Dupixent MyWay ™ will help eligible patients who are uninsured, lack coverage, or need assistance with their out-of-pocket costs. Dupixent may cause serious side effects. 12. Please see Important Safety Information and Prescribing Information and Patient Information on website. Just got off the phone with Dupixent My Way. Support. DUPIXENT MyWay Appeal Specialists can help provide support throughout the appeal process. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. 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. Required if enrolling in the DUPIXENT MyWay. Guam or the USVI, and demonstrate a financial need with a total annual adjusted gross income of $100,000 or less. , chart notes, laboratory values) and use of claims history documenting the following: 1. 22. 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). 26 [95% CI: 0. 14 mL, or 300 mg/2 mL)My insurance provider covers 85% and our Canadian version of 'MyWay' pays the remainder. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. THE DUPIXENT MyWay PROGRAM. Learn about DUPIXENT® (dupilumab) for moderate-to-severe asthma treatment. About 75,000 adults in the U. 2 cartons. 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. Serious side effects can occur. PRESCRIBER TO FILL OUT Section 6a. Do you think that will hurt my chances of qualifying? I know my prescription drug costs are high enough. 80). Rx: DUPIXENT® (dupilumab) (100 mg/0. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. To enroll or obtain information call 1-877-311. Dupixent will run about $3000 per month with my insurance until my maximum is met. 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. 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). These programs and tips can help make your prescription more affordable. Household Size. Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase. DUPIXENT® (dupilumab) is a. 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. a FDA approved since 2017 for adults, 2019 for adolescents (aged 12‑17 years), 2020 for children (aged 6-11 years), Patients may be eligible for the DUPIXENT MyWay Copay Card if: They have a DUPIXENT prescription for an FDA-approved condition. If you don't have insurance at all, the only realistic option is to qualify for income-based help from Dupixent directly. With the DUPIXENT MyWay Copay Card, eligible,. Fill out sections 5a and 5b completely to determine patient eligibility. 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. Manufacturer Coupon. 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). Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will notFor 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. Get a Quick Start. 34 milliliters 200 mg/1. Get a Quick Start. Patient has been compliant on Dupixent therapy 4. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. You may be able to get a 90-day supply of Dupixent. DUPIXENT MyWay®. 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. Patient assistance program. 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. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. 14 mL; and 300 mg per 2 mL. for DUPIXENT® dupilumab therapy My Information. 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. Asthma: 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. Sign up for the DUPIXENT MyWay® mentor program for adults with uncontrolled chronic rhinosinusitis with nasal polyposis that is associated with type 2 inflammation. Depends if your insurance cares that Dupixent myway is paying your deductible. Sign it in a few clicks. It was a process to get into the patient assist program. 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). DUPIXENT MyWay coordinators are available Monday-Friday 8 am to 9 pm ET. 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. _____ What is your total annual household income? _____ (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. 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). (The patient is lucky / unlucky enough to have an income that would rule out the Patient Assistance Program. A group of skin conditions characterized by skin inflammation, rash, and itch. 67 mL Dupixent subcutaneous solution from $3,787. 01. Children 6 to 11 years of age . 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. Eligible patients will receive their cards by email. 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. 1-844-DUPIXENT 1-844-387-4936. Edit your dupixent myway enrollment form online. The DUPIXENT MyWay team can research each patient's situation and determine eligibility. 17 and 0. . DUP. 1kg to 18. Form more information phone: 844-387-4936 or Visit website Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. 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. Rx: DUPIXENT® (dupilumab) (100 mg/0. DUPIXENT MyWay® Program Taking Dupixent. The U. He continued with Dupixent and his symptoms had partially improved 24 weeks after their onset. