Millions of Americans rely on copay assistance — coupons, discount cards, vouchers, and other programs — to afford their prescribed medications. Assistance may be available for patients who do not have. Copay amounts after applying copay assistance may depend on the patient’s insurance. No hassle, no problem. Copay assistance helps by bringing down the out. DUPIXENT: your first choice to adequately control this chronic, systemic disease. A DUPIXENT MyWay Nurse Educator can help qualified patients explore additional options to help cover the cost of DUPIXENT. Dupixent Dupixent is a drug used to treat eczema and asthma. $0 is the amount you pay. Kozak, Deputy Secretary Office of Medical Assistance Programs IMPORTANT REMINDER: All providers must revalidate the Medical Assistance (MA) enrollment of each service location every 5 years. They’re also called copay savings programs, copay coupons, and copay assistance cards. Need additional guidance with the enrollment process? Call DUPIXENT MyWay at 1-844-387-4936 Monday through Friday, 8 am to 9 pm Eastern Time. could be spending on patient care. Y. , Benefits Investigation, Prior Authorization, and Appeals Support) Patient Access Support (e. Y. 90. Problem:Dupixent is about $30,000 CAD a year, and no normal person can afford it. We work directly with your healthcare provider and will handle the full enrollment process on your behalf. DUPIXENT can be used with or without topical corticosteroids. If you need help paying for your prescription, the DUPIXENT MyWay® Patient Assistance Program may be able to help. Copay coupons are typically for expensive, brand-name medications that don’t have a. The program. Your experience with DUPIXENT is unique, and sharing your journey can inspire and empower people facing similar challenges. How to Get Prescription Assistance. Sanofi (DUPIXENT®) 844‑387‑4936 (option 1) Only if your insurance does not cover DUPIXENT. I certify that I have obtained my patient’s written authorization in accordance with applicable consent to receive text messages by or on behalf of the Program. PhRMA’s Medicine Assistance Tool (MAT) – Partnership for Prescription Assistance. Prior Authorization of Dupixent (dupilumab) – Pharmacy Services BY Sally A. Your doctor or nurse practitioner fills out and submits the application for you. Patients with Medicare Part D should contact the program. • Store DUPIXENT in the original carton to protect from light. O. Dupixent (dupilumab) Prior Authorization Request Form Caterpillar Prescription Drug Benefit Phone: 877-228-7909 Fax: 800-424-7640. Patients will need to meet the eligibility criteria, including household income, to qualify. A copay assistance program depending on eligibility. 2023, in observance of Thanksgiving. I also understand that no free product may be submitted for reimbursement to any payer, including Medicare and Medicaid; and no free product may be sold, traded, or distributed for sale. 25%) Taro Pharma patient access. . g. Every patient has unique circumstances, and no one should have to forego the medication they need because they can’t afford it. Once enrolled, the DUPIXENT MyWay support program can help enable access to. DUPIXENT MyWay offers a range of support, including: Coverage Support (e. Financial assistance to help lower the cost of Dupixent is available. It also offers financial assistance for eligible patients, one-on-one nursing support, and more. , One-on-One Nurse Education, and Supplemental Injection Training) AbbVie Patient Assistance Program. This program may provide a Bridge Program for eligible patients who experience a delay, temporary loss, or change in coverage. (844-387-4936) or visit the program website. 30 Section: Prescription Drugs Effective Date: April 1, 2021 Subsection: Topical Products Original Policy Date: April 7, 2017 Subject: Dupixent Page: 4 of 10 AND submission of medical records (e. The program is intended to help patients afford DUPIXENT. 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. com), or over the phone (855-204-2410). Need additional guidance with the enrollment process? Contact your field access specialist or call DUPIXENT MyWay. *. 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. With this approval, Dupixent becomes the first and only medicine specifically indicated to. 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. Has the patient achieved or maintained positive clinical response as evidenced by improvement in signs andDUPIXENT® (dupilumab) is a subcutaneous injectable medication used in the treatment of patients aged 6 years and older with uncontrolled moderate-to-severe atopic dermatitis with two delivery options available, pre-filled syringe & pre-filled pen (aged 12+ years). Patient is responsible for any out-of-pocket amounts that exceed the program limit. Patients may have insurance plans that attempt to dilute the impact of the assistance available under the program. