I suppose it doesn't really matter now. Program Website : Patient Assistance Applications for DUPIXENT® dupilumab therapy My Information. DUPIXENT ® is a fully human monoclonal antibody that inhibits the signaling of the interleukin-4 (IL-4) and interleukin-13 (IL-13) proteins 3 and is not an immunosuppressant. 00 per injection. DUPIXENT can be used with or without topical corticosteroids. Deductible is at $3k out of pocket insurance pays 80% and at $6k insurance pays 100%. 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. Thus, the member is now $500 from hitting his deductible and $1500 from hitting his out-of-pocket maximum. Rx: DUPIXENT® (dupilumab) (100 mg/0. For more information or to enroll in the patient support program, contact us at: 1‑844‑DUPIXENT. 67 mL, 200 mg/1. For more information, dial 1‑844‑DUPIXENT 1-844-387-4936 Monday-Friday, 8 am-9 pm ET. Fill out sections 5a and 5b completely to determine patient eligibility. Each time you fill your DUPIXENT prescription, please ensure your. It is not an immunosuppressant or a steroid. 01. To more financial assistance news, dial 1‑844‑DUPIXENT ( 1-844-387-4936), option 1 Monday-Friday, 8 am - 9 pm ESTPRESCRIBER TO FILL OUT Section 6a. For patients with commercial insurance who are new to DUPIXENT and experiencing a. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. How many people live in your household? Please refer to Section 8, Patient Certifications, for additional information about the Patient Assistance Program. Dupixent® should be given by or under the supervision of an adult in children 12 years of age and older. S. For Healthcare Professionals. Click Tap to Learn More In an open-label extension study, the long-term safety profile of DUPIXENT ± TCS in pediatric patients observed through Week 52 was consistent with that seen in adults with atopic dermatitis, with hand-foot-and-mouth disease and skin papilloma (incidence ≥2%) reported in patients 6 months to 5 years of age. 0129 Last Update:. • DUPIXENT can be stored at room temperature up to 77°F (25°C) up to 14 days. If you are moderate to low-income person with eczema or just need help paying for your health care or prescription costs, you’ve come to the right place. 17 and 0. How to fill out dupixent reimbursement: 01. Sign it in a few clicks. Program has an annual maximum of $13,000. store above 77 °F (25 °C). 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). Required if enrolling in the DUPIXENT MyWay. 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. See All. -The original form (from the first guy) was still in the system and the folks at MyWay were “confused” by it. For more information and to find out if you’re eligible for support, call 844-DUPIXENT (844-387-4936) or visit the program website. 2022;400 (10356):908-919. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. In this case Dupixent myway will cover the first 13k, which is probably like 5 months. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. S. For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. 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. ®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. If you still have questions, you can speak with a DUPIXENT MyWay or request to join the program over the phone. Prurigo Nodularis: The most common adverse reactions (incidence ≥2%) are nasopharyngitis, conjunctivitis, herpes infection, dizziness, myalgia, and diarrhea. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing useful tools and resources. Subcutaneous Solution 100 mg/0. Decreased exacerbations and/or improvement in symptoms 2. Coverage varies by. Patient assistance program. 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 1‑844‑DUPIXENT 1-844-387-4936. 10 for placebo; difference between Dupixent and placebo: -2. E. And, if you're eligible, you can sign up and receive your card today. Hello! Switching insurance this year and need to prepare for increasing costs of dupixent with my new insurance. 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). The Dupixent MyWay program is not available to medicare patients. To enroll or obtain information call 1-877-311. Susie16 Oct 15, 2023 • 9:37 PM. Option 1- you have to meet your deductible without Dupixent myway. Hear real patients stories of life with uncontrolled moderate-to-severe asthma and how discovering DUPIXENT® (dupilumab) impacted their journey. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack. $0!!!!! On April 6 I sent them income paperwork and my year to date prescription invoices. DUPIXENT MyWay® is a patient support program designed to help you get access to DUPIXENT and help eligible patients cover the out-of-pocket costs of DUPIXENT. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing useful tools and resources. 14 mL; and 300 mg per 2 mL. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. living with prurigo nodularis. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may payable as little while $0* copay per fill by DUPIXENT. Advertisement. It took the price from 2K to 1K. The Dupixent pre-filled syringe is available in the following strengths: 100 mg per 0. DUPIXENT is not used to treat sudden breathing problems. Fill out sections 5a and 5b completely to determine patient eligibility. 