It temporarily provides eligible patients DUPIXENT at no cost, subject to program terms and conditions. 0254 Last Update: February 2023 DUP. It is not an immunosuppressant or a steroid. 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. These programs and tips can help make your prescription more affordable. 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. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. 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. Get your personalized discussion guide to help yourself have a productive conversation with your doctor & see if DUPIXENT® (dupilumab) for uncontrolled moderate-to-severe atopic dermatitis is right for you. Denied because of 2022 income threshold for household of two. I don't know what medical issues your son is having, but it's likey autoimmune issues. ) 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). 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. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. Dupixent is an injection under the skin (subcutaneous injection) at different injection sites. 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. Applies to: Dupixent Number of uses: per prescription per year. Dupixent may cause serious side effects. Income at or below: Not Published: Medical expenses can be deducted from reported income:. Dupixent is administered as an injection under the skin (subcutaneous injection) at different injection sites. Your doctor will tell you how much DUPIXENT to inject and how often to inject it. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. 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). 0185 Last Update: November 2022 DUP. DUPIXENT MyWay®. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM. For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. Patient assistance program. A program called Dupixent MyWay is available for this drug. Decreased exacerbations and/or improvement in symptoms 2. Pregnancy: A pregnancy exposure registry monitors pregnancy outcomes in women exposed to DUPIXENT during pregnancy. Enrolled patients receive: One-on-one support from our DUPIXENT MyWay support team; Help understanding insurance coverage; Financial assistance (for eligible patients only) Help. Patient is responsible for any out-of-pocket amounts that exceed the program limit. The majority of DUPIXENT patients with commercial/employer-provided insurance use the DUPIXENT MyWay ® Copay Card. 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. Required if enrolling in the 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 processed by my Healthcare Providers, Health Insurers,DUPIXENT has been prescribed to over 50,000 uncontrolled nasal polyp patients and counting! DUPIXENT is the first biologic nasal polyp treatment that’s an alternative to nasal polyp surgery. For more information and to find out if you’re eligible for support, call 844-DUPIXENT (844-387-4936) or visit the program website. Needed additional leadership equipped the enrollment process? Contact your section accessories dedicated or call DUPIXENT MyWay. 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. a Coverage varies by type and plan. DUPIXENT MyWay® Program Taking Dupixent. Data from DUPIXENT ® clinical trials have shown that IL-4 and IL-13 are key drivers of the type 2 inflammation that plays a major role in asthma, atopic. LH Patient View; data through June 16, 2023. I give supplemental injection training to the patient and the patient’s caregiver. Dupixent Myway . Dupixent MyWay Program Dupixent (dupilumab injection). Connect with someone, ask questions, and learn about their experience with DUPIXENT® (dupilumab) treatment. You have to game the system instead of trying to get full coverage. Note: All information is required unless otherwise indicated. I also have the dupixent myway card that covers a total of $13,000 for the year. 67 mL, 200 mg/1. Income at or below: Not Published: Medical expenses can be. 8K subscribers in the eczeMABs community. We just need you to answer a few questions to verify your eligibility and contact information. Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase. DUPIXENT can be used with or without topical corticosteroids. 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. chevron_right. Eligible patients will receive their cards by email. 4. Clip the card and save • Save up to 80% on medications* Tell your healthcare provider about any new or worsening joint symptoms. Serious adverse reactions may occur. Nationally are Covered for DUPIXENT. Social Security income, unemployment insurance benefits, disability income, any other income for the household. Most do, some don't. 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 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) Section 5a. 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. At this rate, I will no longer be able to afford the medication very soon. Patients may be eligible for the DUPIXENT MyWay Copay Card if: They have a DUPIXENT prescription for an FDA-approved condition. 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. 25%) Taro Pharma patient access. Please see. It was granted and I pay $0. 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). · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. So, even with a "prior authorization" and a "formulary override", the cost to me is $2900 per month, or about $1450. 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. 23. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Since 2017, Dupixent has increased in price by 13%. March 27, 2018. 10 for placebo; difference between Dupixent and placebo: -2. 2 cartons. 0129 Last Update:. Especially tell your healthcare provider if you. Patient is responsible for any out-of-pocket amounts that exceed the program limit. 