insurer. Complete every fillable area. The website is All of the information, including these side effects and videos on giving yourself the shot, and. The Dupixent pre-filled pen is only for use in patients 12 years of age and older. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. 02. Check the liquid in the prefilled pen or syringe. Option 1- you have to meet your deductible without Dupixent myway. DUPIXENT is a prescription medicine used to treat certain skin conditions, asthma, and chronic rhinosinusitis with nasal polyps. How to use Dupixent (dupilumab) syringes: 1) Wash your hands with soap and water before injection. Serious side effects can occur. 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. 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. reply . fainting, dizziness, feeling lightheaded. I agree to assist in e Éorts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. 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. ” IMPORTANT SAFETY INFORMATION: Do not use if you are allergic to dupilumab or to any of the ingredients in DUPIXENT ®. x DUPIXENT Syringes can be stored at room temperature up to 77°F (25°C) up to 14 days. Serious side effects can occur. 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. Serious side effects can occur. FDA approves Dupixent ® (dupilumab) as first treatment for adults and children aged 12 and older with eosinophilic esophagitis. Please see Important Safety Information and full PI on website. 2 pens of 300mg/2ml. Like all biologics, Dupixent is made from proteins, and must be given by injection. Monday-Friday, 8 am-9 pm ET. 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. Dupixent - extreme pain while injecting. 55% of reviewers reported a positive experience, while 27% reported a negative experience. My face/neck which has always. Serious side effects can occur. Stop using DUPIXENT ®. Welcome to RxCrossroads. And while everyone’s working through the details, look to DUPIXENT MyWay for additional support. FUN Documents, MMIT, and Policy Reporter; data through July, 2023. Contact Regeneron for information about corporate communications, media relations, investor relations or business development. I’m ready to make a difference. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. Fax: 1-908-809-6249. Dupixent has an average rating of 6. swelling of the face, lips, mouth, tongue, or throat. Injection. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. Needed additional leadership equipped the enrollment process? Contact your section accessories dedicated or call DUPIXENT MyWay. DUPIXENT 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. Ask the prescriber for a free sampleDUPIXENT® 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 most common side effects include: DUPIXENT MyWay. 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. Call 1-844-387-4936, Option 1 to contact DUPIXENT MyWay ®. My dr pioneered eoe for many years and ran a lot of the trials. And despite those massive growth forecasts, some analysts figure Dupixent could be on. With of DUPIXENT MyWay Copay Card, right, commercially insured patients might pay as little as $0* copay per fill of DUPIXENT. I chose to be a nurse because I wanted to help people, and I believe that people should be in service to others. DUPIXENT® is a subcutaneous injectable prescription medicine for adults and children aged 6 months & older, with uncontrolled, moderate-to-severe eczema (atopic dermatitis). 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. DUPIXENT is a prescription medicine used to treat adults and children 6 months of age and older with moderate-to-severe eczema (atopic dermatitis or AD) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. 2 pens of 300mg/2ml. 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. I really enjoy the patient interaction. Serious side effects can occur. Originally went on dupixent as 1st derm thought I had eczema. I, _____, certify that the information provided for this reimbursement request is accurate to the best of my knowledge, and. 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. Please see Important Safety Information and Patient Information on website. by McKesson's Portal! RxCrossroads is pleased to provide you with fast, reliable assistance in obtaining medication copay saving offerings. insurer. The recommended dosage of DUPIXENT for pediatric patients 6 months to 5 years of age is specified in Table 1. Save. If you don’t have health insurance, talk. 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. 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. Please see Important Safety Information and Patient Information on website. DUPIXENT can cause allergic reactions that can sometimes be severe. DUPIXENT can be used with or without topical corticosteroids. I agree to assist in e Éorts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 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. Fill a 90-Day Supply to Save. I feel so judged when I say I don’t want to go on Dupixent. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. Dupixent will run about $3000 per month with my insurance until my maximum is met. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. 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. Dupilumab, sold under the brand name Dupixent, is a monoclonal antibody blocking interleukin 4 and interleukin 13, used for allergic diseases such as eczema (atopic dermatitis), asthma and nasal polyps which result in chronic sinusitis. 2 cartons. It may be covered by your Medicare or insurance plan. S. DUPIXENT has been FDA approved for use in adults with uncontrolled moderate-to-severe eczema since 2017. Each time you fill your DUPIXENT prescription, please ensure your. GF Strong Rehabilitation Centre. You can connect with DUPIXENT MyWay Nurse Educators by phone to receive supplemental injection training, help scheduling deliveries and prescription refills, or help navigating financial support options, such as copay assistance. I agree to assist in e Éorts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. New pati ent . My skin is now 90 percent cleared. PRESCRIBER TO FILL OUT Section 6a. My name is Shari and I’m a registered nurse with DUPIXENT MyWay. There’s no laboratory monitoring required, not at the beginning, not during therapy. Allergic reactions. