For families/households with more than 8 persons, add $5,140 for each. This morning my nose was less congested than usual, that's a positive sign. Dupixent is not intended for episodic use. Something went wrong. Serious side effects can occur. Once the prescription went to the pharmacy I called the pharmacy and they did the myway paperwork for me. 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. Surgery may remove your nasal polyps, but it may not treat an underlying cause of inflammation—allowing them to grow back. My daughter's Dupixent is free with the card and they ship it with cold packs to our front door. Unusual weakness or fatigue, fever, headache, skin rash, muscle or joint pain, loss of appetite, pain, tingling, or numbness in the hands or feet. 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. Please see Important Safety Information and Patient Information on website. Monday-Friday, 8 am-9 pm ET. medisafe. 18, 0. 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. For more information, dial 1-844-DUPIXENT1-844-387-4936), option 1. DUPIXENT® is a subcutaneous injectable prescription medicine for adults and children aged 6 months & older, with uncontrolled, moderate-to-severe eczema (atopic dermatitis). I really enjoy the patient interaction. Nationally are Covered for DUPIXENT. Limitation of Use: Not for the relief of acute bronchospasm or status asthmaticus. ®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. Stop using DUPIXENT and tell your healthcare provider or get emergency help right away if you get any of the following signs or symptoms: breathing problems or wheezing, swelling of the face, lips, mouth, tongue or throat, fainting, dizziness, feeling lightheaded, fast pulse. Thanks for all of ur replies! Just received the drug yesterday after four weeks, 3 denials from my prescription drug plan and dupixent my way approving me for their program. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. loss of voice. If you still have questions, you can speak with a DUPIXENT MyWay or request to join the program over the phone. If you are a New York prescriber, please use an original New York State prescription form. Sign up or activate your card here. Living with my nasal polyps was exhausting. I cried hopeful tears as I gave myself my. <br> <br> Best, <br> Ashley</p> reactions . Indication. 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. The yellow needle cover will cover the needle. You may be eligible for the DUPIXENT MyWay Copay Card if you:. Working with it utilizing electronic means is different from doing this in the physical world. In order to be effective and work properly, most biologics are injectable medicines. Eligible patients will receive their cards by email. ( 1-844-387-4936), option 1. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. 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. ReplyPRESCRIBER TO FILL OUT Section 6a. Serious adverse reactions may occur. Please see Important Safety Information and Patient Information on website. 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. It offers financial assistance, nursing support, and information on the safety profile of DUPIXENT and its interactions with other medications. Dupixent® (dupilumab) Note: Precertification review for this medication is handled by Aetna Pharmacy Management Precertification at 1-855-240-0535 or fax applicable request forms to 1-877-269-9916. For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. (2) Financial support for eligible patients: Get information about potential. Being a nurse for DUPIXENT MyWay is very rewarding. How to use Dupixent (dupilumab) syringes: 1) Wash your hands with soap and water before injection. DUPIXENT® (dupilumab) is a. You should call your doctor or your insurance company and ask for the specialty pharmacy information. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. We do not interview candidates on Google Hangouts. Within 24 hours, one of our patient advocates will call you for a brief interview. A SingleCare savings card could reduce the cost of Dupixent without insurance as much as $1,600 per month. Have commercial insurance, including health insurance. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based on 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. com is a great place to begin your research. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. I know my Co. Patient Assistance Connection Financial Eligibility(for uninsured or functionally uninsured patients) Determine the maximum household income requirement to be considered for Patient Assistance Connection by selecting your household size and then viewing the 400% column. FUN Documents, MMIT, and Policy Reporter as of July 12, 2023. It felt like they were controlling me when it should have been the other way around. Dupixent may cause serious side effects. Eligible patients covered by commercial health insurance may pay as little as a $0 p copay per fill of DUPIXENT. I certify that I have obtained my patient’s written authorization in accordance with applicable Patients may be eligible for the DUPIXENT MyWay® copay card if they: Have commercial insurance; Have a DUPIXENT prescription for an FDA-approved condition; Are a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI; and are a patient or caregiver aged 18 years or older For patients wanting a copay card, they can access that by visiting our product website at DUPIXENT. Tell your healthcare provider about any new or worsening joint symptoms. Especially tell your healthcare provider if you. Monday-Friday, 8 am-9 pm ET. DUPIXENT can cause allergic reactions that can sometimes be severe. I am so sorry you are having side effects that may make you stop taking it. 421 adult patients were randomized to DUPIXENT + TCS or placebo + TCS. . 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). Serious side effects can occur. Do not try to inject DUPIXENT until you have been shown the right way by your healthcare provider. I agree to assist in e Éorts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. chevron_right. Please see Important Safety Information and Patient Information on website. Or you can google their info and contact them directly. insurer. PK !û˜õ ‹ _ [Content_Types]. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 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. Serious side effects can occur. Start Program product to the patient named herein. 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. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. insurer. Dymista - Pay as little as $29. Education and Nurse Support: One-on-one nursing support is available to educate and empower patients to use DUPIXENT as prescribed. Fill a 90-Day Supply to Save. –%F¯ Z®Iœ)Xô÷UQ)SºÒWëü ÂC þH„s¥Ê R ¯Œüà 7L )w=a¡¸£†# Uåx@£û az%!š ïBS _[/¹´ÙR“29ms€Óæ¹Ê ÕWnÎÛ B. DUPIXENT can be used with or without topical corticosteroids. Dupixent is prescribed for eczema and certain types of asthma. Get the dupixent copay card and you will likely get it for no charge for a while. Store DUPIXENT Syringes in the refrigerator between 36°F to 46°F (2°C to 8°C). Severely painful. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. If you’re eligible, you can enroll online and recieve your card by email. El dermatólogo de Ora nos capacitó sobre cómo colocar las inyecciones debajo de la piel y, luego, cuando nos comunicamos con DUPIXENT My Way, enviaron una enfermera a casa para que nos diera una capacitación adicional para asegurarse de que nos sintiéramos cómodos para colocarponiendo la inyección”. xml ¢³ ( ¼–ËnÛ0 E÷ ú ·…E' Š¢°œE Ë6@] [š ÙDù 9Nâ¿ïPŠÙÄq¬$Žº ‘sï!çaÏ. Of the total drug interactions, 38 are major, 29 are moderate, and 7 are minor. Dupilumab. Subscribe. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Just got the fun news that I will need to pay $2,700 for a monthly dose of Dupixent. There are 74 drugs known to interact with Dupixent (dupilumab), along with 2 disease interactions. Originally went on dupixent as 1st derm thought I had eczema. If you are a New York prescriber, please use an original New York State prescription form. Serious adverse reactions may occur. Currently no side effects, just 95% clear and I had full body, severe eczema. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. DUPIXENT MyWay complements your office’s process for accessing DUPIXENT. 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. You may be able to. Filter by condition. Eligible commercially insured patients may submit a rebate if they paid in full for their prescription at the pharmacy or their prescription was filled before they enrolled in the program; visit to begin the rebate process; for additional information contact the program at 844-387-4936. DUPIXENT is not a steroid or immunosuppressant; it is a prescription biologic medicine given under the skin (subcutaneous injection). Female Preferred pronouns Last 4 digits of SSN . 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. I, _____, certify that the information provided for this reimbursement request is accurate to the best of my knowledge, and the product-specific copay, DUPIXENT MyWay is a patient support program designed to help you get access to DUPIXENT and stay on track while providing helpful tools and resources. You need to have a prescription for DUPIXENT as well as. DUPIXENT is a biologic and can help reduce your patients' use of systemic corticosteroids. It’s a biologic drug, which means it’s made from parts of living organisms. If you are struggling please consider this drug. 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. 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. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. Hello cinc: I have been on Dupixent approx 1-1/2 years with very rare eye irritation. 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. There is currently no generic alternative to Dupixent. 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. You can also use SingleCare on Dupixent alternatives to save even more money. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Although you are not eligible, you can sign up DUPIXENT MyWay emails about DUPIXENT below. (DUPIXENT + Topical Corticosteroids (TCS) vs TCS only): CLEAR OR ALMOST CLEAR SKIN AT 16 Weeks 39% taking DUPIXENT + TCS vs 12% using TCS only. DUPIXENT is a prescription medicine used to treat certain skin conditions, asthma, and chronic rhinosinusitis with nasal polyps. Manufacturer Coupon. 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. I authorize the Alliance to use my Social Security number and/or additional. It is not an immunosuppressant or a steroid. Daliresp - Pay as little as $25. 56 billion in sales in 2019 and turned in 8% growth in the first quarter to $832 million. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,How someone else should inject Dupixent. About Dupixent Dupixent is administered as an injection under the skin (subcutaneous injection) at different injection sites. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. Be sure to. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. 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. Also, make sure to store the DUPIXENT MyWay phone number in your phone’s contacts so you recognize. insurer. 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 by an eosinophilic phenotype or with oral corticosteroid dependent asthma. Then it got worse, 2nd derm said psoriasis hence humira for about 1 month, no improvement. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. 1-844-DUPIXENT. Dupixent MyWay pays the $500 copay. For children weighing 15 kilograms (kg)* to less than 30 kg, the dosage is either: • 100 mg every other week, or. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. Option 1- you have to meet your deductible without Dupixent myway. About Dupixent Dupixent is administered as an injection under the skin (subcutaneous injection) at different injection sites. Registered nurses are also available to speak with eligible patients about DUPIXENT. DUPIXENT MyWay® is a patient support program designed to help you get access to DUPIXENT and help eligible patients cover the out-of-pocket costs of DUPIXENT. Add the date to the sample using the Date feature. Especially tell your healthcare provider if you. I then submit a copy of my receipt via snail mail to the Dupixent my way reimbursement program and they send me a check for $250 via snail mail. Fax: 1-908-809-6249. Learn how to prepare, inject, and dispose of the syringe safely and correctly. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. In order to be effective and work properly, biologics are injectable medicines. 01. 5. 98% of Commercially Insured Patients. After that, it is taken as 1 injection every 2 weeks or every 4 weeks, depending on your age and weight. Store DUPIXENT Syringes in the original carton to protect them from light. I go to college, and already had to extend my time due to eczema and TSW. DUPIXENT blocks the signaling of two key sources of Type 2 inflammation (IL-4 and IL-13). Welcome to RxCrossroads. Inflammation of your blood vessels. DUPIXENT Syringes can be stored at room temperature up to 77°F (25°C) up to 14 days. 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. Refer your appropriate uncontrolled asthma patients to an allergist or pulmonologist to learn if DUPIXENT® (dupilumab) is a treatment option. I agre e to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 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. I think it is a true wonder drug and I am grateful for it. See available events. DUPIXENT can be used with or without topical corticosteroids. e. Patient assistance program. For more information, dial 1-844-DUPIXENT1-844-387-4936), option 1. Yesterday the nurse injected the first dose using a syringe in my leg. 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. My Dupixent auto injector people, where you at, I have a question for you. DUPIXENT MyWay. If you are a New York prescriber, please use an original New York State prescription form. 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. • 300 mg every 4 weeks. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. Anomalous_Creature • 1 yr. Dupixent Interactions. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing, state-specific. Learn how DUPIXENT helped treat children 6 to 11 years old with their moderate-to-severe asthma. Do not try to inject DUPIXENT until you have been shown the right way by your healthcare provider. 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. insurer. I'm supposed to start myself at some point, I guess with the pen though I know there's a choice. Serious side. insurer. 