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. 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. Enroll now to receive emails and resources designed to help patients, caregivers and information seekers through the DUPIXENT® (dupilumab) treatment journey. Children 6 to 11 years of age . I found the carnivore diet helps immensely for autoimmune issues. What it is used for. 2. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will notOnce 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. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. Biologic Drug: Biologic drugs are made from living cells and are often expensive. A 48-year-old man developed left thumb tenderness and bilateral Achilles tendinopathy after 6 weeks of Dupixent. 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. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. 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. 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. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM. Also if your insurance does cover,Dupixent offers a co-pay card that. How many people live in your household? _____ Please refer to Section 8, Patient Certifications , for. Some people do injections every 3 weeks, which could stretch that copay card out longer. Form more information phone: 844-387-4936 or Visit website Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. Every enrolled patient is assigned a phone-based DUPIXENT MyWay® Nurse Educator, who takes a patient-centric approach to providing tools, support resources, and education throughout the patient’s treatment journey. 2 cartons. Patient assistance program. 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. THIS IS NOT INSURANCE. 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 is an injection under the skin (subcutaneous injection) at different injection sites. Lot EXP Mfd. I’m a registered nurse with DUPIXENT MyWay. 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). The DUPIXENT MyWay team will research each patient’s situation and determine eligibility. Needed additional leadership equipped the enrollment process? Contact your section accessories dedicated or call DUPIXENT MyWay. 22. Compare monoclonal antibodies. Section 5a. I'm guessing this will not be allowed once I'm on Medicare. 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. who are prescribed Dupixent gain access to the medicine and receive the support they may need with the DUPIXENT MyWay® program. Effective Sept. 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. 23. The DUPIXENT MyWay patient support program is here to help you at every step of your DUPIXENT treatment journey. 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. Since 2017, Dupixent has increased in price by 13%. Nationally are Covered for DUPIXENT. com. Dupixent is indicated for the treatment of moderate to severe atopic dermatitis in patients aged 12 years and older who are candidates for chronic systemic therapy. 5. The DUPIXENT MyWay patient support program is here to help you at every step of your DUPIXENT treatment journey. if speciality. DUPIXENT has been FDA approved for use in adults with uncontrolled moderate-to-severe eczema since 2017. For more information, please call 1-844-DUPIXENT (1-844-387-4936) or visit . chevron_right. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. I have a $40 copay but I got the dupixent my way copay card its free for me. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. If requested, I agree to provide proof of income within thirty (30) days of the request. Watch videos for a supplemental demonstration on how to use and dispose of DUPIXENT® (dupilumab), a prescription medicine for subcutaneous injection. Compare . The DUPIXENT MyWay team can research each patient's situation and determine eligibility. On dupixent, Dupilumab, I honestly felt I was in my 60 to 70s+ with joint pains throughout my entire body even into the smallest of joints like fingers. The U. Dupixent MyWay ™ will help eligible patients who are uninsured, lack coverage, or need assistance with their out-of-pocket costs. 01. DUPIXENT MyWay Appeal Specialists can help provide support throughout the appeal process. Dupixent side effects. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. I also have the dupixent myway card that covers a total of $13,000 for the year. DUPIXENT MyWay Appeal Specialists can help provide support throughout the appeal process. For more information or to enroll in the patient support program, contact us at: 1‑844‑DUPIXENT 1-844-387-4936 Monday-Friday, 8 am-9 pm ET. Gather all necessary information and documents, such as your insurance information, prescription details, and any supporting documentation. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. SINCE 2017, ≈253,000 PATIENTS HAVE FILLED AT LEAST 1 DUPIXENT PRESCRIPTION b,c. How many people live in your household? Please refer to Section 8, Patient Certifications, for additional information about the Patient Assistance Program. Dupixent (dupilamab) Dupixent MyWay patient support program. DUPIXENT® and DUPIXENT MyWay® are entered commercial of Sanofi Biotechnological. THE DUPIXENT MyWay COPAY CARD. Dupixent MyWay Copay Card. chevron_right. for DUPIXENT® dupilumab therapy My Information. Serious adverse reactions may. Browse the DUPIXENT® (dupilumab) sitemap to help you learn more about uncontrolled moderate- to-severe eczema in adults and children aged 6 months & older and navigate DUPIXENT. Social Security income, unemployment insurance benefits, disability income, any other income for the household. Financial criteria for patient assistance. • Store DUPIXENT in the refrigerator at 36°F to 46°F (2°C to 8°C). For more information, call 1-844-DUPIXEN (T) (1-844-387-4936. I. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. Section 5a. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. 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. Dupixent will run about $3000 per month with my insurance until my maximum is met. Please see. a $85. Patient has been compliant on Dupixent therapy 4. A quantity of Dupixent will be considered medically necessary if the above criteria are met, as indicated in the table below:. for DUPIXENT® dupilumab therapy My Information. Rx: DUPIXENT® (dupilumab) (100 mg/0. We just need you to answer a few questions to verify your eligibility and contact information. Since MyWay covers 13,000 a year, that will count towards your deductible. Most do, some don't. At that point we will owe 20% of the cost of the medication, which adds up to just under $700/month. who are prescribed Dupixent gain access to the medicine and receive the support they may need with the DUPIXENT MyWay ® program. 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. This year the program seems to have changed, requiring a separate 'copay card' with an annual limit of $13,000. Enroll eligible patients in the DUPIXENT MyWay® patient support program for DUPIXENT® (dupilumab) access, financial assistance & nursing support. financial assistance for eligible patients, provide one-on-one nursing support, and more. 22. 3. Please see Important Safety Information and full PI on website. But either way, after you or Dupixent myway meets your deductible, it should be free to you. 50 for a single person. including household income, to qualify. Biologics and monoclonal antibodies (mabs) for atopic dermatitisVO: 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. At one point, I was getting cold sores every 2 to 3 weeks consistently. DUPIXENT MyWay is a patient support program that can help enable access to DUPIXENT and offers financial assistance for eligible patients, one-on-one nursing support, and more. Please see. 12. With the DUPIXENT MyWay Copay Card, eligible,. 4 ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pm 01. 89 and -1. SINCE 2017, ≈253,000 PATIENTS HAVE FILLED AT LEAST 1 DUPIXENT PRESCRIPTION b,c. For more information, call 1-844-DUPIXEN (T) (1-844-387-4936. Connect with someone, ask questions, and learn about their experience with DUPIXENT® (dupilumab) treatment. Thus, the member is now $500 from hitting his deductible and $1500 from hitting his out-of-pocket maximum. 14 ml, 300 mg/2 ml: Asthma, atopic dermatitis: 3 syringes for the first 28 days. 0185 Last Update: November 2022 DUP. 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. Pregnancy: A pregnancy exposure registry monitors pregnancy outcomes in women exposed to DUPIXENT during pregnancy. You may be eligibility on the DUPIXENT MyWay Copay Card if you:DUPIXENT MyWay Copay Card if you:Dupixent® should be given by or under the supervision of an adult in children 12 years of age and older. · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. Throw away (dispose of) any DUPIXENT that has been left at room temperature for longer than 14 days. You must also meet certain household income eligibility requirements as outlined below: 48 States and DC. And very recently got laid off due to Covid-19. How many people live in your household? Please refer to Section 8, Patient Certifications, for additional information about the Patient Assistance Program. DUPIXENT can be used with or without topical corticosteroids. With of DUPIXENT MyWay Copay Card, right, commercially insured patients might pay as little as $0* copay per fill of DUPIXENT. I understand that. They never mentioned only covering a. Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. 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. Eligible patients will receive they cards by e-mail. 0156 Past Update: March 2023 DUP. Nationally are Covered for DUPIXENT. The appeal process Example letters. Fax the Enrollment Form to DUPIXENT MyWay. 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. And I would experience blurry vision, red and itchy eyes. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. The formulary status tool below can help check DUPIXENT coverage for various plans. 09. 12. 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. -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. Sign up to connect with a DUPIXENT MyWay® mentor to help patients with Nasal Polyps through their DUPIXENT. 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. 