3000 per month with my insurance until my maximum is met. Be sure to fill out your enrollment form completely and accurately. DUPIXENT MyWay team will research each patient’s situation and determine eligibility. With the Copay Card, You Could Pay as Little as $0 † The majority of DUPIXENT patients with commercial/employer-provided insurance use the DUPIXENT MyWay ® Copay Card. 23. 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 pay for it with my insurance and the myway copayment program. Lot EXP Mfd. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. My insurance plan only covers a small amount of it with the rest being carried by the Copay program, which has a limit per year. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. How many people live in your household? _____ Please refer to. A case series of 12 people prescribed Dupixent reported an average weight gain of 6. living with prurigo nodularis are most in need of new treatment options . Appears that my out of pocket maximum will be $8000 through insurance. 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. Rx: DUPIXENT® (dupilumab) (100 mg/0. including household income, to qualify. 12. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. 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. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. I have applied for grants, financial hardships (my household income surpasses every programs caps, even with 6 children), etc and now I'm just being told to pay $3,000/month or too bad. 0185 Last Update: November 2022 DUP. Complete the entire form and submit pages 1-3 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 Form FOR ALLERGISTSyou are supposed to get a copay savings card from dupixent myway. Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. PRESCRIBER TO FILL OUT Section 6a. . Fill out the form accurately and completely, providing all. ) 2 Prescription InformationDUPIXENT MYWAY ENROLLMENT FORM Moderate-to-Severe Atopic Dermatitis SUBMIT COMPLETED PAGES 1 & 2 Fax: 1-844-387-9370 Document Drop: (code: 8443879370) Patient Name DOB / / Prescriber Name Prescriber Address NPI # Prescriber State License # (Required in Puerto Rico only). 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. Caring. 0129 Last Update:. Patient has been compliant on Dupixent therapy 4. I have read and agree to the Income Verification included in Section 8 on page 5. How many people live in your household? _____ Please refer to Section 8, Patient Certifications , for. QUEST (12+ years) DUPIXENT offers rapid breathing relief patients can feel as early as Week 2. DUPIXENT is not a steroid or immunosuppressant; it is a prescription biologic medicine given under the skin (subcutaneous injection). It was granted and I pay $0. chevron_right. 98% of Commercially Insured Patients. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Fill out sections 5a and 5b completely to determine patient eligibility. Dupixent Myway . DUPIXENT® and DUPIXENT MyWay® are entered commercial of Sanofi Biotechnological. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. That is what I am in the middle of. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack coverage, or need assistance with their out-of. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. Injection in children 12 and older should be supervised by an adult. Coverage varies by type and plan. Compare . For more information, call 1. Program Website : Program Applications and Forms will need to meet the eligibility criteria, including household income, to qualify. Pay as little as $0 per month. To contact DUPIXENT MyWay, please call 1-844-DUPIXENT (1-844-387-4936). Learn more about programs for eligible patients who are insured, underinsured, and uninsured. 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. chevron_right. I have a $40 copay but I got the dupixent my way copay card its free for me. • DUPIXENT can be stored at room temperature up to 77°F (25°C) up to 14 days. Support. Serious adverse reactions may. Financial criteria for patient assistance. And very recently got laid off due to Covid-19. Prurigo Nodularis: The most common adverse reactions (incidence ≥2%) are nasopharyngitis, conjunctivitis, herpes infection, dizziness, myalgia, and diarrhea. I found the carnivore diet helps immensely for autoimmune issues. FUN Documents, MMIT, and Policy Reporter as of July 12, 2023. Option 1- you have to meet your deductible without Dupixent myway. DUPIXENT® (dupilumab) is a. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. Dupixent has been studied in more than 8,000 patients ages 6 years and older across more than 40 clinical trials. 09. 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. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. I’ve been with DUPIXENT MyWay since the very beginning. 22. 2 cartons. 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. 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. Dupixent is administered as an injection under the skin (subcutaneous injection) at different injection sites. Thus, the member is now $500 from hitting his deductible and $1500 from hitting his out-of-pocket maximum. Maximum benefit (2023) = $1,483. Dupixent inhibits the overactive signaling of interleukin-4 (IL-4) and. Deductible is at $3k out of pocket insurance pays 80% and at $6k insurance pays 100%. 23. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. DUPIXENT® and DUPIXENT MyWay® are entered commercial of Sanofi Biotechnological. Dupixent MyWay Copay Card. Just got the fun news that I will need to pay $2,700 for a monthly dose of Dupixent. Learn about DUPIXENT® (dupilumab) for moderate-to-severe asthma treatment. 