Registered nurses are also available to speak with eligible patients about DUPIXENT. Eosinophilic Esophagitis: in adult patients with inadequately We provide general product support and education, as well as supplemental injection training, and injection and refill reminder calls. Out-of-pocket costs were standardized to a 30-day supply period. Two of these common policies are called prior authorization and step edits. In those situations, the program may change its terms. Do not try to prepare and inject DUPIXENT until you or your caregiver have been trained by your healthcare provider. Stop using DUPIXENT and tell your healthcare provider or get emergency help right away if you get any of the following signs or symptoms: breathing problems or wheezing, swelling of the face, lips, mouth, tongue, or throat, fainting, dizziness, feeling lightheaded, fast pulse, fever, hives, joint pain, general ill feeling, itching, skin rash, swollen lymph nodes, nausea or vomiting, or cramps in your stomach-area. For patients wanting a copay card, they can access that by visiting our product website at DUPIXENT.com. If you do not have insurance that covers your prescription medications, or if your insurance does not Be sure to fill out your enrollment form completely and accurately. older with moderate-to-severe atopic You will now be exiting the Sanofi Patient Connection website. to a When I go to see the patient, I cant wait to travel, no matter how far it is. Once youve been prescribed DUPIXENT, your healthcare provider can download the enrollment form, help you fill it out, and fax it back toDUPIXENT MyWayat1-844-387-9370. Medicaid and CHIP overview for assisters. for the treatment of adult and If you can't find your recommended plan, enter the ZIP Code of the insured patient's employer. 1844DUPIXENT (1-844-387-4936), option 1. You could tell that the patient was just not comfortable. Maternal IgG is known to be present in human milk. Terms & Restrictions Apply. I travel to see the patientssometimes for hours. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. household income, to qualify. Patients with Co-morbid Asthma: Advise patients with co-morbid asthma not to adjust or stop their asthma treatments without consultation with their physicians. DUPIXENT MyWay at 1-844-DUPIXEN(T) (EoE). DUPIXENT is not used to treat sudden breathing problems. Approval is not guaranteed. have eye problems. OCSdependent, For Patients Ages 18+ Additional terms and conditions apply. It is not known whether DUPIXENT passes into your breast milk. Its an injection given under the skin (subcutaneous injection). are breastfeeding or plan to breastfeed. Download and fill out the enrollment form with your patients. If a clinically significant hypersensitivity reaction occurs, institute appropriate therapy and discontinue DUPIXENT. DUPIXENT helps prevent severe asthma attacks (exacerbations) and can improve your breathing. These events may be associated with the reduction of oral corticosteroid therapy. Approximately 79% of Medicare Part D patients can expect to pay between $0-$100 per month for DUPIXENT, and 21% of Medicare Part D patients can expect to pay $100+ 3, per month for DUPIXENT. option 1. Before using DUPIXENT, tell your healthcare provider about all your medical conditions, including if you: are scheduled to receive any vaccinations. Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a healthcare provider. are breastfeeding or plan to breastfeed. Support, LEARN ABOUT OUR Please refer to Regeneron's Privacy Noticeand Sanofi'sPrivacy Policyfor more information regarding processing of your personal data. If you do not have insurance that covers your prescription medications, or if your insurance does not cover DUPIXENT, you can typically expect to pay the list price shown below the tool plus any additional pharmacy charges. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. DUPIXENT MyWay is a patient support program that can help with the enrollment process, offer financial assistance for eligible patients, provide one-on-one nursing support, and more. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. to contact Regeneron Pharmaceuticals, Inc. 202333322 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. Conjunctivitis and keratitis have been reported with DUPIXENT in postmarketing settings, predominantly in AD patients. Unsure how often they ask for financial info from me, it's only been six months and the only thing they ever ask is who would pay for the medicine if I didn't have insurance. Drug coverage under Medicare Part D is divided into 4 phases: 1) deductible, 2) initial coverage, 3) coverage gap, and 4) catastrophic. I make sure that I gather all of the things that I may need to help the experienced person, and then the person thats never even touched a needle. The Current population reports. DUPIXENT: your first choice to adequately control this chronic, systemic disease VIEW RESULTS Atopic Dermatitis: The most common adverse reactions (incidence 1%) in patients are injection site reactions, conjunctivitis, blepharitis, oral herpes, keratitis, eye pruritus, other herpes simplex virus infection, dry eye, and eosinophilia. Out-of-pocket costs were standardized to a 30-day supply period. corticosteroid dependent asthma. Barnett JC, Berchick ER. The price you pay varies from pharmacy to pharmacy. Restrictions Apply. Putting the pieces together for acquiring DUPIXENT. Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections. Use the DUPIXENT Cost and Coverage Tool below for more information. You are encouraged to report negative side effects of prescription drugs to the FDA. Payments are averaged across all phases of Medicare coverage, and include coverage gap and catastrophic phase payments. o A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay, and that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. Accessed 01/18/23. If symptoms persist or worsen, consider rheumatological evaluation and/or discontinuation of DUPIXENT. eligible patients, provide For more financial assistance information, dial 1844DUPIXENT ( 1-844-387-4936), option 1 Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. Learn how to get your patients started with, Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP), DUP.23.01.0156 Last Update: March 2023, DUP.22.09.0185 Last Update: November 2022, DUP.22.09.0183 Last Update: October 2022, DUP.23.01.0254 Last Update: February 2023, DUP.23.01.0252 Last Update: February 2023, DUP.23.01.0261 Last Update: February 2023, Chronic Rhinosinusitis with Nasal Polyposis, https://mothertobaby.org/ongoing-study/dupixent/. I think its very important to just be patient. DUPIXENT helps prevent severe asthma attacks (exacerbations) and can improve your breathing. 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. DUPIXENT MyWay mechanism of dupilumab action Approval is not guaranteed. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. Please see accompanying adjacent links for full Prescribing Information including Patient Information. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. TEL: 844-387-4936 with eosinophilic esophagitis To enroll or get more information call. (1-844-387-4936), Months, For Patients Ages 6+ Years DUPIXENT MyWay will not conduct the benefits investigation, nor send a Summary of Benefits Form, for providers who have checked the specialty pharmacy box on the Enrollment Form, as this indicates that they wish the specialty pharmacy to conduct the benefits investigation. DUPIXENT is covered under the pharmacy benefit plan, which requires a patient to coordinate delivery with a specialty pharmacy. For more information, dial1-844-DUPIXENT 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 by an eosinophilic phenotype or with oral corticosteroid dependent asthma. Dupixent Enrollment Form - ENT/Pumonologist Dupixent Enrollment Form - Dermatologists are scheduled to receive any vaccinations. Contact Sanofi US or Regeneron Pharmaceuticals, Inc. or call 1-844-387-4936 to contact DUPIXENT MyWay. A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. Learn how to get your patients started with DUPIXENT MyWay. You should not receive a live vaccine right before and during treatment with DUPIXENT. Shari:I grew up in a very small townone stoplight, if you blink you might miss it. These are not all possible side effects of DUPIXENT. ORE: DUPIXENT can cause serious side effects, including: Allergic reactions. with other asthma medicines for the maintenance treatment of moderate-to-severe eosinophilic or oral steroid dependent asthma in adults and children 6 years of age and older whose asthma is not controlled with their current asthma medicines. Accessed 01/18/23. You or your doctor can download the enrollment form on DUPIXENT.com or call 1-844-DUPIXENT, Option 1 to enroll. see possible cost and coverage. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. with nasal polyposis. Especially tell your healthcare provider if you are taking oral, topical, or inhaled corticosteroid medicines; have asthma and use an asthma medicine; or have atopic dermatitis, chronic rhinosinusitis with nasal polyposis, eosinophilic esophagitis, or prurigo nodularis and also have asthma. Especially tell your healthcare provider if you are taking oral, topical, or inhaled corticosteroid medicines; have asthma and use an asthma medicine; or have atopic dermatitis, chronic rhinosinusitis with nasal polyposis, eosinophilic esophagitis, or prurigo nodularis and also have asthma. your story? Mail: DUPIXENT MyWay Copay Reimbursement Program, 200 Jefferson Park, Whippany, NJ 07981 Fax: 1-908-809-6249 I, _____, certify that the information provided for this reimbursement request is accurate to the best of my knowledge, and the product-specific copay, Key points of contact for coverage are located on the card itself. Its important to understand the specialty pharmacy process and its role in obtaining DUPIXENT. 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. Ive been withDUPIXENT MyWaysince the very beginning. The DUPIXENT MyWayPatient Assistance Program may be able to help. Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. THIS IS NOT INSURANCE. Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. topical corticosteroids. Ests a punto de abandonar este sitio para visitar nuestro sitio en ingls. DUP.23.01.0314 Last Update: March 2023, DUP.22.11.0007 Last Update: December 2022, DUP.23.01.0070 Last Update: February 2023, DUP.22.10.0421 Last Update: February 2023, DUP.22.03.0291 Last Update: July 2022, DUP.22.05.0386 Last Update: September 2022, Moderate-to-Severe Eczema (Ages 6+ Months), Moderate-to-Severe Asthma (Ages 6+ Years), Chronic Rhinosinusitis with Nasal Polyposis, Uncontrolled moderate-to-severe eosinophilic or, https://mothertobaby.org/ongoing-study/dupixent/, Conduct virtual or over-the-phone training, How-to supplemental injection training videos, Tips to help manage feelings of uncertainty, Have effective conversations with your healthcare provider, Learn about programs that may help cover the cost of DUPIXENT. We want to hear you tell your story, and, if selected, you may be featured in print materials, social media, or videos. DUPIXENT may also help reduce the amount of oral corticosteroids you need while preventing severe asthma attacks and improving your breathing. Please refer to Regeneron's Privacy Noticeand Sanofi'sPrivacy Policyfor more information regarding processing of your personal data. Enter the insured patients ZIP Code below. Does my insurance cover DUPIXENT (dupilumab)? We have the ability to send out package inserts that include all the important safety information for DUPIXENT. established. In children 12 years of age and older, its recommended DUPIXENT be administered by or under supervision of an adult. Atopic Dermatitis: DUPIXENT is indicated for the treatment of adult and pediatric patients aged 6 months 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. Sanofi offers a Dupixent MyWay copay card to some patients with commercial insurance, but it has eligibility requirements and a yearly maximum of $13,000. as an add-on maintenance treatment to Learn More. Use DUPIXENT exactly as prescribed by your healthcare provider. Patient access support: A copay card and other resources available to eligible patients to help optimize access to DUPIXENT Coverage support: Guidance and assistance navigating through the insurance process Patients can enroll in DUPIXENT MyWay by calling 1-844-DUPIXEN (T) or 1-844-387-4936 estimate my income in conjunction with the Patient Assistance Program eligibility determination process, if . Avoid use of live vaccines in patients treated with DUPIXENT. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. It is not known if DUPIXENT is safe and effective in children with chronic rhinosinusitis with nasal polyposis under 18 years of age. Joint aches and pain. Use DUPIXENT exactly as prescribed by your healthcare provider. I authorize DUPIXENT MyWay to conduct a benefits investigation for my patient and to act on my behalf for the limited purpose of transmitting this prescription to the appropriate pharmacy designated by the patient per their benefit . Program has an annual maximum of $13,000. to contact Regeneron Pharmaceuticals, Inc. 202333322 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. You should not receive a live vaccine right before and during treatment with DUPIXENT. 