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. 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. Nationally are Covered for DUPIXENT. Rx: DUPIXENT® (dupilumab) (100 mg/0. The language of the MyWay program back then never mentioned the $13,000 limit: they simply asked for income requirements, etc. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. 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, 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. Dupixent Myway . DUPIXENT can be used with or without topical corticosteroids. 00 per injection. was not paid in whole or in part by Medicare, Medicaid, or any federal or state programs. I suppose it doesn't really matter now. If you are a New York prescriber, please use an original New York State prescription form. It may be covered by your Medicare or insurance plan. If this is the case, write the preferred specialty pharmacy. After removal from the refrigerator, DUPIXENT must be used within 14 days or discarded. The most common side effects include: DUPIXENT MyWay. Most do, some don't. 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. how to afford it then - it's been so helpful!! 3 Reactions. Dupixent on a High Deductible Health Plan. Hello! Switching insurance this year and need to prepare for increasing costs of dupixent with my new insurance. 00 copay. 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. Be sure to fill out your enrollment form completely and accurately. 01. 89 and -1. 0254 Last Update: February 2023 DUP. Dupixent has been studied in more than 8,000 patients ages 6 years and older across more than 40 clinical trials. 14 mL, or 300 mg/2 mL)The Dupixent MyWay program is not available to medicare patients. Enroll now to receive emails and resources designed to help patients, caregivers and information seekers through the DUPIXENT® (dupilumab) treatment journey. 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. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. DUPIXENT MyWay provides prior authorization and appeals information you may need, as well as helpful examples and guides to assist in obtaining coverage for DUPIXENT. I'm guessing this will not be allowed once I'm on Medicare. 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. It may be covered by your Medicare or insurance plan. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. 0252 Last Update: Feb 2023 DUP. Patient to Fill Out. 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. PRESCRIBER TO FILL OUT Section 6a. For more information, call 1-844-DUPIXENT. Appears that my out of pocket maximum will be $8000 through insurance. Patients may be eligible for the DUPIXENT MyWay Copay Card if: They have a DUPIXENT prescription for an FDA-approved condition. chevron_right. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. 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. For me, the side effects didn’t really bother me or have me second guess my decision with Dupixent because my skin was. I also enrolled in the dupixent my way program and my ambassador told me that as long as you don’t make $100,000 a year you qualify for the program to get dupixent free for a year. PRESCRIBER TO FILL OUT Complete the entire form and submit pages 1-2 to ®DUPIXENT MyWay via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) Complete the entire form and submit pages 1-3 to DUPIXENT MyWay® via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) For assistance, call 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm ET Enrollment Form FOR ALLERGISTS Using a mail-order specialty pharmacy might help lower the monthly cost of Dupixent. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. 23. If you are a New York prescriber, please use an original New York. DUPIXENT . They never mentioned only covering a. The patient must then take the following actions:I just got approved for dupixent this week however the copay is 3,000$ a month! The dupixent my way program only covers up to 13k or something like that. I knocked out the first copay out of pocket and went on the manufacturer website and applied for the dupixent my way card. 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. DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. 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. 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. Guam or the USVI, and demonstrate a financial need with a total annual adjusted gross income of $100,000 or less. Serious adverse reactions may. chevron_right. DUPIXENT MyWay®. 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. for DUPIXENT® dupilumab therapy My Information. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. If you’re the spouse or. 1-844-DUPIXENT (1-844-387-4936) Topicort (desoximetasone spray 0. At one point, I was getting cold sores every 2 to 3 weeks consistently. 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. DUPIXENT MyWay. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. Income at or below: Not Published: Medical expenses can be deducted from reported income:. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. Susie16 Oct 15, 2023 • 9:37 PM. Página de inicio de franquicias ; Eczema moderado a grave (6 meses de edad o más) Asma moderada a grave (6 años de edad o más) DUPIXENT Pricing Information For Healthcare Professionals. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. If I am completing Section 5b, I authorize for my commercially insured patient one. If requested, I agree to provide proof of income within thirty (30) days of the request. S. 2 Eligible US residents with an FDA-approved. 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. 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. You may be able to lower your total cost by filling a greater quantity at one time. . Learn how DUPIXENT helped treat children 6 to 11 years old with their moderate-to-severe asthma. 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. 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. 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. form on DUPIXENT. Sign it in a few clicks. Does anyone know of any assistance programs I can use to help assist in the copay after dupixent my way limit is reached?I experienced cold sores and eye issues for about the first 6 months of being on Dupixent. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. Use DUPIXENT exactly as prescribed by your doctor. If you don’t have health insurance, talk. store above 77 °F (25 °C). DUP. About Dupixent. who are prescribed Dupixent gain access to the medicine and receive the support they may need with the DUPIXENT MyWay ® program. for DUPIXENT® dupilumab therapy My Information. 67 mL, 200 mg/1. Find the safety profile, including most common side effects, of DUPIXENT® (dupilumab) for infant to preschoolers 6 months to 5 years of age with uncontrolled moderate-to-severe atopic dermatitis . These programs and tips can help make your prescription more affordable. 09. DUPIXENT® is a subcutaneous injectable prescription medicine for adults and children aged 6 months & older with uncontrolled, moderate-to-severe. 1 Reactions. It will also depend on how much you have. For children aged 6 months to 5 years, it is taken as 1 injection every 4 weeks. 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. 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). I understand that. g. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. XXXX 00/0000 b y: A B C c o m pa n y, I n c. Serious adverse reactions may occur. any time by mailing or faxing a written request to DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. DUPIXENT is not used to treat sudden breathing problems. 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. financial assistance for eligible patients, provide one-on-one nursing support, and more. From my understanding, the Dupixent MyWay Program pays the $125 since your insurance is covering the rest. 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 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. Select Condition Indication Moderate-to-Severe Eczema (Ages 6+ Months) Moderate-to-Severe Asthma (Ages 6+ Years) Chronic Rhinosinusitis with Nasal Polyposis (Ages 18+. 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. I have read and agree to the Income Verification included in Section 8 on page 5. 1,000-125=875 $875 is the amount your health insurance pays. The DUPIXENT MyWay nurse connects patients to a variety of considerate resources, including one-on-one nursing product, financial assistance for right patients, and helpful refill and injection reminders. 10 for placebo; difference between Dupixent and placebo: -2. The increase was approved by the Minnesota Legislature and will help expand SNAP eligibility to families who may have previously been ineligible for the. DUPIXENT can be used with or without topical corticosteroids. 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. 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. Tell your healthcare provider about any new or worsening joint symptoms. 00. Rx: DUPIXENT® (dupilumab) (100 mg/0. SINCE 2017, ≈253,000 PATIENTS HAVE FILLED AT LEAST 1 DUPIXENT PRESCRIPTION b,c. ) 2 Prescription InformationDupixent® (dupilumab) approved by FDA as the first and only treatment indicated for prurigo nodularis. 0156 Last Update: March 2023 DUP. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. This year the program seems to have changed, requiring a separate 'copay card' with an annual limit of $13,000. My wife is on Dupixent, and has the MyWay card which allows up to $13,000/year. Dupixent MyWay Copay Card. Section 5a. ) 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). 02. Rx: DUPIXENT® (dupilumab) (100 mg/0. . 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. That is good, because I was quoted 1400+ a month by my Medicare D provider. 67 mL, 200 mg/1. Sign up or activate your card here. 