1-844-DUPIXENT 1-844-387-4936. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. Monday-Friday, 8 am - 9 pm ETto DUPIXENT MyWay at 1-844-387-9370. The DUPIXENT MyWay team will research each patient’s situation and determine eligibility. 58 for 1. DUPIXENT has been FDA approved for use in adults with uncontrolled moderate-to-severe eczema since 2017. 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. Fill out sections 5a and 5b completely to determine patient eligibility. 10 for placebo; difference between Dupixent and placebo: -2. DUPIXENT . I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. Lancet. 71 for Dupixent compared to 0. After that, it is taken as 1 injection every 2 weeks or every 4 weeks, depending on your age and weight. 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. 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 otherThis DUPIXENT Pre-filled Pen is only for use in adults and children aged 2 years and older. 71 for Dupixent compared to 0. 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. They are a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI. O. -The original form (from the first guy) was still in the system and the folks at MyWay were “confused” by it. I've been on Dupixent for over 2 years now and it has been such a great experience keeping my eczema under control. 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. Although you are not eligible, you can sign up DUPIXENT MyWay. Check the liquid in the prefilled pen or syringe. 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. THE DUPIXENT MyWay PROGRAM. Caring. How many people live in your household? Please refer to Section 8, Patient Certifications, for additional information about the Patient Assistance Program. A group of skin conditions characterized by skin inflammation, rash, and itch. This medicine should be given by a caregiver in children 6 months to less than 12 years of age. The most common side effects include: DUPIXENT MyWay. Sign it in a few clicks. If you have an adjusted net income or adjusted household net income between $30,000 and $32,000, you may receive a reduced supplement amount. SINCE 2017, ≈253,000 PATIENTS HAVE FILLED AT LEAST 1 DUPIXENT PRESCRIPTION b,c. 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 otherBy checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. At one point, I was getting cold sores every 2 to 3 weeks consistently. Financial criteria for patient assistance. Especially tell your healthcare provider if you. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. Enrolled patients receive: One-on-one support from our DUPIXENT MyWay support team; Help understanding insurance coverage; Financial assistance (for eligible patients only) Help scheduling deliveries any time by mailing or faxing a written request to DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. The increase was approved by the Minnesota Legislature and will help expand SNAP eligibility to families who may have previously been ineligible for the. Learn how DUPIXENT® (dupilumab), the first FDA-approved weekly injectable biologic treatment for eosinophilic esophagitis (EoE) in patients 12 years and older who weigh at least 88lb (40kg) targets a source of inflammation, which contributes to EoE. DUPIXENT® (dupilumab) is a. Please see Dosage Regimens, How to Inject DUPIXENT® and Instructions for Use. It temporarily provides eligible patients DUPIXENT at no cost, subject to program terms and conditions. If you are a New York prescriber, please use an original New York. for DUPIXENT® dupilumab therapy My Information. The DUPIXENT MyWay team can research each patient’s situation and determine eligibility. The U. Well at a cost of roughly $3,500/dose which lasts a month, that will all be used up in four months. 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. 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. I have read and agree to the Income Verification included in Section 8 on page 5. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. Does anyone know the eligibility process for the dupixent copay assistance? Do they ask for tax forms? Is there an income limit? comments sorted by Best Top New Controversial Q&A Add a Comment More posts you may like. This year the program seems to have changed, requiring a separate 'copay card' with an annual limit of $13,000. financial assistance for eligible patients, provide one-on-one nursing. LONG-LASTING CLEARER SKIN AT 16 and 52 Weeks 22% taking. BIN: 020750 RX PCN: NMeds RX GRP: PDFPDF ID: NMNA019309901930 This is a drug discount program, not an insurance plan. DUPIXENT MyWay. 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. You must also meet certain household income eligibility requirements as outlined below: 48 States and DC. DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. Declining androgen levels correlated with increased frailty. 0156 Last Update: March 2023 DUP. 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. Compare . DUPIXENT® and DUPIXENT MyWay® are entered commercial of Sanofi Biotechnological. Serious side effects can occur. Program Website : Patient Assistance Applications for DUPIXENT® dupilumab therapy My Information. 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). The most common side effects include: DUPIXENT MyWay. Coverage varies by. 