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. x Store DUPIXENT Syringes in the original carton to protect them from light. DUPIXENT MyWay®. Dupixent MyWay Copay Card Rebate. 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. 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. 2 cartons. You may be able to lower your total cost by filling a greater quantity at one time. 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. Count to 5 to be sure you get the full dose. Compare monoclonal antibodies. My itching was a 15 out of 10. Be sure the details you add to the Dupixent Enrollment Form is updated and correct. Learn more about DUPIXENT® (dupilumab) in moderate-to-severe asthma and if it may be the right treatment option for you. Dymista - Pay as little as $29. Dupixent side effects. For children weighing 15 kilograms (kg)* to less than 30 kg, the dosage is either: • 100 mg every other week, or. DUPIXENT MyWay® can work with your insurance provider to identify a preferred, in-network specialty pharmacy. DO NOT inject DUPIXENT into skin that is tender,Welp, got prescribed Dupixent. Asthma:. 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. DUPIXENT MyWay Copay Card may help eligible, commercially‑insured patients cover the out-of-pocket cost of DUPIXENT. insurer. If you are a New York prescriber, please use an original New York State prescription form. How possessed an annual upper of $13,000. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. The most common side effects may include injection site reactions, pink eye, eyelid inflammation, cold sores, and mouth or throat. The my way nurses are as useless as it gets. Serious adverse reactions may occur. com . Some people do injections every 3 weeks, which could stretch that copay card out longer. I authorize the Alliance to use my Social Security number and/or additional. Sign up or activate your card here. To get started: Contact your DUPIXENT MyWay Support Team for an C M ET DUPIXENT MYWAY ENROLLMENT FORM Moderate-to-Severe Atopic Dermatitis SUBMIT COMPLETED PAGES 1 & 2 Fax: 1-844-387-9370 Document Drop: (code: 8443879370) PRESCRIBER TO FILL OUT Section 6a. The $500 payment counts towards the member’s deductible and out-of-pocket maximum. insurer. I recommend checking them out if you have any questions or concerns. Severely painful. Dupilumab. Please see Important Safety Information and Prescribing Information and Patient Information on website. Tell your healthcare provider about any new or worsening joint symptoms. VO: 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. coverage delay for DUPIXENT by the patient’s insurer. Full. My issue on dupixent wasn’t joint pain but I started having elevated liver enzymes which if left untreated. 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 is not intended for episodic use. throat pain or soreness. Please see Important Safety. But either way, after you or Dupixent myway meets your deductible, it should be free to you. (Biosimilars are like. My dr told me Dupixent costs around $10,000 a month at full cost, so insurance companies are bound to put up lots of red tape. Talk with. Welcome to Co-Pay Relief! Are you eligible to get help. DUPIXENT MyWay. The dupixent my way enrollment form isn’t an exception. If you are a New York prescriber, please use an original New York State prescription form. 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. 5. My daughter's Dupixent is free with the card and they ship it with cold packs to our front door. , Benefits Investigation, Prior Authorization, and Appeals Support) Patient Access Support (e. The yellow needle cover will cover the needle. DUPIXENT is a form of medicine called a biologic that targets Type 2 inflammation, an underlying cause of nasal polyps. 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. 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. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. 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. Learn how DUPIXENT helped treat children 6 to 11 years old with their moderate-to-severe asthma. Yesterday the nurse injected the first dose using a syringe in my leg. Good luck to all! I still have it on legs and arms but it's nothing compared to full body day and night. 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. Hello cinc: I have been on Dupixent approx 1-1/2 years with very rare eye irritation. DUPIXENT MyWay. Although you are not eligible, you can sign up DUPIXENT MyWay. 99% of commercial patients (6+ months of age) nationally are covered for DUPIXENT. I took Dupixent over 6 months, and having trouble now. 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. 7 out of 10 from a total of 188 reviews for the treatment of Eczema. The cost of Dupixent may vary based on the strength and dosage form you use. Nationally are Covered for DUPIXENT. Watch videos from experts [,download materials,] and explore future events to further understand DUPIXENT® (dupilumab). DUPIXENT below. This letter serves as my determination of medical necessity for DUPIXENT® (dupilumab) for this patient. If you are a New York prescriber, please use an original New York State prescription form. Copay Reimbursement Program, 200 Jefferson Park, Whippany, NJ 07981. Find information on insurance coverage, ordering through a specialty pharmacy, and the cost of DUPIXENT® (dupilumab), a prescription medicine FDA-approved to treat five conditions. high levels of white blood cells. What makes the dupixent digital document center legally binding? As the society ditches in-office work, the completion of documents more and more takes place electronically. See if you live in an eligible county and learn more about the health equity funds here. These programs and tips can help make your prescription more affordable. Sign up or activate your card here. 2. 3 views 1 minute ago. DUPIXENT blocks the signaling of two key sources of Type 2 inflammation (IL-4 and IL-13). 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). I found the carnivore diet helps immensely for autoimmune issues. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 5K subscribers. Serious side effects can occur. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. I only felt a pinch, like for the covid vaccine. This has happened a few times, and I thought the medication itself was bad. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing. muscle aches. Hi, I'm on Dupixent and so far my doctor has done the injections, using the syringe. Learn More. 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). Learn more about programs for eligible patients who are insured, underinsured, and uninsured. For brand name drugs under review and drug reviews completed on or. Dupixent isn’t available in a biosimilar form. Dupixent also isn’t financially in the cards for me. 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. For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. Within 24 hours, one of our patient advocates will call you for a brief interview. Do not store DUPIXENT pre-filled syringes at room temperatures more than 77°F (25°C) Do not keep DUPIXENT at room temperature. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 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, state-specific. The dupixent my way enrollment form isn’t an exception. 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@. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,1‑844‑DUPIXENT 1-844-387-4936. 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. There are a number of things that really resonate with the patients, and one of them is the lack of laboratory monitoring. 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. DUPIXENT can be used with or without topical corticosteroids. The DUPIXENT MyWay nurse connects patients to a variety of helpful resources, including one-on-one nursing support, financial assistance for eligible patients, and helpful refill. com. a Coverage varies by type and plan. For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. This will allow the specialty pharmacy to conduct the benefits investigation, and DUPIXENT MyWay will provide additional support to the patient. My Dupixent auto injector people, where you at, I have a question for you. This information will ONLY be used to validate your eligibility. 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 to prepare, inject, and dispose of the syringe safely and correctly. Based on the questions answered above, you are not eligible to register for a new copay card or to activate a copay card. If patients become infected while receiving treatment with DUPIXENT and do not respond to anti-helminth treatment, discontinue treatment with DUPIXENT until the infection resolves. •Store DUPIXENT Syringes in the refrigerator between 36°F to 46°F (2°C to 8°C). TRANSFORM THE WAY YOU MANAGE EoE. DUPIXENT MyWay® Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. 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. Helminth infections (5 cases of enterobiasis and 1 case of ascariasis) were reported in pediatric patients 6 to 11 years old in the pediatric asthma development program. 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. support and resources. Dupixent Side Effects (Took my first 2 shots about 2 weeks ago) Hello all. I pay nothing. Program Website : Program Applications and Forms. Patient is responsible for any out-of-pocket amounts that exceed the program limit. How are you finding the program? I received a missed call from them last week but the message they left on my phone was cut short so I don't have a name or. Eligible patients will receive their cards by email. What it is used for. 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. x Store DUPIXENT Syringes in the refrigerator between 36°F to 46°F (2°C to 8 °C). Get the dupixent copay card and you will likely get it for no charge for a while. Unusual weakness or fatigue, fever, headache, skin rash, muscle or joint pain, loss of appetite, pain, tingling, or numbness in the hands or feet. 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. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing, state-specific. 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. Click on the Sign button and make a signature. Being a nurse for DUPIXENT MyWay is very rewarding. They are especially crucial when it comes to stipulations and signatures associated with them. In children 12 years of age and older, it. Website Link: GF Strong Rehabilitation Centre. (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. Chest. tamagootchi • 1 yr. DUPIXENT is indicated as an add-on maintenance treatment of adult and pediatric patients aged 6 years and older with moderate-to-severe asthma characterized by an eosinophilic phenotype or with oral corticosteroid dependent asthma. Manufacturer Coupon. DUPIXENT is an injectable medicine that is administered by subcutaneous injection and is intended for use under the guidance of a healthcare provider. Send the completed form to: MyHealth@islandhealth. 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. chevron_right. 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. To help identify you in our system, please provide the following information. Injection site reactions and eye conditions are the most common side effects reported and, unlike several other biologics, the risk of infection is low. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. 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. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. Brovana - Save up to $30 per month. Serious adverse reactions may occur. This will allow the specialty pharmacy to conduct the benefits investigation, and DUPIXENT MyWay will provide additional support to the patient. 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. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Foradil Aerolizer - Save up to $120. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. The upper arm can also be used if a caregiver administers the injection. (I am one of those patients!) have seen a great results. 