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. 28. I also have the dupixent myway card that covers a total of $13,000 for the year. Patient assistance program. Dupixent will run about $3000 per month with my insurance until my maximum is met. DUPIXENT® (dupilumab) is taken as an injection by a pre-filled syringe or pre-filled pen. Nationally are Covered for DUPIXENT. How many people live in your household? _____ Please refer to. 2022;400 (10356):908-919. Learn how DUPIXENT® (dupilumab) works as the first and only FDA-approved treatment for prurigo nodularis (PN) in adults aged 18 years and older. Household Income. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. And very recently got laid off due to Covid-19. A 48-year-old man developed left thumb tenderness and bilateral Achilles tendinopathy after 6 weeks of Dupixent. 1-844-DUPIXENT 1-844-387-4936. E. 23. Opinions clash over private equity’s effect on dermatology. 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. . It temporarily provides eligible patients DUPIXENT at no cost, subject to program terms and conditions. Since 2017, Dupixent has increased in price by 13%. 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. ) Please refer to Section 8, Patient Certifications, for. - Rachel, DUPIXENT Patient Mentor, living with asthma. Since 2018, DUPIXENT has been prescribed to over 100,000 asthma patients in the US. Support. Dupixent MyWay Program CONTACT INFO: Address:, Phone: 1-844-387-4936: Provider Phone: Fax: 1-844-387-3970: Website: Program Website: ELIGIBILITY Eligibility Info:. ) Please refer to Section 8, Patient Certifications, for. $0 is the amount you pay. In SINUS-24 and SINUS-52, 74% fewer patients required SCS use at Week 52 with DUPIXENT 300 mg Q2W + INCS compared to placebo + INCS (HR: 0. 00, but I do have some money invested. 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. $125 is the amount Dupixent assistance pays. There is currently no generic alternative to Dupixent. 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. DUPIXENT can be used with or without topical corticosteroids. 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. For more information, call 1. a,b a Data on file, Sanofi and Regeneron, US. If I am completing Section 5b, I authorize for my commercially insured patient one. 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. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. • Store DUPIXENT in the original carton to protect from light. I pay for it with my insurance and the myway copayment program. Surgery may remove your nasal polyps, but it may not treat an underlying cause of inflammation—allowing them to grow back. a ®® ® 1-844-387-9370 or Document Drop at (code: 8443879370) or Document Drop at (code: 8443879370) am pm600 mg (two 300 mg injections) 300 mg Q4W : 30 to less than 60 kg ; 400 mg (two 200 mg injections) 200 mg Q2W : 60 kg or more : 600 mg (two 300 mg injections)Enrollment Form FOR DERMATOLOGISTS Complete the entire form and submit pages 1-2 to DUPIXENT MyWay® via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) For assistance, call 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm ET Patient Name DOB Prescriber. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. 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. Social Security income, unemployment insurance benefits, disability income, any other income for the household. Pregnancy: A pregnancy exposure registry monitors pregnancy outcomes in women exposed to DUPIXENT during pregnancy. I'm "only" 61 now though on Dupixent MyWay copay help. Please complete the form, sign, and FA to 1-844-23-312. Even when using the Copay Card, that would cover only cover 4 months worth, and would not go towards my deductible, totaling about. DUPIXENT® (dupilumab) is a. Fill a 90-Day Supply to Save. Program Website : Patient Assistance Applications for DUPIXENT® dupilumab therapy My Information. So, how can you save? Manufacturer Sanofi offers Dupixent MyWay, a patient support program. J Allergy Clin Immunol Pract. And I would experience blurry vision, red and itchy eyes. Connect with someone, ask questions, and learn about their experience with DUPIXENT® (dupilumab) treatment. Program Website : Program Applications and Forms will need to meet the eligibility criteria, including household income, to qualify. Fill out sections 5a and 5b completely to determine patient eligibility. The formulary status tool below can help check DUPIXENT coverage for various plans. 14 mL, or 300 mg/2 mL)Section 5a. THE DUPIXENT MyWay PROGRAM. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 01. 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. Copay Card or you wish to discontinue your participation, please contact us. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. DUPIXENT MyWay. 58 for 2. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. Refrigerate it at 36 °F to 46 °F. 02. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing useful tools and resources. 