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing useful tools and resources. It may be covered by your Medicare or insurance plan. The appeal process Example letters. For treatment of eosinophilic. Lancet. Prurigo Nodularis: The most common adverse reactions (incidence ≥2%) are nasopharyngitis, conjunctivitis, herpes infection, dizziness, myalgia, and diarrhea. There are no other costs, fees,. Resource Number:. Is the patient currently receiving Dupixent through samples or a manufacturer’s patient assistance program? If Yes or Unknown, skip #32 Yes No Unknown 31. Dupixent is a prescription drug that treats eczema, asthma, and sinusitis in adults and certain children. Create your signature and click Ok. 1‑844‑DUPIXENT 1-844-387-4936. Start the process today by applying online or by calling (877)386-0206. Serious side effects can occur. AbbVie Patient Assistance Program. consent to receive text messages by or on behalf of the Program. Patient Savings Center - beta. The asthma drugs covered by programs are: AstraZeneca's PAP service, called AZ&Me Prescription Savings Program, is available to legal residents of the United States. DUPIXENT is intended for use under the guidance of a healthcare provider. Needs-Based/Patient Assistance Program (PAP): This type is offered by a manufacturer sponsor or independent non-profit to help patients who meet specific financial eligibility criteria. To enroll or obtain information call 1-877-311-8972 or go to. Applying to myAbbVie Assist is simple. g. consent to receive text messages by or on behalf of the Program. How to apply. or U. Compare monoclonal antibodies. It may be covered by your Medicare or insurance plan. Genentech reserves the right to modify or discontinue the program at any time and to verify the accuracy of information submitted. DUPIXENT has been FDA approved for use in adults with uncontrolled moderate-to-severe eczema since 2017. The cost for Adbry subcutaneous solution (ldrm 150mg/mL) is around $1,916 for a supply of 2 milliliters, depending on the pharmacy you visit. Program has an annual maximum of $13,000. Assistance may be available for patients who do not have insurance. With our help, you could get your Dupixent prescription for a flat fee of $49 per month. This copay card may be for you if you. Program info. Have commercial insurance, including health insurance. A causal association between DUPIXENT and these conditions has not been established. The DUPIXENT MyWay team can research each patient's situation and determine eligibility. That’s why we offer patient assistance programs that provide free AbbVie medicines to qualifying patients. Patient Assistance Foundations; Pricing Principles. Teva Pharmaceuticals (QVAR ®) Teva Cares Foundation Teva Savings Card for QVAR® Redihaler™ 877-237-4881 DUPIXENT® (dupilumab) therapy (“My Information”). DUPIXENT MyWay offers a range of support, including: Coverage Support (e. 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). Eligible patients will receive their cards by email. Once enrolled, you can receive: One-on-one nursing support when needed for DUPIXENT; Insurance benefit investigation support; Opportunities for financial assistance provided to eligible patients;Dupixent (dupilumab) is a prescription drug that comes as an injection. 30 Section: Prescription Drugs Effective Date: July 1, 2021 Subsection: Topical Products Original Policy Date: April 7, 2017 Subject: Dupixent Page: 6 of 10 Diagnosis Patient must have the following: Chronic rhinosinusitis with nasal polyposis (CRSwNP) AND submission of medical records (e. Copayment Assistance Organizations. These programs, such as patient assistance programs or manufacturer discounts, offer financial support and resources. Watch videos for a supplemental demonstration on how to use and dispose of DUPIXENT® (dupilumab), a prescription medicine for subcutaneous injection. These programs may be provided by national healthcare systems, insurance companies, or pharmaceutical manufacturers, and can help patients receive financial assistance or coverage for the medication. Call 855-204-2410 if you need assistance. PSP Contact Information: DUPIXENT ® Freedom Support Program: 1-844-216-1181. Patients will need to meet the eligibility criteria, including household income, to qualify. Please see Important Safety Information and Patient Information on. And very recently got laid off due to Covid-19. Let SaveOnSP administer a plan benefit design aimed at lowering these rising costs. 