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. About Dupixent. Hello! Switching insurance this year and need to prepare for increasing costs of dupixent with my new insurance. DUPIXENT is available as a single dose in a pre-filled syringe (200 mg or 300 mg) with needle shield, or single-dose pre-filled pen (200 mg or 300 mg) for ages 2+ years. For more information, call 1-844-DUPIXEN (T) (1-844-387-4936. $0 is the amount you pay. For assistance, please call 1-844-468-2252 Monday Friday, 8AM to 8PM ET. Hear real patients stories of life with uncontrolled moderate-to-severe asthma and how discovering DUPIXENT® (dupilumab) impacted their journey. Your experience with DUPIXENT is unique, and sharing your journey can inspire and empower people facing similar challenges. So, how can you save? Manufacturer Sanofi offers Dupixent MyWay, a patient support program. If I am completing Section 5b, I authorize for my commercially insured patient one. THE DUPIXENT MyWay COPAY CARD. Dupixent is indicated for the treatment of severe atopic dermatitis in patients aged 6 to 11Dupilumab. . _____ 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 coordinators are available Monday-Friday 8 am to 9 pm ET. Sign it in a few clicks. For more information and to find out if you’re eligible for support, call 844-DUPIXENT (844-387-4936) or visit the program website. Rx: DUPIXENT® (dupilumab) (100 mg/0. In patients aged 6 months to 5 years, Dupixent is administered with a pre-filled syringe every four weeks based on weight (200 mg for children ≥5 to <15 kg and 300 mg for children ≥15 to <30 kg). Dupixent changed my life completely. 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. Sign up or activate your card here. 2 pens of 300mg/2ml. and other countries to treat several diseases driven by type 2 inflammation. Serious side. 67 mL, 200 mg/1. com. Patient Signature _____ If you have questions about the . Sign up to connect with a DUPIXENT MyWay® mentor to help patients with Nasal Polyps through their DUPIXENT. Your experience with DUPIXENT is unique, and sharing your journey can inspire and empower people facing similar challenges. 5. Patients will need on hit the eligibility benchmark, including household income, to qualify. Eligible patients covered by commercial health insurance may pay as little as a $0 p copay per fill of DUPIXENT. 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’m a registered nurse with DUPIXENT MyWay. For me, the side effects didn’t really bother me or have me second guess my decision with Dupixent because my skin was. 67 mL Dupixent subcutaneous solution from $3,787. There is another biologic very similar to Dupixent called Adbry. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. Dupixent will run about $3000 per month with my insurance until my maximum is met. 14 mL Dupixent subcutaneous solution from $3,787. 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® (dupilumab) is a. 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. Please see Important Safety Information and Prescribing Information and Patient Information on website. 2 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). 00 per injection. 0252 Last Update: Feb 2023 DUP. The DUPIXENT MyWay team can research each patient's situation and determine eligibility. 2 pens of 300mg/2ml. Dupixent inhibits the overactive signaling of interleukin-4 (IL-4) and. -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. What it is used for. Patients in each age group saw improved lung function in as little as 2 weeks. Over 80% of insurance plans cover Dupixent, but many have restrictions. The formulary status tool below can help check DUPIXENT coverage for various plans. $3,645. DUPIXENT® (dupilumab) is taken as an injection by a pre-filled syringe or pre-filled pen. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. This medicine should be given by a caregiver in children 6 months to less than 12 years of age. DUPIXENT® (dupilumab) is a. Get a Quick Start. How many people live in your household? _____ Please refer to. And I would experience blurry vision, red and itchy eyes. Fill out the form accurately and completely, providing all. This DUPIXENT Pre-filled Pen is a single-dose device. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. Since 2017, Dupixent has increased in price by 13%. comfysnail • 1 yr. 14 mL, or 300 mg/2 mL)Section 5a. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. 02. DUPIXENT can be used with or without topical corticosteroids. 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. 14 mL, or 300 mg/2 mL)My insurance provider covers 85% and our Canadian version of 'MyWay' pays the remainder. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. Data on file, Regeneron Pharmaceuticals, Inc. Some Medicare plans may help cover the cost of mail-order drugs. Dupixent MyWay Copay Card. 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. Fill out sections 5a and 5b completely to determine patient eligibility. Please complete the form, sign, and FA to 1-844-23-312. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. I knocked out the first copay out of pocket and went on the manufacturer website and applied for the dupixent my way card. 06 and -1. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. I also have the dupixent myway card that covers a total of $13,000 for the year. 14 mL, or 300 mg/2 mL)I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. DUPIXENT® ® 1-844-387-9370 or Document Drop at (code: 8443879370) In adults and children 6 years and older, your initial dose of DUPIXENT is 2 injections under the skin (subcutaneous injection) at different injection sites. A 48-year-old man developed left thumb tenderness and bilateral Achilles tendinopathy after 6 weeks of Dupixent. The patient must then take the following actions:I just got approved for dupixent this week however the copay is 3,000$ a month! The dupixent my way program only covers up to 13k or something like that. 22. XXXX 00/0000 b y: A B C c o m pa n y, I n c. Subcutaneous Solution 100 mg/0. including household income, to qualify. 