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). Luckily my supplemental ins pays it all with Medicare paying nothing. My husband has been on it several months for severe asthma. Box 5925 Mailstop 55A-220A Bridgewater, NJ 08807. •Store DUPIXENT Syringes in the original carton to protect them from light. 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. Provide information about your healthcare provider, including their name, address, and contact information. In order to be effective and work properly, most biologics are injectable medicines. Eligible patients covered by commercial health insurance may pay as little as a $0 p copay per fill of DUPIXENT. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. Tips. In clinical trials, DUPIXENT reduced the. ago. g. 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. Serious side effects can occur. Inflammation of your blood vessels. Once I got a new job, I called Dupixent MyWay to tell them my status changed and I could now get drugs through my insurance's specialty pharmacy. Dupixent Interactions. The cost of the 300-milligrams per 2-milliliters (mg/mL) shot of Dupixent will vary based on several factors. 1 A patient may self-inject DUPIXENT—or a caregiver may administer DUPIXENT—after training has been provided by a healthcare provider on proper subcutaneous injection technique using the pre-filled syringe or pre-filled pen 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. Sign up or activate your card here. If given in a pill, our digestive tract will easily break these proteins down – much like it does when we eat a piece of steak – and make the drug ineffective. Pregnancy: A pregnancy exposure registry monitors pregnancy outcomes in women exposed to DUPIXENT during pregnancy. ( 1-844-387-4936), option 1. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. Enroll eligible patients in the DUPIXENT MyWay® patient support program for DUPIXENT® (dupilumab) access, financial assistance & nursing support. Living with my nasal polyps was exhausting. , Quick Start, Copay Card, and Patient Assistance Program) Nursing Support (e. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. Dupixent for Eczema User Reviews. Last name . I've been taking Dupixent since November 2019 for nasal polypus. facilitate the filling of my patient’s prescription; to assess, if applicable, my patient’s eligibility for patient assistance and other support programs; and to otherwise administer. I need another treatment. You can do this by applying online or calling us at 1 (877)386-0206. (2) Financial support for eligible patients: Get information about potential. Coverage varies by type and plan. 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. DUPIXENT can cause allergic reactions that can sometimes be severe. O. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. Find the definitions of commonly used terms related to uncontrolled, moderate-to-severe eczema, atopic dermatitis, and DUPIXENT® (dupilumab). For any questions or concerns, please contact us at the phone number located on your enrollment form. The phone number is 1‑844‑DUPIXEN (T) (1-844-387-4936) Option 1, Monday–Friday, 8 AM–9 PM Eastern time. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing useful tools and resources. My name is Shari and I’m a registered nurse with DUPIXENT MyWay. So far this has happened 4 times - once with 2 injections from the. . About Dupixent Dupixent is administered as an injection under the skin (subcutaneous injection) at different injection sites. Have commercial insurance, including health insurance exchanges, federal employee plans, or state employee plans;. Available in two delivery options, pre-filled syringe & pre-filled pen (300mg) for ages 12+ years. insurer. Especially tell your healthcare provider if you. I tried Dupixent and it changed my life. 1-844-DUPIXENT 1-844-387-4936. The dupixent appeal letter is a Word document that should be submitted to the relevant address in order to provide some information. Using a mail-order specialty pharmacy might help lower the monthly cost of Dupixent. Try checking out MyWay Dupixent Program!! They cover costs of Dupixent and whatever your insurance won't pay (up to a certain yearly amount). In clinical studies utilizing a symptom measurement tool, people taking DUPIXENT saw a meaningful improvement in their nasal polyps symptoms, which included, but were not limited to: • Nasal blockage • Facial pain/pressure • Difficulty falling asleep • FatigueThe recommended dosage of DUPIXENT for adult patients is an initial dose of 600 mg (two 300 mg injections), followed by 300 mg given every other week (Q2W). I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. It's hard enough dealing with all of this and having different doctors tell you different things is mind boggling. com is a great place to begin your research. The safety profile in pediatric patients through. The way I describe DUPIXENT to my patients is that DUPIXENT inhibits IL-4 and IL-13 signaling. First few months into taking Dupixent, I got laid off and worked w my doctors/Dupixent to get assistance. In order to be effective and work properly, most biologics are injectable medicines. PRESCRIBER TO FILL OUT Section 5a. Start Program product to the patient named herein. 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. If you are a New York prescriber, please use an original New York State prescription form. insurer. For children weighing 30 kg or more, the dosage is 200. DUPIXENT MyWay®. (20% of ~$3,500)INDICATIONS Atopic Dermatitis: DUPIXENT is indicated for the treatment of patients aged 6 years 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. DUPIXENT works by targeting an underlying source of inflammation that could be a root cause of your eczema. 18, 0. Refer your appropriate uncontrolled asthma patients to an allergist or pulmonologist to learn if DUPIXENT® (dupilumab) is a treatment option. It has extremely quickly resolved almost all of my eczema. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM. If you still have questions, you can speak with a DUPIXENT MyWay or request to join the program over the phone. DUPIXENT® (dupilumab) is a. ( 1-844-387-4936 ), option 1. Is412270-I have been on Dupixent for 4 months. Or you can google their info and contact them directly.