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 financial need. g. It is free to apply, and those who qualify will receive their medicine for free — no co-pays or shipping costs. MS One to One™ (AUBAGIO ® and LEMTRADA ®): 1-855-671-2663. Injection site reactions and eye conditions are the most common side effects reported and, unlike several other biologics, the risk of infection is low. The DUPIXENT MyWay nurse connects patients to a variety of helpful resources, including one-on-one nursing support, financial assistance for eligible patients, and helpful refill and injection reminders. DUPIXENT (dupilumab) Prescriber Information Patient Information . 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 DUPIXENT MyWay is a patient support program designed to help you get access to. Please click on the link to see if you may qualify. Alliance partners program Become an advocate Support PAN. Dupilumab in children aged 6 months to younger than 6 years with uncontrolled atopic dermatitis: a randomised, double-blind, placebo-controlled, phase 3 trial. , Quick Start, Copay Card, and Patient Assistance Program) Nursing Support (e. Through the program, people can receive up to $1,500 in financial assistance to help pay for Dupixent, access to a dedicated team of nurses, access to free medical supplies, and other resources. chevron_right. KEVZARA ® Mobilize Support Program: 1-888-972-6634. BI Cares Foundation Patient Assistance Program – Specialty Program Application Patient Assistance Program Please Print Clearly Application. the medical condition for which it is being used. Is the patient currently receiving Dupixent through samples or a manufacturer’s patient assistance program?DUPIXENT® (dupilumab) therapy (“My Information”). consent to receive text messages by or on behalf of the Program. 1-844-DUPIXENT 1-844-387-4936. Sanofi is committed to providing patients with support programs. 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. The DUPIXENT MyWay nurse connects patients to a variety of helpful resources, including one-on-one nursing support, financial assistance for eligible patients, and helpful refill and injection reminders. The Dupixent development program has shown significant clinical benefit and a decrease in type 2 inflammation in Phase 3 trials, establishing that IL-4 and IL-13 are key and central drivers of the type 2 inflammation that plays a major role in multiple related and often co-morbid diseases. DUPIXENT® is a subcutaneous injectable prescription medicine for adults and children aged 6 months & older, with uncontrolled, moderate-to-severe eczema (atopic dermatitis). For questions call 1-888-602-2978 Copay accumulators are programs being adopted by health insurance companies to prevent payments from copay assistance programs like Dupixent MyWay from counting towards your insurance deductible and out-of-pocket maximum. Primary diagnosis (MUST select at least 1) E78. Is Dupixent being prescribed by or in consultation with an allergist/immunologist or a pulmonologist? Yes No 19. , Benefits Investigation, Prior Authorization, and Appeals Support) Patient Access Support (e. Dupixent. chevron_right. 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. Drug copay assistance programs have long been controversial. Have commercial insurance, including health insurance. Maybe try that while waiting for the Dupixent. Box 5697, Louisville, KY 40255 Monday – Friday Phone: 1-855-297-5904 Fax: 1-855-297-5905 8:30 AM – 6:00 PM ET Page 2 of 5medications on this list, whether made by you, your plan or a manufacturer’s copay assistance program, will not count toward your plan deductible. Patients will need to meet the eligibility criteria, including household income, to qualify. Patients will need to meet the eligibility criteria, including household income, to qualify. Asthma with. I certify that I have obtained my patient’s written authorization in accordance with applicable If you’ve had a discussion with your healthcare provider about DUPIXENT or have been prescribed DUPIXENT, register online today to talk one-on-one with trained Patient or Caregiver DUPIXENT Mentors to discuss life with moderate-to-severe asthma and hear about their personal journey with DUPIXENT. I understand that any free product distributed through the DUPIXENT MyWay Patient Assistance Program is not contingent on any purchase obligations. S. In addition, you cannot use this card with any health insurance program, but you can use it in place of your insurance if the Customer Care card offers a better price. Prescription Hope is a service-based company that offers access to brand-name medication through patient assistance programs. DUPIXENT MyWay TM will help eligible patients who are uninsured, lack coverage, or need assistance with their out-of-pocket costs. Now that the copay assistance has capped out, I'm 100% OOP until I hit my $3500 deductible, at which time they will pay 80% of $2848. Find DUPIXENT® (dupilumab) injection videos and instructions for the pre-filled pen (200 mg or 300 mg) for ages 2+ years. Providers should log into PROMISe to check the revalidation dates of. Chronic condition management can be challenging for both patients and their care providers. The General Assistance (GA) program (PDF) helps people without children pay for basic needs. We are here to help. In those situations, the program may change its terms. Complete a questionnaire, participate in a focus group, or share info. 