2023Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. These are not all the possible side effects of DUPIXENT. Health insurance coverage in the United States: 2016. Patients with Co-morbid Asthma: Advise patients with co-morbid asthma not to adjust or stop their asthma treatments without consultation with their physicians. Voice-over (VO): Patients prescribed DUPIXENT and enrolled inDUPIXENT MyWaycan access: Supplemental injection training in person, virtually, or by phone, Help scheduling deliveries of your prescription, Insightful tips and tools to help you along the way. Some of the common questions we get: How much is it going to cost me? When will I get started? How do I take my DUPIXENT injections when Im traveling?. First few months into taking Dupixent, I got laid off and worked w my doctors/Dupixent to get assistance. Enter your email address and we will send you your requested resource. Once final approval and payment are received, the patient coordinates shipment to their home or their healthcare providers office, depending on treatment plan. Patients may have insurance plans that attempt to dilute the impact of the assistance available under the program. All prescription medications have a list price.1 Very few patients pay the list price, which is a price set by the manufacturer. Centers for Medicare and Medicare website. This site is intended for use by U.S. residents only. Eosinophilic Conditions: Patients being treated for asthma may present with serious systemic eosinophilia sometimes presenting with clinical features of eosinophilic pneumonia or vasculitis consistent with eosinophilic granulomatosis with polyangiitis (EGPA), conditions which are often treated with systemic corticosteroid therapy. DUPIXENT MyWay will also remind the healthcare professional when the authorization is up for reapproval. Patients should seek medical advice if their asthma remains uncontrolled or worsens after initiation of DUPIXENT. All rights reserved. Asthma: as This information is intended for U.S. Healthcare Professionals. are pregnant or plan to become pregnant. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. Not only to teach them how to give themselves the medicine, but also to just come and give them encouragement, and show them kindness and patience. o A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. *Hawaii Source: US Dept of Health & Human Services. 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. You may pay more in the beginning of the year or more later in the year depending on which phase of the Part D benefit you are in. Tell your healthcare provider if you have any new or worsening eye problems, including eye pain or changes in vision, such as blurred vision. DUPIXENT may also help reduce the amount of oral corticosteroids you need while preventing severe asthma attacks and improving your breathing. It is not known if DUPIXENT is safe and effective in children with eosinophilic esophagitis under 12 years of age and who weigh at least 88 pounds (40 kg). I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay, and that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. In children 6 months to less than 12 years of age, DUPIXENT should be given by a caregiver. The DUPIXENT MyWay Copay Card may help eligible, commerciallyinsured patients cover the out-of-pocket cost of DUPIXENT. How are your donations impacting the community? are pregnant or plan to become pregnant. For more information on how to properly store DUPIXENT after delivery, please review the DUPIXENT Instructions for Use at DUPIXENT.com. ORE: Im ready to help our patients to have the confidence to proceed with their journey. ORE: Sanofi US and Regeneron provide these links as a service to their website visitors and users; however, they take no responsibility for the information on any website but their own. Your email is on its way. Once DUPIXENT is approved by your insurer, a specialty pharmacy works with you to schedule the shipments of DUPIXENT to your home or other preferred location, so be sure to answer their calls to prevent delays. DUPIXENT MyWay DUPIXENT andDUPIXENT MyWay are registered trademarks of Sanofi Biotechnology. Im the one that cringes with needles, but she does great. Patients will need to meet the eligibility criteria, including household income, to qualify. are breastfeeding or plan to breastfeed. team can research each patient's situation and determine eligibility. These are not all possible side effects of DUPIXENT. Please see adjacent links for full Prescribing Information including Patient Information. 866-452-5017 or Sano US and Regeneron provide these links as a service to their website visitors and users; however, they take no responsibility for the information on any website but their own. 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. If you need help paying for your prescription, the DUPIXENT MyWay Patient If youre eligible, you can enroll online and recieve your card by email. Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections.
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