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). My itching was a 15 out of 10. ” IMPORTANT SAFETY INFORMATION: Do not use if you are allergic to dupilumab or to any of the ingredients in DUPIXENT ®. Find DUPIXENT® (dupilumab) injection videos and instructions for the pre-filled pen (200 mg or 300 mg) for ages 2+ years. In children 12 years of age and older,Q7: Why will copay card support no longer be contributed toward my accumulator totals (i. Serious adverse side effects can occur. Step 4: Hold the syringe at a 45-degree angle. Serious side effects can occur. DUPIXENT 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. The formulary status tool below can help check DUPIXENT coverage for various plans. Injection site reactions and eye conditions are the most common side effects reported and, unlike several other biologics, the risk of infection is low. This copay card may be for you if you. Chest. 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. It was pretty smooth, the only difference with a vaccine is that the injection is much longer (5. The way I describe DUPIXENT to my patients is that DUPIXENT inhibits IL-4 and IL-13 signaling. x DUPIXENT Syringes can be stored at room temperature up to 77°F (25°C) up to 14 days. In children 12 years of age and older,It was granted and I pay $0. x Store DUPIXENT Syringes in the refrigerator between 36°F to 46°F (2°C to 8 °C). •Store DUPIXENT Syringes in the original carton to protect them from light. Dupixent only comes as a brand-name drug. DUPIXENT is an injectable medicine that is administered by subcutaneous injection and is intended for use under the guidance of a healthcare provider. To get patient-specific information about coverage for a drug, phone Health Insurance BC. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. Watch videos for a supplemental demonstration on how to use and dispose of DUPIXENT® (dupilumab), a prescription medicine for subcutaneous injection. best of luck!! i hope you can get on dupixent soon. Approval represents the second dermatology indication for Dupixent and fifth disease indication overall in the. Monday-Friday, 8 am-9 pm ET. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. Based on the questions answered above, you are not eligible to register for a new copay card or to activate a copay card. 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. Dupixent. DUPIXENT is an injectable medication that requires special shipping and handling. Check the liquid in the prefilled pen or syringe. 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. Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. DUPIXENT can be used with or without topical corticosteroids. Needed additional leadership equipped the enrollment process? Contact your section accessories dedicated or call DUPIXENT MyWay. I am in no way "anti-drug". 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. His experience and mine are night and day different. 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. PRESCRIBER TO FILL OUT Section 5a. 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. 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. After another six weeks I could smell and taste. Be sure to fill out your enrollment form completely and accurately. 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]). I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUQuick Start Program product to the patient named herein. •DUPIXENT Syringes can be stored at room temperature up to 77°F (25°C) up to 14 days. with DUPIXENT Help schedule deliveries of DUPIXENT Provide supplemental injection training—in person, virtually, or over the phone—to help patients or caregivers become more familiar with injecting DUPIXENT Offer a needle disposing kit, or sharps container, for proper disposal of DUPIXENT Remind patients when it is time toMy doctor gave me a copay card to cover mine. You will find 3 options; typing, drawing, or uploading one. Biologic Drug: Biologic drugs are made from living cells and are often expensive. ( 1-844-387-4936 ), option 1. DUPIXENT® is a subcutaneous injectable prescription medicine for adults with uncontrolled chronic. Fast forward to tonight, first time using the pen, and it took me FOREVER to commit. My dr pioneered eoe for many years and ran a lot of the trials. DUPIXENT MyWay team will research each patient’s situation and determine eligibility. I would literally give whoever made this drug my life. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 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. 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. The $500 payment counts towards the member’s deductible and out-of-pocket maximum. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Most dermatologists should know about it. For patients wanting a copay card, they can access that by visiting our product website at DUPIXENT. For children aged 6 months to 5 years, it is taken as 1 injection every 4 weeks. *. 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. . DUPIXENT blocks the signaling of two key sources of Type 2 inflammation (IL-4 and IL-13). Depended on my insurance. The first 3 shots were in my upper arm. For children weighing 30 kg or more, the dosage is 200. x Store DUPIXENT Syringes in the original carton to protect them from light. I'm an adult and I just started Dupixent yesterday. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. This inflammation is an important component in. It may be covered by your Medicare or insurance plan. At that point we will owe 20% of the cost of the medication, which adds up to just under $700/month. Administer subcutaneous injection into the thigh or abdomen, except for the 2 inches (5 cm) around the navel. Contact Regeneron for information about corporate communications, media relations, investor relations or business development. When Dupixent is used to treat asthma, there are two possible starting dosages for adults and children ages 12 years and older. Im in the same boat, my out of cost payment with insurance is also $325 but is now 0 when i applied and was approved for my way. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. Check out the links below to learn more on our website, view the full Prescribing Information, Patient Information, and. 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. Your experience with DUPIXENT is unique, and sharing your journey can inspire and empower people facing similar challenges. Serious side effects can occur. The relief is indescribable, honestly. Dupixent - Pay as little as $0 per month. Serious side effects can occur. Serious side effects can occur. Be sure to check your inbox. Serious side effects can occur. Please see. Stop using DUPIXENT and tell your healthcare provider or get emergency help right away if you get any of the following signs or symptoms: breathing problems or wheezing, swelling of the face, lips, mouth, tongue or throat, fainting, dizziness, feeling lightheaded, fast pulse. Find DUPIXENT® (dupilumab) injection videos and instructions for the pre-filled syringe (200 mg or 300 mg) with needle shield for ages 6 months & older. If you are a New York prescriber, please use an original New York State prescription form. 7 out of 10 from a total of 188 reviews for the treatment of Eczema. yes! i am currently using both my insurance and dupixent my way. ®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 insurer. I already know about the Dupixent my way, and programs, trust me when I say, it’s not happening for me, it’s also not only my choice. I have done syringes for almost 2 years now, but started to get anxiety around the needle so switched to the pen in order to hopefully avoid that anxiety. Want to be a part of the DUPIXENT MyWay® Ambassador Program? Fill out this self-nomination form to see if you qualify. For more information, call 1-844-DUPIXENT ( 1-844-387-4936) option 1. Sex at birth: Male . “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. PRESCRIBER TO FILL OUT Section 6a. Provide information about your healthcare provider, including their name, address, and contact information. Serious side effects can occur. support and resources. Inspire has over 250 health communities supporting more than 3000 conditions. Last name . I’m ready to make a difference. Injection. 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. Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. 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. g. 3) Push the plunger down slowly until the syringe is emptied. Dosage in Pediatric Patients 6 Months to 5 Years of Age. 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. WARNINGS AND PRECAUTIONS. INJECTION SUPPORT. Dupixent may cause serious side effects. Keep DUPIXENT Syringes and all medicines out of the reach of children. 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. Peter Bunting Moderator & Contributor <p>Thanks for your response, Ashley. Depending on the dose, uninsured patients can expect to pay up to $59,000 per year for Dupixent treatment. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. Experience: Been on Dupixent since May 15, 2017. If you don’t have health insurance, talk. but their insurance fully covers my Dupixent. To help identify you in our system, please provide the following information. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. There’s no laboratory monitoring required, not at the beginning, not during therapy. My husband has been on it several months for severe asthma. Terms & Restrictions apply. Come back and visit us using a device with a larger screen (laptop, desktop, tablet) at web. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. - Rachel, DUPIXENT Patient Mentor, living with asthma. •Store DUPIXENT Syringes in the refrigerator between 36°F to 46°F (2°C to 8°C). Talk with. Page couldn't load • Instagram. 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. DUPIXENT® is a subcutaneous injectable prescription medicine for adults and children aged 6 months & older with uncontrolled, moderate-to-severe. Caring. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 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. After that, we will have met our family deductible. ®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. DUPIXENT MyWay® Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay®.