Available. This inflammation is an important component in. This document provides detailed instructions for using the DUPIXENT Pre-filled Syringe with a 300 mg dose. 2 pens of 300mg/2ml. It was pretty smooth, the only difference with a vaccine is that the injection is much longer (5. If you are a New York prescriber, please use an original New York State prescription form. A total joke Reply According_Land_581 • Additional comment actions. I agrePIXENT e to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. DUPIXENT can be used with or without topical corticosteroids. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. In children 6 months to less than 12 years of age, DUPIXENT should. Your experience with DUPIXENT is unique, and sharing your journey can inspire and empower people facing similar challenges. Or you can google their info and contact them directly. If you are a New York prescriber, please use an original New York State prescription form. , One-on-One Nurse Education, and Supplemental Injection Training) Please click “Continue. I authorize the Alliance to use my Social Security number and/or additional. The upper arm can also be used if a caregiver administers the injection. Complete every fillable area. 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. Today my left knee. If you are a New York prescriber, please use an original New York State prescription form. Injection site reactions and eye conditions are the most common side effects reported and, unlike several other biologics, the risk of infection is low. Being a nurse for DUPIXENT MyWay is very rewarding. 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. 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. ca,. Have commercial insurance, including health insurance exchanges, federal employee plans, or state employee plans;. Depended on my insurance. Middle initial . This is very helpful!Dupixent MyWay Program Dupixent (dupilumab injection) CONTACT INFODupixent is an injection that is usually given under the skin every other week for the treatment of asthma, eczema, and some other inflammatory conditions. She looked at my broke out skin and said I could definitely benefit from Dupixent, especially. Asthma:. DUPIXENT MyWay complements your office’s process for accessing DUPIXENT. 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. Talk with. Even when using the Copay Card, that would cover only cover 4 months worth, and would not go towards my deductible, totaling about. It’s a biologic drug, which means it’s made from parts of living organisms. •Keep DUPIXENT Syringes and all medicines out of the reach of children. Quitting my job and going back to school isn’t affordable option. Do not try to inject DUPIXENT until you have been shown the right way by your healthcare provider. , Benefits Investigation, Prior Authorization, and Appeals Support) Patient Access Support (e. Education and Nurse Support: One-on-one nursing support is available to educate and empower patients to use DUPIXENT as prescribed. com. If you are a New York prescriber, please use an original New York State prescription form. , deductible and MOOP)? A7: Deductibles are established as a means of cost sharing with your plan sponsor while a MOOP is the most you will pay during a policy period. There’s no laboratory monitoring required, not at the beginning, not during therapy. 1‑844‑DUPIXENT 1-844-387-4936 Monday-Friday, 8 am-9 pm ET. This letter serves as my determination of medical necessity for DUPIXENT® (dupilumab) for this patient. DUPIXENT is taken by injection under the skin (subcutaneous injection) once every two weeks. My husband has been on it several months for severe asthma. You will find 3 options; typing, drawing, or uploading one. These programs and tips can help make your prescription more affordable. web. If given in a pill, our digestive tract will easily break these proteins down – much like it does when we eat a piece of steak – and make the drug ineffective. If you are a New York prescriber, please use an original New York State prescription form. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. Have commercial insurance, including health insurance. •DUPIXENT Syringes can be stored at room temperature up to 77°F (25°C) up to 14 days. The cost for Dupixent subcutaneous solution (200 mg/1. Nationally are Covered for DUPIXENT. Watch videos for a supplemental demonstration on how to use and dispose of DUPIXENT® (dupilumab), a prescription medicine for subcutaneous injection. Find local businesses, view maps and get driving directions in Google Maps. I’m ready to make a difference. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. For more information or to enroll in the patient support program, dial 1‑844‑DUPIXENT ( 1-844-387-4936 Monday-Friday, 8 am-9 pm EST. For families/households with more than 8 persons, add $5,140 for each. There is another biologic very similar to Dupixent called Adbry. pretty obvious to both my pharmacist and MyWay nurses that simply running through the $13,000 in a few months is not the way the copay assistance is intended to be used, but. My arms and legs are nowhere near as red and there is pretty much no itch to them. The phone number is 1‑844‑DUPIXEN (T) (1-844-387-4936) Option 1, Monday–Friday, 8 AM–9 PM Eastern time. Something went wrong. Ask to speak to a nurse and ask about the "Dupixent My Way program". I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Dosage for asthma. Dupixent side effects. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. Dupixent - extreme pain while injecting. I pay nothing. 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. I’m ready to make a difference. Send the completed form to: MyHealth@islandhealth. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. Step 4: Hold the syringe at a 45-degree angle. DUPIXENT, a biologic, is a type of medication that is processed in the body differently than oral or topical medications. I started dupixent a month and a half ago. Using a mail-order specialty pharmacy might help lower the monthly cost of Dupixent. If your healthcare provider decides that you or a caregiver can give DUPIXENT injections, you or your caregiver should receive training on the right way to prepare and inject DUPIXENT. fainting, dizziness, feeling lightheaded. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. e. Dupixent is an injection that is usually given under the skin every other week for the treatment of asthma, eczema, and some other inflammatory conditions. SIGN UP TO SPEAK WITH A DUPIXENT MyWay ® MENTOR . DUPIXENT® (dupilumab) is a. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Serious side effects can occur. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,DUPIXENT® (dupilumab) is the first and only FDA-approved treatment for eosinophilic esophagitis (EoE), indicated for adult & pediatric patients aged 12+ years, weighing at least 40 kg. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack. 2 cartons. DUPIXENT is a prescription medicine used to treat adults and children 6 months of age and older with moderate-to-severe eczema (atopic dermatitis or AD) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. 04. Learn More. About Dupixent. Registered nurses are also available to speak with eligible patients about DUPIXENT. DATA UP TO 52 WEEKS is available. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. Store DUPIXENT Syringes in the refrigerator between 36°F to 46°F (2°C to 8°C). If you’re eligible, you can enroll online or by phone and receive your card by email. 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. DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. This has happened a few times, and I thought the medication itself was bad. Yesterday the nurse injected the first dose using a syringe in my leg. DUPIXENT® (dupilumab) 13. Copay Reimbursement Program, 200 Jefferson Park, Whippany, NJ 07981. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing, state-specific. I guess ill have to see how much more improvement comes. After that, we will have met our family deductible. Prurigo Nodularis: The most common adverse reactions (incidence ≥2%) are nasopharyngitis, conjunctivitis, herpes infection, dizziness, myalgia, and diarrhea. That took about a week. You may be eligible for the DUPIXENT MyWay Copay Card if you:. I don't know what medical issues your son is having, but it's likey autoimmune issues. Like. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing, state-specific. Mine had just exhausted a few months ago after 2 years, and I'm currently paying $70 for 2 shots with Blue Cross Blue Shield. com . Dupixent also isn’t financially in the cards for me. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. I found the carnivore diet helps immensely for autoimmune issues. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. Do not try to inject DUPIXENT until you have been shown the right way by your healthcare provider. If patients become infected while receiving treatment with DUPIXENT and do not respond to anti-helminth treatment, discontinue treatment with DUPIXENT until the infection resolves. [4] [5] [6] [2] It is also used for the treatment of eosinophilic esophagitis [7] and prurigo nodularis. 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 patient named on this form for an DA-approved indication. Address: 4255 Laurel St, Vancouver, BC V5Z 2G9. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. His experience and mine are night and day different. Dupixent is the first and only medicine indicated to treat eosinophilic esophagitis in the United States; approval granted more than two months ahead of FDA’s Priority Review action dateSince [Date], [Patient Full Name] has been under my care for [diagnosis] (ICD-10-CM code: [insert code]). Anomalous_Creature • 1 yr. Learn about DUPIXENT® (dupilumab) dosage and administration options for adult and pediatric patients aged 6+ with moderate-to-severe asthma characterized by an eosinophilic phenotype or with oral corticosteroid dependent asthma using DUPIXENT® as add-on maintenance treatment. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,Full Prescribing Information: Patient Information: Learn more about DUPIXENT: Thanks for c. Limitation of Use: Not for the relief of acute bronchospasm or status asthmaticus. 73K likes, 905 comments - krisaquino on November. ” IMPORTANT SAFETY INFORMATION: Do not use if you are allergic to dupilumab or to any of the ingredients in DUPIXENT ®. These programs and tips can help make your prescription more affordable. Start Program product to the patient named herein. DUPIXENT is a weekly single-dose injection that can be given by your doctor in an office or a clinic, or can be taken at home. 5K subscribers. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. 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. Fill a 90-Day Supply to Save. difficulty in breathing. Serious side effects can occur. Both through prescribing physicians, but dupixent's gone pro-active and implemented the my way reporting line for patients to self report adverse events as well. 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. There are 74 drugs known to interact with Dupixent (dupilumab), along with 2 disease interactions. Monday-Friday, 8 am-9 pm ET. DUPIXENT can be used with or without topical corticosteroids. You must be shown the right way by your healthcare provider before injecting DUPIXENT. For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. medisafe. Limitation of Use: Not for the relief of acute bronchospasm or status asthmaticus. For more information, dial 1-844-DUPIXENT 1-844-387-4936 ), option 5, Monday-Friday, 9 am – 9 pm ET. Most do, some don't. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. The appeal process Example letters. I feel so judged when I say I don’t want to go on Dupixent. 7 out of 10 from a total of 188 reviews for the treatment of Eczema. DUPIXENT® (dupilumab)'s patient education program events let you meet other adults living with moderate-to-severe eczema (atopic dermatitis) or caregivers of a patient living with moderate-to-severe eczema (atopic dermatitis). For children weighing 30 kg or more, the dosage is 200. The best way to celebrate the drug and its benefits on your quality of life is to understand how it works and why. DUPIXENT is a weekly single-dose injection that can be given by your doctor in an office or a clinic, or can be taken at home. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Monday-Friday, 8 am-9 pm ET. Learn how to prepare, inject, and dispose of the syringe safely and correctly. Dupixent on a High Deductible Health Plan. Please see Important Safety Information and. 1 Patient Information Please provide copies of front and back of all medical and prescription insurance cards. 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. For more information, dial 1-844-DUPIXENT1-844-387-4936), option 1. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. Ways to save on Dupixent. Dupixent () is a member of the interleukin inhibitors drug class and is commonly used for Asthma - Maintenance, Atopic Dermatitis, Chronic Rhinosinusitis with Nasal Polyps, and others. The average monthly retail price of Dupixent is $4,910 per 2, 2 mL of 300 mg/2 mL prefilled syringes. Caring. Also like all biologics, Dupixent is considered a “large molecule” drug. DUPIXENT below. Well at a cost of roughly $3,500/dose which lasts a month, that will all be used up in four months. Pay as little as $0 per month. *Please enter your. Fax: 1-908-809-6249. I y are a Ne r resrer, ease se a ra Ne r Sae resr r Te resrer s y ser sae-se resr rerees, s as e-resr, sae-se resr r, a aae, e N-ae sae-se rerees res rea e resrer. Enrolled patients have access to: 1‑844‑387‑4936. Learn more about DUPIXENT® (dupilumab), the first and only FDA approved treatment option for prurigo nodularis (PN) in adults aged 18 years and older. xml ¢³ ( ¼–ËnÛ0 E÷ ú ·…E' Š¢°œE Ë6@] [š ÙDù 9Nâ¿ïPŠÙÄq¬$Žº ‘sï!çaÏ. My name is Shari and I’m a registered nurse with DUPIXENT MyWay. DUPIXENT can be used with or without topical corticosteroids. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. My insurance provider covers 85% and our Canadian version of 'MyWay' pays the remainder. cramps in your stomach-area. But either way, after you or Dupixent myway meets your deductible, it should be free to you. Sign up for the DUPIXENT MyWay® mentor program for adults with uncontrolled chronic rhinosinusitis with nasal polyposis that is associated with type 2 inflammation. I’m on the dupixent my way savings program as well as another one called “save on” iirc. They are a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI. However, Dupixent has a great program (Dupixent My Way) to support people financially. I saw my dermatologist today(a new one, my other passed away) and she did not think the hair loss is from coming off of the prednisone, so I still do to know what is going on. How to get Prescription Assistance. "37, male, Asian, suffered from Atopic Dermatitis for 20 yrs. 