DUPIXENT can be used with or without topical corticosteroids. Im ready to help our patients to have the confidence to proceed with their journey. 1844DUPIXENT (1-844-387-4936), option 1. 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). to treat adults and children 12 years of age and older, who weigh at least 88 pounds (40 kg), with eosinophilic esophagitis (EoE). It is recommended that you fax a copy of prior authorization approval to DUPIXENT MyWay to help the office staff continue the process in several ways, such as: Initiating contact with the patient regarding the approval and sharing the specialty pharmacy name and phone number. eosinophilic esophagitis If you need help paying for your prescription, the DUPIXENT MyWay Patient Conjunctivitis and Keratitis: Conjunctivitis and keratitis occurred more frequently in atopic dermatitis subjects who received DUPIXENT versus placebo, with conjunctivitis being the most frequently reported eye disorder. Please see accompanying adjacent links for full Prescribing Information including Patient Information. YETUNDE: Please refer to Regeneron's Privacy Noticeand Sanofi'sPrivacy Policy for more information regarding processing of your personal data. Available at https://aspe.hhs.gov/poverty-guidelines. The DUPIXENT MyWayPatient Assistance Program may be able to help. DUPIXENT (dupilumab) for Moderate-to-Severe Eczema that is Uncontrolled Your email is on its way. These events may be associated with the reduction of oral corticosteroid therapy. 1-844-DUPIXENT DUPIXENT MyWay In some denial cases, a plan may require a peer-to-peer review with a medical reviewer at the health plan. Your email is on its way. If a clinically significant hypersensitivity reaction occurs, institute appropriate therapy and discontinue DUPIXENT. working with specialty pharmacies to get dupixent. He was trained by my doctor. For more information on how to properly store DUPIXENT after delivery, please review the DUPIXENT Instructions for Use at DUPIXENT.com. Dupixent MyWay Program Enrollment Form for Allergists (AD, Asthma, CRSwNP)(Spanish) . for the treatment of adult and If youre eligible, you can enroll online and recieve your card by email. In children 12 years of age and older, its recommended DUPIXENT be administered by or under supervision of an adult. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. Centers for Medicare and Medicare website. Avoid use of live vaccines in patients treated with DUPIXENT. Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections. estimate my income in conjunction with the Patient Assistance Program eligibility determination process, if . Healthcare providers should be alert to vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their patients with eosinophilia. Mail: DUPIXENT MyWay Copay Reimbursement Program, 200 Jefferson Park, Whippany, NJ 07981 Fax: 1-908-809-6249 I, _____, certify that the information provided for this reimbursement request is accurate to the best of my knowledge, and the product-specific copay, Stop using DUPIXENT and tell your healthcare provider or get emergency help right away if you get any of the following signs or symptoms: breathing problems or wheezing, swelling of the face, lips, mouth, tongue, or throat, fainting, dizziness, feeling lightheaded, fast pulse, fever, hives, joint pain, general ill feeling, itching, skin rash, swollen lymph nodes, nausea or vomiting, or cramps in your stomach-area. You should not receive a live vaccine right before and during treatment with DUPIXENT. Not only to teach them how to give themselves the medicine, but also to just come and give them encouragement, and show them kindness and patience. If you do not have insurance that covers your prescription medications, or if your insurance does not Dupixent Enrollment Form - ENT/Pumonologist Dupixent Enrollment Form - Dermatologists Patients with Co-morbid Asthma: Advise patients with co-morbid asthma not to adjust or stop their asthma treatments without consultation with their physicians. Joint aches and pain. to contact Regeneron Pharmaceuticals, Inc. 202333322 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. Does my insurance cover DUPIXENT (dupilumab)? Monday-Friday, Our nurses work remotely from our homes. Dupixent without insurance costs $4910 per 2, 2mL of 300 mg/2 mL prefilled syringe, or $3310 per month for 2, 2 mL of 300 mg/2 mL prefilled syringe. So, we step into our offices, were going into a nice relaxing environment. Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. So, now you know what to expect from prescription to delivery. This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back. Unfortunately we are unable to find information about your plan. Please be aware that not all Sanofi products are covered under the Sanofi Patient Assistance program. Tell your healthcare provider if you have any side effect that bothers you or that does not go away. If you have enrolled inDUPIXENT MyWay, you will receive a welcome call from a nurse educator while your insurance benefits are being confirmed. The small-town environment lends to the type of work that I do, more one-on-one with our patients. Voice-over (VO): I think its very important to just be patient. Please refer to Regeneron's Privacy Noticeand Sanofi'sPrivacy Policyfor more information regarding processing of your personal data. (EoE). And that helps us so that we can practice before we do the real thing. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. Sanofi US and Regeneron provide these links as a service to their website visitors and users; however, they take no responsibility for the information on any website but their own. DUPIXENT MyWay Centers for Medicare & Medicaid Services. r/eczema on Reddit: Dupixent MyWay Call your doctor for medical advice about side effects. Database current as of, https://www.ssa.gov/benefits/medicare/prescriptionhelp.html, https://www.cms.gov/files/document/2022-announcement.pdf, https://marketplace.cms.gov/technical-assistance-resources/fast-facts-medicaid-chip.pdf, DUP.23.01.0314 Last Update: March 2023, DUP.22.11.0007 Last Update: December 2022, DUP.23.01.0070 Last Update: February 2023, DUP.22.03.0194 Last Update: August 2022, DUP.22.03.0291 Last Update: July 2022, DUP.22.05.0386 Last Update: September 2022, Moderate-to-Severe Eczema (Ages 6+ Months), Moderate-to-Severe Asthma (Ages 6+ Years), Chronic Rhinosinusitis with Nasal Polyposis, Uncontrolled moderate-to-severe eosinophilic or oral steroid, https://mothertobaby.org/ongoing-study/dupixent/, https://www.census.gov/content/dam/census/library/publications/2017/demo/p60-260.pdf, https://www.bcbsm.com/index/health-insurance-help/faqs/plan-types/health-spending-accounts/fsa.html, Whether you have prescription drug insurance, Whether your insurance provider considers the medication to be preferred or not preferred. 2023Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. The DUPIXENT 200 mg and Im ready to make a difference. your story? are breastfeeding or plan to breastfeed. Announcement of Calendar Year (CY) 2022 Medicare Advantage capitation rates and Medicare Advantage and Medicare Part D payment policies and final call letter. PROGRAM, https://mothertobaby.org/ongoing-study/dupixent/. This site is intended for use by U.S. residents only. DUPIXENT MyWay Support for Patients | DUPIXENT (dupilumab) Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. I do remember her dad asking, Are you sure that youre comfortable with this, it being an injection under the skin, and she was. for the treatment of adult and Ores dermatologist trained us on how to do the injection under the skin, and then when we contacted DUPIXENT MyWay, they sent a nurse to the house to give additional training to make sure that we were comfortable giving the injection. Financial Eligibility | Sanofi Patient Connection See how DUPIXENT goes from being prescribed to being delivered to your doorstep. To enroll or get more information call 1-877-311-8972 or go to https://mothertobaby.org/ongoing-study/dupixent/. Restrictions Apply. DUPIXENT may also help reduce the amount of oral corticosteroids you need while preventing severe asthma attacks and improving your breathing. Im the one that cringes with needles, but she does great. Available at https://aspe.hhs.gov/poverty-guidelines. In those situations, the program may change its terms. Next, your prescription may have to be authorized by insurance. status asthmaticus. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. Prurigo Nodularis: DUPIXENT is indicated for the treatment of adult patients with prurigo nodularis (PN). Connect one-on-one with a trained patient or caregiver, ask questions, and hear about their personal journey living with their condition and life on DUPIXENT. Notify your pharmacy. I went to this patients house and he seemed very standoffish. Haz clic en "Continuar" si quieres proseguir. Asthma: as with nasal polyposis. DUPIXENT is not used to treat sudden breathing problems. DUPIXENT MyWay Use the DUPIXENT Cost and Coverage Tool below for more information. Be sure to ask your doctor about enrolling inDUPIXENT MyWay, which can provide additional support for you. DUPIXENT (dupilumab) HCP Website Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. (EoE). For more information, 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. Please see adjacent links for full Prescribing Information including Patient Information. Your healthcare provider may send you to an ophthalmologist for an eye exam if needed. And while everyones working through the details, look toDUPIXENT MyWayfor additional support. In children 6 months to less than 12 years of age, DUPIXENT should be given by a caregiver. OCSdependent, For Patients Ages 18+ YETUNDE: Additional terms and conditions apply. Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. Patients will need to meet the eligibility criteria, including I do remember her dad asking, Are you sure that youre comfortable with this, it being an injection under the skin, and she was. Additional terms and conditions apply. All Rights Reserved. DUPIXENT can cause allergic reactions that can sometimes be severe. Use DUPIXENT exactly as prescribed by your healthcare provider. Please see adjacent links for full Prescribing Information including Patient Information. characterized by an eosinophilic ORE: Questions or comments? Contact, Powered by Managed Markets Insight & Technology, LLC. Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. This is typical for a specialty drug like DUPIXENT. 2020 Sanofi and Regeneron Pharmaceuticals, Inc. DUPIXENT MyWay Store your specialty pharmacys name and phone number in your phones contacts. PDF 1 Enrollment Form Cases of eosinophilic pneumonia were reported in adult subjects who participated in the asthma development program and cases of vasculitis consistent with EGPA have been reported with DUPIXENT in adult subjects who participated in the asthma development program as well as in adult subjects with co-morbid asthma in the CRSwNP development program. DUPIXENT MyWayis a patient support program designed to help you get access to DUPIXENT as quickly as possible once you have a prescription, and help you stay on track while providing helpful tools and resources. 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.
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