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. Financial and insurance assistance:. 3. Providing free or subsidized treatment for eligible patients with no. This site contains a wealth of resources for providers including enrollment, billing manuals, bulletins, program regulations, plus information on Electronic Data Interchange and the Automated Eligibility Verification. consent to receive text messages by or on behalf of the Program. Copay amounts after applying copay assistance may depend on the patient’s insurance. Patient assistance program. TRICARE, or other federal or state programs including any state pharmaceutical assistance programs. Not be eligible for Puerto Rico's Government Health Plan Mi Salud, or have applied and been denied. Tips. Food and Drug Administration (FDA) has approved Dupixent ® (dupilumab) 300 mg weekly to treat patients with eosinophilic esophagitis (EoE) aged 12 years and older, weighing at least 40 kg. DUPIXENT was studied in adults and children 6 months of age and older. understand that any free product distributed through the DUPIXENT MyWay Patient Assistance Program is not contingent on any purchase obligations. To qualify for the GSK Patient Assistance Program, you must: Live in one of the 50 states, District of Columbia, Puerto Rico or U. g. At NiceRx, we help eligible individuals to enroll in the Dupixent patient assistance program. Have commercial insurance, including health insurance. 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. Any savings provided by the program may vary depending on patients’ out-of-pocket costs. Complete the entire form and submit pages 1-3 to ®DUPIXENT MyWay via fax at 1-844. Patients may have insurance plans that attempt to dilute the impact of the assistance available under the program. Sign up with NeedyMeds' partner Savvy. A patient assistance program called GSK for You is available for Nucala. or U. 1-844-DUPIXENT 1-844-387-4936. About the Dupixent COPD Phase 3 Trial Program BOREAS is one of two pivotal trials in the Dupixent COPD program. This program may provide a Bridge Program for eligible patients who experience a delay, temporary loss, or change in coverage. Patients may have insurance plans that attempt to dilute the impact of the assistance available under the Program. Compare monoclonal antibodies. I don't know what medical issues your son is having, but it's likey autoimmune issues. 18. In those situations, the Program may change its terms in order to enable patients to realize the full benefits of the assistance available under the Program. Pharmaceutical companies have different guidelines for eligibility. This program is not valid where prohibited by law, taxed or restricted. Patient assistance program solutions for hospital and health system pharmacies. The Dupixent development program has shown significant clinical benefit and a decrease in type 2 inflammation in Phase 3 trials, establishing that IL-4 and IL-13 are key and central drivers of the. Is the patient currently receiving Dupixent through samples or a manufacturer’s patient assistance program? If Yes or Unknown, skip to #8 Yes No Unknown 7. territories and be under the care of a licensed healthcare provider authorized to prescribe, dispense and administer medicine in the U. DUPIXENT® is a subcutaneous injectable prescription medicine for adults and children aged 6 months & older with uncontrolled, moderate-to-severe. 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,. 