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. 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. Serious side effects can occur. 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. You need to have a prescription for DUPIXENT as well as. I agre e to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 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. First few months into taking Dupixent, I got laid off and worked w my doctors/Dupixent to get assistance. The DUPIXENT MyWay Patient App gives patients enrolled in DUPIXENT MyWay access to tools to help you start and stay on track with your treatment. Before using DUPIXENT, tell your healthcare provider about all your medical conditions, including if you: have eye problems; have a parasitic (helminth)The most foolproof way to reduce out-of-pocket costs for Dupixent is a free coupon from SingleCare. Dupixent works. Serious side. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM. It felt like they were controlling me when it should have been the other way around. It is given as a subcutaneous (under the skin) injection. If you are a New York prescriber, please use an original New York State prescription form. Dupixent for Eczema User Reviews. Please see Important Safety Information and Patient Information on website. Box 5925 Mailstop 55A-220A Bridgewater, NJ 08807. Learn about the DUPIXENT® (dupilumab) mechanism of action inhibiting IL-4 and IL-13 signaling in appropriate asthma patients. 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. It was "free" my first 2 years with my insurance hitting me with a $1,000 / month copay but the dupixent my way program gives you $13,000 a year copay assistance so $0 3rd year my insurance changed and it was $3300 a month copay so that sucked the dupixent my way help dry by March so I have been without most of 2022. Hello! Switching insurance this year and need to prepare for increasing costs of dupixent with my new insurance. (I am one of those patients!) have seen a great results. If your healthcare provider decides that you or a caregiver can give DUPIXENT injections, you or your caregiver should receive training on the right way to prepare and inject DUPIXENT. Click on the Sign button and make a signature. If your office does not use a preferred specialty pharmacy, leave the box unchecked to indicate that you would like DUPIXENT MyWay to conduct the benefits investigation on the patient’s behalf. 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. Dupixent will run about $3000 per month with my insurance until my maximum is met. Exception: Requests for drugs administered by a healthcare professional that will be billed to the medical plan, call 1-866-752-7021 or fax. The dupixent my way enrollment form isn’t an exception. DUPIXENT is a weekly single-dose injection that can be given by your doctor in an office or a clinic, or can be taken at home. Find the definitions of commonly used terms related to uncontrolled, moderate-to-severe eczema, atopic dermatitis, and DUPIXENT® (dupilumab). If you don’t have health insurance, talk. PRESCRIBER TO FILL OUT Section 6a. At that point we will owe 20% of the cost of the medication, which adds up to just under $700/month. my eligibility for the DUPIXENT MyWay Patient Assistance Program, and I understand that such verification may include contacting me or my healthcare provider for additional information and/or reviewing additional financial, insurance, and/or medical information. Full Prescribing Information: Patient Information: Learn more about DUPIXENT: Thanks for c. insurer. DUPIXENT can be used with or without topical corticosteroids. Pregnancy: A pregnancy exposure registry monitors pregnancy outcomes in women exposed to DUPIXENT during pregnancy. Tell your healthcare provider about any new or worsening joint symptoms. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. We can also connect you with your specialty pharmacy to access DUPIXENT. 1‑844‑DUPIXENT 1-844-387-4936 ), option 1 Monday-Friday, 8 am-9 pm ET. Watch videos from experts [,download materials,] and explore future events to further understand DUPIXENT® (dupilumab). DUPIXENT is taken by injection under the skin (subcutaneous injection) once every two weeks. , Sanofi US, and their affiliates and agents (together, the “Alliance”) may verify my eligibility for the DUPIXENT MyWay Patient Assistance Program, and I understand that such verification may include contacting me or my healthcare provider for additional information and/or reviewing additional financial, insurance, and. Dupixent® should be given by or under the supervision of an adult in children 12 years of age and older. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Ask the prescriber for a free sampleDUPIXENT® is a prescription medicine used as an add-on maintenance treatment for uncontrolled moderate-to-severe eosinophilic or oral steroid dependent asthma in people aged 6 years and older. *Please enter your patient. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. The formulary status tool below can help check DUPIXENT coverage for various plans. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based on this Authorization made before my request is received and processed by my Healthcare Providers, Health Insurers, DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. chevron_right. New pati ent . SIGN UP TO SPEAK WITH A DUPIXENT MyWay ® MENTOR . For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. In my second year on Dupixent (2020), it was covered in full as the copay assistance payments of $13,000 counted against my deductible/out-of-pocket maximum ($8,500). Have commercial insurance, including health insurance. Injection. FUN Documents, MMIT, and Policy Reporter as of July 12, 2023. DUPIXENT blocks the signaling of two key sources of Type 2 inflammation (IL-4 and IL-13). (20% of ~$3,500)INDICATIONS Atopic Dermatitis: DUPIXENT is indicated for the treatment of patients aged 6 years and older with moderate-to-severe atopic dermatitis whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable. Option 1- you have to meet your deductible without Dupixent myway. Some people do injections every 3 weeks, which could stretch that copay card out longer. ®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. 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 supply information, such as the patient’s insurance, diagnosis, and prescription. DUPIXENT® (dupilumab) is 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. Check the liquid in the prefilled pen or syringe. Monday-Friday, 8 am-9 pm ET. The my way nurses are as useless as it gets. Please see Important Safety Information and Patient Information on website. I felt my Atopic problem went away for first 2 months ( I took 3 shots for the 1st month, and 2 shots from 2nd months). Brovana - Save up to $30 per month. DUPIXENT is a weekly single-dose injection that can be given by your doctor in an office or a clinic, or can be taken at home. So far this has happened 4 times - once with 2 injections from the. The dupixent my way enrollment form isn’t an exception. Unusual weakness or fatigue, fever, headache, skin rash, muscle or joint pain, loss of appetite, pain, tingling, or numbness in the hands or feet. Dupixent hit $2. DUPIXENT MyWay® can work with your insurance provider to identify a preferred, in-network specialty pharmacy. The most common side effects include: DUPIXENT MyWay. Hello cinc: I have been on Dupixent approx 1-1/2 years with very rare eye irritation. facilitate the filling of my patient’s prescription; to assess, if applicable, my patient’s eligibility for patient assistance and other support programs; and to otherwise administer DUPIXENT MyWay for the patient. For more information, to speak with a member of the DUPIXENT MyWay support team, or to enroll over the phone, call our toll-free line. 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. In children 12 years of age and older, it is recommended that DUPIXENT be given by or under the supervision of an adult. Please see Important Safety Information and Prescribing Information and Patient. My skin is now 90 percent cleared. Throw away. Dupixent is prescribed for eczema and certain types of asthma. Assistance may be available for patients who do not have insurance. Serious adverse reactions may occur. There is currently no generic alternative to Dupixent. In order to be effective and work properly, most biologics are injectable medicines. I need another treatment. 02. Monday-Friday, 8 am - 9 pm ET. g. (2) Financial support for eligible patients: Get information about potential. Find DUPIXENT® (dupilumab) injection videos and instructions for the pre-filled pen (200 mg or 300 mg) for ages 2+ years. DUPIXENT can cause allergic reactions that can sometimes be severe. I y are a Ne r resrer, ease se a ra Ne r Sae resr r Te resrer s y ser sae-se resr rerees, s as e-resr, sae-se resr r, a aae, e N-ae sae-se rerees res rea e resrer. For patients wanting a copay card, they can access that by visiting our product website at DUPIXENT. 