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). Dupixent is not intended for episodic use. Surgery may remove your nasal polyps, but it may not treat an underlying cause of inflammation—allowing them to grow back. Eligible patients covered by commercial health insurance may pay as little as a $0 p copay per fill of DUPIXENT. Quantity Limits: Dupixent: 200 mg/1. Lancet. 00. 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® (dupilumab), is the first FDA-approved biologic to treat eosinophilic esophagitis (EoE) in patients 12 years and older who weigh at least 88lb (40kg). Be sure to fill out your enrollment form completely and accurately. I know people who make six figures on a joint income and still use MyWay. DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. 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. That is what I am in the middle of. Program Website : Program Applications and FormsView the possible side effects of DUPIXENT in patients with uncontrolled chronic rhinosinusitis with nasal polyposis. Since 2017, Dupixent has increased in price by 13%. 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. Susie16 Aug 29, 2023 • 2:03 AM. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT (maximum of $13,000 per patient per calendar. In clinical trials, DUPIXENT reduced the. With and DUPIXENT MyWay Copay Card, eligible, commercially insured care may pay when little as $0* copay by fill the DUPIXENT. So, even with a "prior authorization" and a "formulary override", the cost to me is $2900 per month, or about $1450. For me, the side effects didn’t really bother me or have me second guess my decision with Dupixent because my skin was. For more information, dial 1. Please note that you will receive a confirmation fax after sending the form. Over 80% of insurance plans cover Dupixent, but many have restrictions. Tips. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. If you are a New York prescriber, please use an original New York. The formulary status tool below can help check DUPIXENT coverage for various plans. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. 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 is indicated for the following type 2 inflammatory diseases:,Atopic Dermatitis,Adults and adolescents,Dupixent is indicated for the treatment of moderate to severe atopic dermatitis in patients aged 12 years and older who are candidates for chronic systemic therapy. I’m Laurie. comfysnail • 1 yr. I also have the dupixent myway card that covers a total of $13,000 for the year. It's like $35k-$40k. 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. 67 mL, 200 mg/1. Expert perspectives on management of moderate-to-severe atopic dermatitis: a multidisciplinary consensus addressing current and emerging therapies. DUPIXENT® and DUPIXENT MyWay® are entered commercial of Sanofi Biotechnological. For more information, dial 1‑844‑DUPIXENT ( 1-844-387-4936 ), option 1 Monday-Friday, 8 am - 9 pm ET. Approval represents the second dermatology indication for Dupixent and fifth disease indication overall in the. $4,930. DUPIXENT MyWay® A program to provide support to patients starting DUPIXENT. Maximum benefit (2023) = $1,483. Monday-Friday, 8 am - 9 pm ETto DUPIXENT MyWay at 1-844-387-9370. out and fax back to DUPIXENT MyWay at 1-844-387-9370 • You or your specialist can call 1-844-DUPIXEN(T), option 1 • Providing your email address allows DUPIXENT MyWay to give you more support resources about DUPIXENT. 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. Serious adverse reactions may occur. This medicine should be given by a caregiver in children 6 months to less than 12 years of age. Rx: DUPIXENT® (dupilumab) (100 mg/0. 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. I suppose it doesn't really matter now. a FDA approved since 2017 for adults, 2019 for adolescents (aged 12‑17 years), 2020 for children (aged 6-11 years), and 2022 for infants to preschoolers (aged 6 months-5 years) with uncontrolled moderate‑to‑severe atopic dermatitis. Decreased utilization of rescue medications 3. 23. • Store DUPIXENT in the original carton to protect from light. 1-844-DUPIXENT (1-844-387-4936) Topicort (desoximetasone spray 0. It may be covered by your Medicare or insurance plan. Financial criteria for patient assistance. 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. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. Dupilumab. I give supplemental injection training to the patient and the patient’s caregiver. DUPIXENT can be used with or without topical corticosteroids. Learn why DUPIXENT® (dupilumab) may be an. PRESCRIBER TO FILL OUT Complete the entire form and submit pages 1-2 to ®DUPIXENT MyWay via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) Education and Nurse Support: One-on-one nursing support is available to educate and empower patients to use DUPIXENT as prescribed. 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). 