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 MyWay Ambassador. Learn about DUPIXENT® (dupilumab) for moderate-to-severe asthma treatment. If you still have questions, you can speak with a DUPIXENT MyWay representative or request to join the program over the phone. Dupixent MyWay ™ will help eligible patients who are uninsured, lack coverage, or need assistance with their out-of-pocket costs. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. • DUPIXENT can be stored at room temperature up to 77°F (25°C) up to 14 days. 14 ml, 300 mg/2 ml: Asthma, atopic dermatitis: 3 syringes for the first 28 days. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. It’s a change in how copay assistance and coupons are counted toward your. ) 2 Prescription InformationDupixent® (dupilumab) approved by FDA as the first and only treatment indicated for prurigo nodularis. It took the price from 2K to 1K. 00. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. Serious side effects can occur. 1-844-DUPIXENT (1-844-387-4936) Topicort (desoximetasone spray 0. ) Please refer to Section 8, Patient Certifications, for. LASTING CHANGE IS ACHIEVABLE. 01. 00 per injection. How many people live in your household? _____ Please refer to. The $500 payment counts towards the member’s deductible and out-of-pocket maximum. Most do, some don't. Type text, add images, blackout confidential details, add comments, highlights and more. 09. 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. 67 mL, 200 mg/1. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. - Rachel, DUPIXENT Patient Mentor, living with asthma. 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. a,b a Data on file, Sanofi and Regeneron, US. When I was very young, I knew that I wanted to be a nurse. 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. The DUPIXENT MyWay team will research each patient’s situation and determine eligibility. Just got the fun news that I will need to pay $2,700 for a monthly dose of Dupixent. Access the dupixent reimbursement form either online or through your healthcare provider. how to afford it then - it's been so helpful!! 3 Reactions. For more information, dial 1‑844‑DUPIXENT ( 1-844-387-4936 ), option 1 Monday-Friday, 8 am - 9 pm ET. ago It is actually not a change in the myway program. I. 0156 Past Update: March 2023 DUP. 22. 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. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. PRESCRIBER TO FILL OUT Section 6a. Learn why DUPIXENT® (dupilumab) may be an. 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. I just spoke to someone through the MyWay Program. Appears that my out of pocket maximum will be $8000 through insurance. Approximately 72% of the total FEV 1 improvement (470 mL improvement at Week 52 from baseline FEV 1 of 1. But either way, after you or Dupixent myway meets your deductible, it should be free to you. There is currently no generic alternative to Dupixent. Robocalls increase diabetic retinopathy screenings in low-income patients. 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. Continuation in the program is conditioned upon timely verification of income. $125 is the amount Dupixent assistance pays. 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. 1, 2022, the gross income limit for Supplemental Nutrition Assistance Program (SNAP) eligibility in Minnesota increased from 165% to 200% of the federal poverty line for most households. 01. Serious side effects can occur. Edit your dupixent myway enrollment form online. 28. With MyWay, I get the year for free. To contact DUPIXENT MyWay, please call 1-844-DUPIXENT (1-844-387-4936). Please see accompanying full Prescribing Information. 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. Nurse Educators Nurse Educators offer one-on-one support to help patients start and stay on track with therapy. Get emergency medical help if you have signs of an allergic reaction to Dupixent: hives, rash, itching; fever, swollen glands, joint pain; feeling light-headed, difficult breathing; swelling of your face, lips, tongue, or throat. Deductible is at $3k out of pocket insurance pays 80% and at $6k insurance pays 100%. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. THIS IS NOT INSURANCE. Share your form with others. Form more information phone: 844-387-4936 or Visit website Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. Financial criteria for patient assistance. In this case Dupixent myway will cover the first 13k, which is probably like 5 months. 23. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. 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 MyWay® can assist with: Verifying patient’s specific health plan coverage for DUPIXENT; Determining utilization management (UM) criteria; Identifying patient’s possible out-of-pocket responsibilities; Helping navigate any required prior authorization (PA) processes; Educating you and your patient about the appeals process if. Using the drop. With the DUPIXENT MyWay Copay Card, eligible,. Children 6 to 11 years of age . Eligible patients will receive their cards by email. DUPIXENT should not be stored above 77 °F (25 °C). I just started this week so I look forward to seeing the results. 00. For more information, call 1. Last time I checked income didn’t matter? The only way it became affordable for me was to get the deluxe package of my insurance. Sign up for the DUPIXENT MyWay® mentor program for adults with uncontrolled chronic rhinosinusitis with nasal polyposis that is associated with type 2 inflammation. 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). ) 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. If necessary, DUPIXENT may be kept at room temperature up to 77 °F (25 °C) for a maximum of 14 days. Not valid for prescriptions paid, in whole or in part, by Medicaid, Medicare, VA, DOD, TRICARE, or.