23. DUPIXENT is a prescription medicine used as an add-on maintenance treatment for adults and children 6 years of age and older who have moderate-to-severe eosinophilic or oral steroid dependent asthma that is not controlled with their current asthma medicines. Use DUPIXENT exactly as prescribed by your doctor. 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. Over 80% of insurance plans cover Dupixent, but many have restrictions. DUPIXENT® (dupilumab) is a prescription medicine used to treat people aged 6 years and older with moderate-to-severe atopic dermatitis (eczema) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. any time by mailing or faxing a written request to DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. ithdrawal of this Authoriation will end my participation in the DUPIXENT MyWay Program and will not aect any disclosure of My Information ased on this Authoriation made efore my reuest is received and processed y my ealthcare Providers, ealth Insurers, and Specialty Pharmacies. DUPIXENT® 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. 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. Regeneron and Sanofi are committed to helping patients in the U. A 68-year-old woman developed generalized joint pain 6 weeks after starting Dupixent. 0254 Last Update: February 2023 DUP. Section 5a. DUPIXENT MyWay. -The original form (from the first guy) was still in the system and the folks at MyWay were “confused” by it. Patient Signature _____ If you have questions about the . 2017;5 (6):1519-1531. 14 mL, or 300 mg/2 mL)Call 1-844-387-4936, Option 1 to contact DUPIXENT MyWay ®. 1kg to 18. For Healthcare Professionals. It temporarily provides eligible patients DUPIXENT at no cost, subject to program terms and conditions. Serious side effects can occur. You must also meet certain household income eligibility requirements as outlined below: 48 States and DC. Hear from DUPIXENT® (dupilumab) patients & caregivers of patients 6 years and older with uncontrolled moderate-to-severe atopic dermatitis & healthcare professionals who treat atopic dermatitis, download helpful resources & explore future events. Dupixent is not intended for episodic use. If this is the case, write the preferred specialty pharmacy. _____ What is your total annual household income? _____ (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. DUPIXENT MyWay®. March 29, 2018. 80). Fax the Enrollment Form to DUPIXENT MyWay. 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. If I am completing Section 5b, I authorize for my commercially insured patient one. 99% of commercial patients (6+ months of age) nationally are covered for DUPIXENT. The DUPIXENT MyWay team will research each patient’s situation and determine eligibility. 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). 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). So, how can you save? Manufacturer Sanofi offers Dupixent MyWay, a patient support program. 0156 Past Update: March 2023 DUP. Nationally are Covered for DUPIXENT. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. They pay the first $13K (in a year) then when that is exhausted I will have to pay around $250 per month and the $13K starts over in January 2019. g. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. Check the liquid in the prefilled pen or syringe. , Sanofi US, and their affiliates and agents (together, the “Alliance”) may verifyDUPIXENT MyWay Nurse Educators are trained to help provide patients with supplemental injection training either online, over the phone, or in person with a training kit and practice syringe or practice pen. 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 appeal process Example letters. The DUPIXENT MyWay team can research each patient's situation and determine eligibility. 58 for 1. DUPIXENT MyWay Appeal Specialists can help provide support throughout the appeal process. DUP. 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. Ways to save on Dupixent. chevron_right. They never mentioned only covering a. It was a process to get into the patient assist program. Partner with a specialist near you to see if DUPIXENT® (dupilumab) is an option for you for uncontrolled moderate-to-severe eczema in adults and children aged 6 months & older. I just started this week so I look forward to seeing the results. 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. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. Refrigerate it at 36 °F to 46 °F. This year the program seems to have changed, requiring a separate 'copay card' with an annual limit of $13,000. March 27, 2018. ) Please refer to Section 8, Patient Certifications, for. The patient must then take the following actions:I just got approved for dupixent this week however the copay is 3,000$ a month! The dupixent my way program only covers up to 13k or something like that. 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). Since 2018, DUPIXENT has been prescribed to over 100,000 asthma patients in the US. DUPIXENT MyWay provides prior authorization and appeals information you may need, as well as helpful examples and guides to assist in obtaining coverage for DUPIXENT. 03. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack. 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. This copay card may be for you if you. Since 2017, Dupixent has increased in price by 13%. When filling out the DUPIXENT MyWay Enrollment Form, both you and your patient will be required to supply information, such as the patient’s insurance, diagnosis, and prescription. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. 00 per injection. Get a Quick Start. Your cost may depend on your treatment plan, your insurance coverage (if you have it), and the pharmacy you use. Patients may be eligible for the DUPIXENT MyWay Copay Card if: They have a DUPIXENT prescription for an FDA-approved condition. For more information, dial 1. You may be able to lower your total cost by filling a greater quantity at one time. who are prescribed Dupixent gain access to the medicine and receive the support they may need with the DUPIXENT MyWay ® program. Serious side effects can occur. THE DUPIXENT MyWay PROGRAM. DUPIXENT MyWay team will research each patient’s situation and determine eligibility. Quantity Limits: Dupixent: 200 mg/1. 25%) Taro Pharma patient access. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based on 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 can cause serious side effects, including: The most common side effects in patients with eczema include. a,b a Data on file, Sanofi and Regeneron, US. A group of skin conditions characterized by skin inflammation, rash, and itch. If requested, I agree to provide proof of income within thirty (30) days of the request. After removal from the refrigerator, DUPIXENT must be used within 14 days or discarded. Copay Card or you wish to discontinue your participation, please contact us. DUPIXENT® (dupilumab) is a. Prior authorization and appeals. Gather all necessary information and documents, such as your insurance information, prescription details, and any supporting documentation. 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. 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. Just got off the phone with Dupixent My Way. LASTING CHANGE IS ACHIEVABLE. 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. Some people do injections every 3 weeks, which could stretch that copay card out longer. 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 use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. 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. THIS IS NOT INSURANCE. 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. Serious adverse reactions may occur. Maximum Monthly Gross Income. You can email or print the enrollment forms below. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. THE DUPIXENT MyWay PROGRAM. For assistance, please call 1-844-468-2252 Monday Friday, 8AM to 8PM ET. DUPIXENT (dupilumab) Dupixent FEP Clinical Criteria AND submission of medical records (e. DUPIXENT® ® 1-844-387-9370 or Document Drop at (code: 8443879370) In adults and children 6 years and older, your initial dose of DUPIXENT is 2 injections under the skin (subcutaneous injection) at different injection sites. Program Website : Program Applications and FormsView the possible side effects of DUPIXENT in patients with uncontrolled chronic rhinosinusitis with nasal polyposis. Although you are not eligible, you can sign up DUPIXENT MyWay. Please note that you will receive a confirmation fax after sending the form. if speciality. 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. 0254 Last Update: February 2023 DUP. Eczema. Insurance Information Insurance? Yes No If yes, is it Medicare Part D? Primary insurance name Secondary insurance nameDupixent myway income limits 2022; where to buy authentic kf94 masks;. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. S. TEL: 844. Please see Important Safety Information and Prescribing Information and Patient Information on website. Patients in each age group saw improved lung function in as little as 2 weeks. LONG-LASTING CLEARER SKIN AT 16 and 52 Weeks 22% taking. DUPIXENT is a biologic and can help reduce your patients' use of systemic corticosteroids. 89 and -1. I just spoke to someone through the MyWay Program. any time by mailing or faxing a written request to DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. Children treated with Dupixent and topical corticosteroids (TCS) achieved clearer skin, experienced significantly improved overall disease severity and significantly reduced itch compared to TCS. 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. Biologic Drug: Biologic drugs are made from living cells and are often expensive. 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). After that, we will have met our family deductible. For more information, please call 1-844-DUPIXENT (1-844-387-4936) or visit . Fill out sections 5a and 5b completely to determine patient eligibility. Throw away (dispose of) any DUPIXENT that has been left at room temperature for longer than 14 days. DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. I. It's like $35k-$40k. Sign up for the DUPIXENT MyWay® mentor program for adults with uncontrolled chronic rhinosinusitis with nasal polyposis that is associated with type 2 inflammation. DUPIXENT is not used to treat sudden breathing problems. I’m a registered nurse with DUPIXENT MyWay. Children 6 to 11 years of age . The Dupixent pre-filled syringe is available in the following strengths: 100 mg per 0. SIGN UP TO SPEAK WITH A DUPIXENT MyWay ® MENTOR . The specialty pharmacy is responsible for securing coverage on my patient’s behalf. 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). DUPIXENT is taken by injection under the skin (subcutaneous injection) once every two weeks. Serious side effects can occur. 74 (2023), plus an amount based on how much you. Depends if your insurance cares that Dupixent myway is paying your deductible. I give supplemental injection training to the patient and the patient’s caregiver. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. Serious side effects can occur. Income at or below: Not Published: Medical expenses can be. How many people live in your household? _____ Please refer to. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. 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). Serious side effects can occur. how to afford it then - it's been so helpful!! 3 Reactions. $0 is the amount you pay. That is good, because I was quoted 1400+ a month by my Medicare D provider. Lancet. ®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 have prescribed DUPIXENT to the Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. Rx: DUPIXENT® (dupilumab) (100 mg/0. Patient to Fill Out. Regeneron and Sanofi are committed to helping patients in the U. 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. Also, make sure to store the DUPIXENT MyWay phone number in your phone’s contacts so you. Please see Important Safety Information and Prescribing Information and Patient Information on website. How many people live in your household? Please refer to Section 8, Patient Certifications, for additional information about the Patient Assistance Program. If you still have questions, you can speak with a DUPIXENT MyWay representative or request to join the program over the phone. The formulary status tool below can help check DUPIXENT coverage for various plans. 1kg over one year – the amount of weight gained ranged from 0. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will notDUPIXENT MyWay may ask for proof of income at any time for the purpose of audit/verification. financial assistance for eligible patients, provide one-on-one nursing. 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 other4 ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pmDUPIXENT MyWay complements your office’s process for accessing DUPIXENT. My doctor gave me a copay card to cover mine. 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. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. 67 mL, 200 mg/1. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. LH Patient View; data through June 16, 2023. 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. DUPIXENT use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. DUPIXENT MyWay® Program Taking Dupixent. 02. 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. ) 2 Prescription InformationDupixent® (dupilumab) approved by FDA as the first and only treatment indicated for prurigo nodularis. A program called Dupixent MyWay is available for this drug. 0156 Past Update: March 2023 DUP. Support. Dupixent is an injection under the skin (subcutaneous injection) at different injection sites. J Allergy Clin Immunol Pract. a FDA approved since 2017 for adults, 2019 for adolescents (aged 12‑17 years), 2020 for children (aged 6-11 years), Patients may be eligible for the DUPIXENT MyWay Copay Card if: They have a DUPIXENT prescription for an FDA-approved condition. Learn how DUPIXENT® (dupilumab) works as the first and only FDA-approved treatment for prurigo nodularis (PN) in adults aged 18 years and older. DUPIXENT can be used with or without topical corticosteroids. 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. 14 mL, or 300 mg/2 mL)My insurance provider covers 85% and our Canadian version of 'MyWay' pays the remainder. 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. Your experience with DUPIXENT is unique, and sharing your journey can inspire and empower people facing similar challenges. It contains 300 mg of DUPIXENT for injection under the skin (subcutaneous injection). 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. 10 for placebo; difference between Dupixent and placebo: -2. This medicine should be given by a caregiver in children 6 months to less than 12 years of age. 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. 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). There is currently no generic alternative to Dupixent. If you have any additional questions about this pricing information, please call DUPIXENT MyWay at 1-844-DUPIXENT (1-844-387-4936). Eligible patients will receive they cards by e-mail. financial assistance for eligible patients, provide one-on-one nursing support, and more. Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase. 67 mL, 200 mg/1. DUPIXENT MyWay. 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 the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. For patients with commercial insurance who are new to DUPIXENT and experiencing a. 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. With the DUPIXENT MyWay Copay Card, eligible,. If you don't have insurance at all, the only realistic option is to qualify for income-based help from Dupixent directly. Guam or the USVI, and demonstrate a financial need with a total annual adjusted gross income of $100,000 or less. Over 80% of insurance plans cover Dupixent, but many have restrictions. You may be eligible for the DUPIXENT MyWayDUPIXENT MyWayAbout Dupixent Dupixent is administered as an injection under the skin (subcutaneous injection) at different injection sites. Eligible patients covered by commercial health insurance may pay as little as a $0 p copay per fill of DUPIXENT. About 75,000 adults in the U. We just need you to answer a few questions to verify your eligibility and contact information. So the nurse told me to fax receipts for year to date prescriptions and last year's income forms (W2, 1099, etc).