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. I understand the disclosure to the Alliance will be for the purposes of enrolling me in, and providing certain services through the DUPIXENT MyWay Program, including • to determine if I am eligible to participate in DUPIXENT MyWay coverage assistance programs, patient assistance programs, or otherDUPIXENT . The DUPIXENT MyWay program also provides useful tools and resources to help you stay on track with your treatment. These programs and tips can help make your prescription more affordable. 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) 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. 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. Dupixent Myway . was not paid in whole or in part by Medicare, Medicaid, or any federal or state programs. Approximately 72% of the total FEV 1 improvement (470 mL improvement at Week 52 from baseline FEV 1 of 1. There is another biologic very similar to Dupixent called Adbry. After that, it is taken as 1 injection every 2 weeks or every 4 weeks, depending on your age and weight. DUPIXENT MyWay coordinators are available Monday-Friday 8 am to 9 pm ET. 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. It temporarily provides eligible patients DUPIXENT at no cost, subject to program terms and conditions. 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). how to afford it then - it's been so helpful!! 3 Reactions. Griffinej5 • 2 yr. Patients may be eligible for the DUPIXENT MyWay Copay Card if: They have a DUPIXENT prescription for an FDA-approved condition. You or your patients can contact DUPIXENT MyWay® at 1-844-DUPIXEN(T) (1-844-387-4936) 1-844-DUPIXEN(T) (1-844-387-4936) to learn more. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. Injection Support Center Injection Reminders and Tips FREQUENTLY ASKED QUESTIONS; Español. 98% of Commercially Insured Patients. Most do, some don't. Program has an annual maximum of $13,000. The DUPIXENT MyWay team can research each patient's situation and determine eligibility. Your insurance has to deny twice and then you can apply for patient assistance. · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. The $500 payment counts towards the member’s deductible and out-of-pocket maximum. Especially tell your healthcare provider if you. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. Follow these tips to take DUPIXENT while traveling: Store DUPIXENT in the original carton to protect it from light. Guam or the USVI, and demonstrate a financial need with a total annual adjusted gross income of $100,000 or less. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. Coverage varies by type and plan. DUPIXENT MyWay is a patient support program that can help enable access to DUPIXENT and offers financial assistance to eligible patients, one-on-one nursing support, and. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. Assistance may be available for patients who do not have insurance. 0252 Last Update: Feb 2023 DUP. I have read and agree to the Income Verification included in Section 8 on page 5. 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. You can email or print the enrollment forms below. Appears that my out of pocket maximum will be $8000 through insurance. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. 02. 1-844-DUPIXENT 1-844-387-4936. 98% of Commercially Insured Patients. Dupixent MyWay Program Dupixent (dupilumab injection). Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. $125 is the amount Dupixent assistance pays. 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. 03. 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 MyWay pays the $500 copay. Dupixent may cause serious side effects. 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). DUPIXENT MyWay. A program called Dupixent MyWay is available for this drug. 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. Normally my copay would be about $970 per refill, but with about 12 refills per year this does not max out the Dupixent MyWay copay card. DUPIXENT is a biologic and can help reduce your patients' use of systemic corticosteroids. If you’re the spouse or. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. Learn about the DUPIXENT® (dupilumab) mechanism of action inhibiting IL-4 and IL-13 signaling in appropriate asthma patients. My wife is on Dupixent, and has the MyWay card which allows up to $13,000/year. Eligible commercially insured patients may pay $0 per prescription with a maximum savings of $13,000 per year; for additional information contact the program at 844-387-4936. 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)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. Got off of it as soon as I realized it was getting worse with every shot after spacing them out every other month. Copay Card or you wish to discontinue your participation, please contact us. Household Income. Based on the questions answered above, you are not eligible to register for a new copay card or to activate a copay card. . ) 2 Prescription InformationDUPIXENT is not a steroid. ) Please refer to Section 8, Patient Certifications, for. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. 0156 Last Update: March 2023 DUP. DUPIXENT® is a prescription medicine used as an add-on maintenance treatment for uncontrolled moderate-to-severe eosinophilic or oral steroid dependent asthma in people aged 6 years and older. March 27, 2018.