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. 1‑844‑DUPIXENT 1-844-387-4936. Nurse Educators Nurse Educators offer one-on-one support to help patients start and stay on track with therapy. It temporarily provides eligible patients DUPIXENT at no cost, subject to program terms and conditions. 23. This DUPIXENT Pre-filled Pen is a single-dose device. Serious side effects can occur. who are prescribed Dupixent gain access to the medicine and receive the support they may need with the DUPIXENT MyWay ® program. DUPIXENT should not be stored above 77 °F (25 °C). DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. For more information, please call 1-844-DUPIXENT (1-844-387-4936) or visit . 0252 Last Update: Feb 2023 DUP. 22. Long-term results from a clinical trial that studied DUPIXENT for 52 weeks. 03. At that point we will owe 20% of the cost of the medication, which adds up to just under $700/month. How do my patients enroll in <em>DUPIXENT MyWay®</em>? When filling out the DUPIXENT MyWay Enrollment Form, both you and your patient will be required to. March 29, 2018. 89 and -1. There is currently no generic alternative to Dupixent. 14 mL, or 300 mg/2 mL)The average cash price for a 30-day supply of Dupixent is $5,298. I just got approved thru Dupixent my way for a year of free medication. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. Eligible patients covered by commercial health insurance may pay as little as a $0 p copay per fill of DUPIXENT. Section 5a. Also if your insurance does cover,Dupixent offers a co-pay card that. Section 5a. 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. Since 2017, Dupixent has increased in price by 13%. Please see accompanying full Prescribing Information. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. Prior authorization and appeals. who are prescribed Dupixent gain access to the medicine and receive the support they may need with the DUPIXENT MyWay® program. 0kg. $4,930. • Store DUPIXENT in the refrigerator at 36°F to 46°F (2°C to 8°C). DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. The DUPIXENT MyWay patient support program is here to help you at every step of your DUPIXENT treatment journey. , Sanofi US, and their affiliates and agents (together, the “Alliance”) may verifyDUPIXENT MyWay Nurse Educators are trained to help provide patients with supplemental injection training either online, over the phone, or in person with a training kit and practice syringe or practice pen. The DUPIXENT MyWay team can research each patient's situation and determine eligibility. chevron_right. My doctor gave me a copay card to cover mine. If you are a New York prescriber, please use an original New York State prescription form. chevron_right. Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. SIGN UP TO SPEAK WITH A DUPIXENT MyWay ® MENTOR . Your experience with DUPIXENT is unique, and sharing your journey can inspire and empower people facing similar challenges. How much does Dupixent cost without insurance? The average monthly retail price of Dupixent is $4,910 per 2, 2 mL of 300 mg/2 mL prefilled syringes. com, help you fill it out, and fax it back to DUPIXENT MyWay at 1-844-387-9370 • You or your healthcare provider can call 1-844-DUPIXEN(T), option 1 • Providing your email address allows DUPIXENT MyWay to give you more support resources about DUPIXENT HAS YOUR DOCTOR PRESCRIBED DUPIXENT ® (dupilumab)? 14 15. When I was very young, I knew that I wanted to be a nurse. Injection in children 12 and older should be supervised by an adult. Children treated with Dupixent and topical corticosteroids (TCS) achieved clearer skin, experienced significantly improved overall disease severity and significantly reduced itch compared to TCS. Share your form with others. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. Boguniewicz M, Alexis AF, Beck LA, et al. I also have the dupixent myway card that covers a total of $13,000 for the year. Serious side effects can occur. The $500 payment counts towards the member’s deductible and out-of-pocket maximum. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack coverage, or need assistance with their out-of. DUPIXENT® and DUPIXENT MyWay® are entered commercial of Sanofi Biotechnological. I know people who make six figures on a joint income and still use MyWay. Lot EXP Mfd. It took the price from 2K to 1K. The DUPIXENT MyWay team can research each patient's situation and determine eligibility. For more information, call 1-844-DUPIXENT ( 1-844-387-4936) option 1. Prurigo Nodularis: The most common adverse reactions (incidence ≥2%) are nasopharyngitis, conjunctivitis, herpes infection, dizziness, myalgia, and diarrhea. If I am completing Section 5b, I authorize for my commercially insured patient one. Monday-Friday, 8 am-9 pm ET. 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. you offering to give them $170 they assumed you didn’t want to bother contacting dupixent myway.