30 Section: Prescription Drugs Effective Date: January 1, 2022 Subsection: Topical Products Original Policy Date: April 7, 2017 Subject: Dupixent Page: 4 of 11 2. * DUPIXENT ® is the only biologic medicine approved by Health Canada to treat moderate-to-severe atopic dermatitis. Paris and Tarrytown, N. Is the patient currently receiving Dupixent through samples or a manufacturer’s patient assistance program? DUPIXENT® (dupilumab) therapy (“My Information”). For pediatric patients aged 6 to 11 years, Dupixent dosing is based on weight (100 mg every two weeks or 300 mg every four weeks for children ≥15 to <30 kg, and 200 mg every two weeks for children ≥30 kg) and is supplied as a pre-filled syringe. If you need help paying for your prescription, the DUPIXENT MyWay® Patient Assistance Program may be able to help. DUPIXENT 200 mg injections at different injection sites. And while everyone’s working through the details, look to DUPIXENT MyWay for additional support. Eligibility Requirements. DUPIXENT® (dupilumab), in moderate-to-severe asthma treatment, is taken as an injection by a pre-filled syringe or pre-filled pen, review both options here. The insurance companies do this by looking at where the money to pay a copay is coming from. 1-Member cost share payments for these medications, whether made by you, your plan or a manufacturer copayment assistance program, do not count towa rds the plan’s out of pocket. See available events. The income guidelines vary depending on the medication and pharmaceutical company. DUPIXENT MyWay®. g. Complete the At Home Program Application form with the assistance of a physician. For questions call 1-888-602-2978Copay accumulators are programs being adopted by health insurance companies to prevent payments from copay assistance programs like Dupixent MyWay from counting towards your insurance deductible and out-of-pocket maximum. understand that any free product distributed through the DUPIXENT MyWay Patient Assistance Program is not contingent on any purchase obligations. The patient is not eligible to use this copay savings card if they are enrolled in a state or federally funded prescription insurance program, including, but not limited to, Medicare, Medicaid, TRICARE, Veterans Affairs health care, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico (formerly. Our Patient Assistance Programs are intended for people that live in the United States, have limited or no health insurance coverage and demonstrate qualifying financial need. You’ll need to become a Simplefill member for us to find you the prescription assistance you need to pay for your Dupixent. It may be covered by your Medicare or insurance plan. , Quick Start, Copay Card, and Patient Assistance Program) Nursing Support (e. Dupixent (dupilumab) submitted for prior authorization, as recommended by the P&T Committee, were subject to public review and comment and subsequently approved for. Patients get more insight into the medication’s cost during its entire lifecycle. We would like to show you a description here but the site won’t allow us. One-on-one supplemental injection support training with nurse educators in person, virtually, or by phone. Will Dupixent be used in combination with another *non-topical PriorFast. * DUPIXENT ® is the only biologic medicine approved by Health Canada to treat moderate-to-severe atopic dermatitis. This program may provide a Bridge Program for eligible patients who experience a delay, temporary loss, or change in coverage. Please be aware that not all Sanofi products are covered under the Sanofi Patient Assistance program. Eligible patients will receive their cards by email. 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). understand that any free product distributed through the DUPIXENT MyWay Patient Assistance Program is not contingent on any purchase obligations. 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,. Author: SOTO, TIANADupixent – FEP MD Fax Form Revised 10/28/2022 Send completed form to: Service Benefit Plan Prior Approval P. The Dupixent Patient Support Program offers free or low-cost access to Dupixent for eligible patients. The guidelines to determine the medical necessity of Dupixent (dupilumab) will be utilized in the fee-for-service delivery system and by the MA managed care organizations (MCOs) in Physical Health HealthChoices and Community HealthChoices. O. ca. Get your personalized discussion guide to help yourself have a productive conversation with your doctor & see if DUPIXENT® (dupilumab) for uncontrolled moderate-to-severe atopic dermatitis is right for you. 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. Program also providers co-pay assistance. 4. To learn more and see whether you’re eligible for support, call 844-DUPIXENT (844-387-4936) or visit the manufacturer’s website. 