55% of reviewers reported a positive experience, while 27% reported a negative experience. ago. Sorry you interpreted my post that way. DUPIXENT is not a steroid or immunosuppressant; it is a prescription biologic medicine given under the skin (subcutaneous injection). I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. In pediatric patients 12 to 17 years of age, administer DUPIXENT under the supervision of an adult. (20% of ~$3,500) DUPIXENT use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. Step One - let's gather our materials. Coverage varies by type and plan. Subscribe. For children weighing 15 kilograms (kg)* to less than 30 kg, the dosage is either: • 100 mg every other week, or. Serious side effects can occur. Welcome to the Patient Support Portal! This site provides patients and healthcare professionals a fast secure way to submit the patient enrollment and supporting documentation to our patient services program team. Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. if you are allergic to dupilumab or to any of the ingredients in DUPIXENT®. DUPIXENT is a biologic and can help reduce your patients' use of systemic corticosteroids. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. 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). Living with my nasal polyps was exhausting. Once the prescription went to the pharmacy I called the pharmacy and they did the myway paperwork for me. I really enjoy the patient interaction. chevron_right. ®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 CONTRAINDICATION: DUPIXENT is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients. You likely have a specialty Pharmacy but just aren't aware of it since you're new to the Dupixent scene. Important Safety Information and Indication. Based on the questions answered above, you are not eligible to register for a new copay card or to activate a copay card. 99% of commercial patients (6+ months of age) nationally are covered for DUPIXENT. For children aged 6 months to 5 years, it is taken as 1 injection every 4 weeks. 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. I took Dupixent over 6 months, and having trouble now. “My eyes are a little itchy and gunky, but I would choose that side effect in a heartbeat rather than go back to the way things were before starting the treatment. The dupixent appeal letter is a Word document that should be submitted to the relevant address in order to provide some information. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. Luckily my supplemental ins pays it all with Medicare paying nothing. After your injection is done, pull the pen straight up to remove the Dupixent pen from the skin. My face/neck which has always. In children 12 years of age and older,Hello! The Medisafe Web Portal doesn’t work on small screens (yet). loss of voice. 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 Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. The way I describe DUPIXENT to my patients is that DUPIXENT inhibits IL-4 and IL-13 signaling. DUPIXENT® (dupilumab) is a. It offers financial assistance, nursing support, and information on the safety profile of DUPIXENT and its interactions with other medications. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offerEvery enrolled patient is assigned a DUPIXENT MyWay® Nurse Educator who can provide tools, resources, and education throughout the treatment journey. For more information, call 1-844-DUPIXENT ( 1-844-387-4936) option 1. 5. We work directly with your healthcare provider and will handle the full enrollment process on your behalf. My dr told me Dupixent costs around $10,000 a month at full cost, so insurance companies are bound to put up lots of red tape. ( 1-844-387-4936 ), option 1. Visit the official website of Dupixent My Way enrollment. This was my journal entry for that day: “…I decided I’m going to withdraw from Dupixent to see how “bad” my body is and if it’s still going through TSW. Prescriber Certification My signature certifies that the person named on this form is my patient the information provided on this application, to the best of my knowledge, is complete and accurate that therapy with DUPIXENT is medically necessary and that I have prescribed DUPIXENT to the patient named on this form for an DA-approved indication. This morning my nose was less congested than usual, that's a positive sign. I go to college, and already had to extend my time due to eczema and TSW. Peter Bunting Moderator & Contributor <p>Thanks for your response, Ashley. Date of birthAt NiceRx, we help eligible individuals to enroll in the Dupixent patient assistance program. patients cover the out-of-pocket cost of DUPIXENT. In children 12 years of age and older,I agre e to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. æoßÌ Û©¢h— ¶F Ÿ8Or V¤Ú p´Òúh Òkñ ä ± ~> ~àÒ; ‡ Ì l>û Ø ¬¾ÞÐçž$¸ «>÷û²UôÍñù;?x Keep DUPIXENT Syringes and all medicines out of the reach of children. How DUPIXENT MyWay® Helped Shawn Get Started. Pay as little as $0 per month. I know my Co. Press and hold the Dupixent Pre-filled Pen firmly against your skin until you cannot see the yellow needle cover.