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. How possessed an annual upper of $13,000. ” but i don’t know if having insurance with a copay accumulator is the same thing as insurance not. In those situations, the program may change its terms. If you need help paying for your prescription, the DUPIXENT MyWay Patient Assistance Program may be able to help. This program may provide a Bridge Program for eligible patients who experience a delay, temporary loss, or change in coverage. I certify that I have obtained my patient’s written authorization in accordance with applicableunderstand that any free product distributed through the DUPIXENT MyWay Patient Assistance Program is not contingent on any purchase obligations. S. DUPIXENT MyWay ENROLLMENT FORMS; English Enrollment Form. Through the Patient Assistance Program, qualified patients who are uninsured or whose insurance does not cover DUPIXENT could receive DUPIXENT at no cost. You may be eligible for the DUPIXENT MyWay Copay Card if you:. You can save on your Dupixent cost by using a free coupon available from the manufacturer’s website. Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. Prior Authorization of Dupixent (dupilumab) – Pharmacy Services BY Sally A. 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. Information regarding eligibility is available on line at or by calling toll free at 1-800-992-0900. DUPIXENT MyWay®. DUPIXENT MyWay. Dupilumab. Rare Together. That’s why myAbbVie Assist provides free AbbVie medicine to qualifying patients. consent to receive text messages by or on behalf of the Program. I certify that I have obtained my patient’s written authorization in accordance with applicableAssistance (MA) Program. The Dupixent development program has shown significant clinical benefit and a decrease in type 2 inflammation in Phase 3 trials, establishing that IL-4 and IL-13 are key and central drivers of the. This component of the program is made possible through Sanofi Cares North America. Patient Advocate Foundation's Co-Pay Relief program exists to help reduce the financial distress patients, and their families face when paying for treatment. Select a tab below to get you to helpful information depending on where you are in your treatment journey. [Summarize your reasons why DUPIXENT is medically necessary for this patient] In order for me to provide appropriate care for my patient, it is important that [Plan Name] provide adequate coverage for this treatment. A DUPIXENT MyWay Nurse Educator can help qualified patients explore additional options to help cover the cost of DUPIXENT. Exploring Alternative Assistance Programs. Also, some companies require that you have no insurance. I also understand that no free product may be submitted for reimbursement to any payer, including Medicare and Medicaid; and no free product may be sold, traded, or distributed for sale. Surgery may remove your nasal polyps, but it may not treat an underlying cause of inflammation—allowing them to grow back. I also understand that no free product may be submitted for reimbursement to any payer, including Medicare and Medicaid; and no free product may be sold, traded, or distributed for sale. 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. Enroll now to receive emails and resources designed to help patients, caregivers and information seekers through the DUPIXENT® (dupilumab) treatment journey. Detailed results from a Phase 3 trial showed that adding Dupixent ® (dupilumab) to standard-of-care antihistamines significantly reduced itch and hives at 24 weeks in biologic-naïve patients with chronic spontaneous urticaria (CSU) compared to antihistamines alone in this investigational. Like many other drugs, it may be denied by the insurer for reasons that are opaque to the patient. 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 financial need. So we went over my history, I got the script and waited for a call from the pharmacy. DUPIXENT MyWay is a patient support program designed to help you get access to DUPIXENT. DUPIXENT® (dupilumab) offers webinars where you can learn from medical professionals and people who live with eosinophilic esophagitis (EoE). g. XOLAIR Access Solutions can help identify the most appropriate patient assistance option to. This information will ONLY be used to validate your eligibility. Providers rendering services in the MA managed care delivery system. coverage assistance programs, patient assistance programs, or other support programs • to investigate my health insurance coverage for DUPIXENT inection • to otain prior authoriation for coverage • to assist with appeals of denied claims for coverage • for the operation an aministration of the DUPIXENT MyWay ProgramPatient Rebate Portal. I get one box (2 Dupixent injectors) a month and it costs $250 for the copay, my insurance plan (HMO) premium costs $400 a month. Contact. These diseases include approved indications for. Since Dupixent can be quite expensive, reimbursement programs help to mitigate the cost for eligible patients. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. information provided is for the sole use of the Program to verify my patient’s insurance coverage, to assess, if applicable, patient’s eligibility for participation in the Patient Assistance Program and to otherwise administer the Sanofi Patient Connection Program and related services. Quick Start may be able to provide DUPIXENT at no cost to help bridge patients to. To help identify you in our system, please provide the following information. The Dupixent development program has shown significant clinical benefit and a decrease in type 2 inflammation in Phase 3 trials, establishing that IL-4 and IL-13 are key and central drivers of the type 2 inflammation that plays a major role in multiple related and often co-morbid diseases. , Quick Start, Copay Card, and Patient Assistance Program) Nursing Support (e. 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 assistancecoverage assistance programs, patient assistance . Please see Important Safety Information and Patient Information on. Copay Reimbursement Program, 200 Jefferson Park, Whippany, NJ 07981. The DUPIXENT pre-filled syringe is for use in adult and pediatric patients aged 6 months and older. One that helps cover co-pays and another assistance program that covers the full cost of it if your income is below a certain level and insurance won't help pay for it. Patients may have insurance plans that attempt to dilute the impact of the assistance available under the Program. Home; Patient Assistance Connection. DUPIXENT MyWay® is a patient support program that can help enable access to. 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). Manufacturer Coupon. In order to be eligible for the program, you must meet the following requirements: You must be a resident of the U. 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. Your household income must be less than 400% of the FPL. Dupixent Patient Assistance Programs. Through the Patient Assistance Program, qualified patients who are uninsured or whose insurance does not cover DUPIXENT could receive DUPIXENT at no cost. All our information is free and updated regularly. , One-on-One Nurse Education, and Supplemental Injection Training) Please click “Continue. I am not familiar with the health care system in Australia. 48 SavedWith NeedyMeds Drug Card. Providers rendering services to MA beneficiaries in the managed care delivery system should A program called Dupixent MyWay provides a manufacturer coupon copay card. 5. chart notes, laboratory values) and use of claims history documenting the following: 1. By way of background: Dupixent was approved by the Food and Drug Administration in May 2017. For more information and to find out if you’re eligible for support, call 844-387-4936 or visit the program website. (800) 657-7613 Call us if you’re a pharmacist or patient looking for support. You can email or print the enrollment forms below. DUPIXENT can be used with or without topical corticosteroids. Program has an annual maximum of $13,000. Eligible patients will receive their cards by email. g. DUPIXENT® (dupilumab) is a subcutaneous injectable prescription medicine for uncontrolled moderate-to-severe eczema (atopic dermatitis) in adults & children aged 6 months & older. 2 pens of 300mg/2ml. Dupixent 200 mg – wait for at least 30 minutes. About Dupixent Dupixent is a fully human monoclonal antibody that inhibits the signaling of the IL-4 and IL-13 pathways and is not an immunosuppressant. Serious side effects can occur. Long-term results from a clinical trial that studied DUPIXENT for 52 weeks. With of DUPIXENT MyWay Copay Card, right, commercially insured patients might pay as little as $0* copay per fill of DUPIXENT. The Dupixent development program has shown significant clinical benefit and a decrease in type 2 inflammation in Phase 3 trials, establishing that IL-4 and IL-13 are key and central drivers of the. free under the Program. , Quick Start, Copay Card, and Patient Assistance Program) Nursing Support (e. Is the request for a continuation of therapy with Dupixent? Yes No If No, skip to #23 20. 0 (Pure hypercholesterolemia, including HeFH)I just spoke to someone through the MyWay Program. A causal association between DUPIXENT and these conditions has not been established. Dupixent MyWay is a program that provides support and resources to people prescribed Dupixent (dupilumab) to help them get the most out of their treatment. Patient assistance program. Caring. 877. Serious side effects can occur. I certify that I have obtained my patient’s written authorization in accordance with applicableconsent to receive text messages by or on behalf of the Program. If you need help paying for your prescription, the DUPIXENT MyWay Patient Assistance Program may be able to help. Serious side effects can occur. details on drug assistance programs,. Patient Assistance Foundations; Pricing Principles.