2023Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. with nasal polyposis. Especially tell your healthcare provider if you are taking oral, topical or inhaled corticosteroid medicines or if you have atopic dermatitis and asthma and use an asthma medicine. Avoid use of live vaccines in patients treated with DUPIXENT. YETUNDE: Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. To enroll or get more information call. DUPIXENT can be used with or without And that helps us so that we can practice before we do the real thing. If you have any other questions, DUPIXENT MyWay can help you understand the process. Haz clic en "Continuar" si quieres proseguir. Enter your email address and we will send you your personalized guide. Unfortunately we are unable to find information about your plan. PATIENT SUPPORT Select your current prescription insurance to To enroll or get more information call. First few months into taking Dupixent, I got laid off and worked w my doctors/Dupixent to get assistance. You should not receive a live vaccine right before and during treatment with DUPIXENT. It is not known if DUPIXENT is safe and effective in children with asthma under 6 years of age. Please be aware that not all Sanofi products are covered under the Sanofi Patient Assistance program. After prescribing DUPIXENT for your patient, initiate the insurance coverage process. Its just really neat. Failure to do so could cause delays. What do most people with this insurance type pay? Medicaid and CHIP overview for assisters. During my first year on the medication (2019), it was covered fully through the MyWay Program. Your unique experience with DUPIXENT can inspire and empower others. 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. The cost for Dupixent subcutaneous solution (200 mg/1.14 mL) is around $3,788 for a supply of 2.28 milliliters, depending on the pharmacy you visit. We have multiple resources available for patients. Contact your Field Access Specialist or call DUPIXENT MyWay at 1-844-387-4936, Monday through Friday, 8 am to 9 pm Eastern Time. Maximum allowable copayments determined by eligible populations household income. Download the Sanofi Patient Connection Application, 1-888-847-4877, MonFri, 9AM8PM ET 1-888-847-1797 patients situation and determine eligibility. It is not known whether DUPIXENT will harm your unborn baby. phenotype or with oral (1-844-387-4936), option 1. Barnett JC, Berchick ER. 1-844-DUPIXENT In fact, when you take medications that require refills regularly over time, its always good to periodically check that your pharmacy has your most up-to-date insurance information on file. 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. It is not known whether DUPIXENT passes into your breast milk. Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a 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 Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. Education and Nurse Support: One-on-one nursing support is available to educate and empower patients to use DUPIXENT as prescribed. DUPIXENT is not used to treat sudden breathing problems. Visit our Pricing and Insurance page to get more information on coverage, ordering through a specialty pharmacy, or cost. estimate my income in conjunction with the Patient Assistance Program eligibility determination process, if . YETUNDE: Tell your healthcare provider if you have any new or worsening eye problems, including eye pain or changes in vision, such as blurred vision. It is not known if DUPIXENT is safe and effective in children with atopic dermatitis under 6 months of age. Sometimes they can just take a deep breath, well go slow, think about their favorite place, think about something that reminds them and makes them happy and calms them down. Shari:I grew up in a very small townone stoplight, if you blink you might miss it. Cases of eosinophilic pneumonia were reported in adult subjects who participated in the asthma development program and cases of vasculitis consistent with EGPA have been reported with DUPIXENT in adult subjects who participated in the asthma development program as well as in adult subjects with co-morbid asthma in the CRSwNP development program. financial assistance for Tell your healthcare provider if you have any side effect that bothers you or that does not go away. 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). All prescription medications have a list price.1 Very few patients pay the list price, which is a price set by the manufacturer. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. weighing at least 40 kg, and older Laurie:Im Laurie. 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. DUPIXENT helps prevent severe asthma attacks (exacerbations) and can improve your breathing. Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. Download and fill out the enrollment form with your patients. You may be eligible for the DUPIXENT MyWay Copay Card if you: Approval is not guaranteed. ORE: Once I got a new job, I called Dupixent MyWay to tell them my status changed and I could now get drugs through my insurance's specialty pharmacy. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. Voice-over (VO): are pregnant or plan to become pregnant. The Ive been withDUPIXENT MyWaysince the very beginning. DUPIXENT can cause serious side effects, including: Allergic reactions. Any savings provided by the program may vary depending on patients' out-of-pocket costs. Years, Weighing at Its important to understand the specialty pharmacy process and its role in obtaining DUPIXENT. List price as of 1/3/2023. All rights reserved. charges. ORE: You or your doctor can download the enrollment form on DUPIXENT.com or call 1-844-DUPIXENT, Option 1 to enroll. No hassle, no problem. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. are pregnant or plan to become pregnant. They will not ship your medicine without first confirming delivery details with you. Extra Help with Medicare Prescription Drug Costs. is a patient support program Tell your healthcare provider if you have any side effect that bothers you or that does not go away. Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Be sure to check your inbox. That means it may be delivered to you by a specialty pharmacy instead of your local pharmacy. relief of acute bronchospasm or 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. And very recently got laid off due to Covid-19. with an Eosinophilic (1-844-387-4936). Your healthcare provider will decide if you or your caregiver can inject DUPIXENT. I really enjoy the patient interaction. 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, Whether youre considering treatment with DUPIXENT or youre a DUPIXENT patient or caregiver, you can sign up for emails and additional resources from DUPIXENT MyWay that can help you: Uncontrolled moderate-to-severe eosinophilic or oral steroid dependent asthma, Uncontrolled chronic rhinosinusitis with nasal polyposis. If youre eligible, you can enroll online and receive your card by email. Available at https://aspe.hhs.gov/poverty-guidelines. Im the one that cringes with needles, but she does great. Enter your email address and we will send you your requested resource. topical corticosteroids. Centers for Medicare & Medicaid Services. For more information on how to properly store DUPIXENT after delivery, please review the DUPIXENT Instructions for Use at DUPIXENT.com. Dupixent MyWay Program Dupixent (dupilumab injection) Last Updated: 03/09/2023 Application Forms & Instructions The following documents are provided in interactive PDF format, allowing you to type information directly into the form. DUPIXENT helps prevent severe asthma attacks (exacerbations) and can improve your breathing. Contact Sanofi US or Regeneron Pharmaceuticals, Inc. or call 1-844-387-4936 to contact DUPIXENT MyWay. In addition to what youve been shown by your doctor, visit the Injection Support Center for more on the injection process, including: Get to know 2 DUPIXENT MyWay registered nurses. 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. Call your doctor for medical advice about side effects. Your email is on its way. 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. I think its very important for me as a nurse to go and teach these patients. Your healthcare provider may send you to an ophthalmologist for an eye exam if needed. Patients should seek medical advice if their asthma remains uncontrolled or worsens after initiation of DUPIXENT. This information is intended for U.S. Healthcare Professionals. 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. It is not known whether DUPIXENT passes into your breast milk. If a clinically significant hypersensitivity reaction occurs, institute appropriate therapy and discontinue DUPIXENT. one-on-one nursing support, and Sanofi Patient Connection, PO Box 222138, Charlotte, NC 282222138, 2023 sanofi-aventis US LLC. For more financial assistance information, dial 1844DUPIXENT ( 1-844-387-4936), option 1 Its important to understand how to identify prescription drug coverage. eosinophilic esophagitis Contact Sanofi USor call18446437346 Please refer to Regeneron's Privacy Noticeand Sanofi'sPrivacy Policyfor more information regarding processing of your personal data. DUPIXENT is not indicated for the These are not all the possible side effects of DUPIXENT. Available at https://aspe.hhs.gov/poverty-guidelines. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. Approval is not guaranteed. Be sure to check your inbox. Call DUPIXENT MyWay to receive a more in-depth and personalized explanation. 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 . 2023Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. It is important to note that a plan may deny prior authorization. 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. DUPIXENT can be used with or without topical corticosteroids. Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections. MAT-US-2019257-v3.0-01/2022. Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections. The DUPIXENT MyWayteam can research each patient's situation and determine eligibility. that can help with the Ores dermatologist trained us on how to do the injection under the skin, and then when we contacted DUPIXENT MyWay, they sent a nurse to the house to give additional training to make sure that we were comfortable giving the injection. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. You are encouraged to report negative side effects of prescription drugs to the FDA. It is not known if DUPIXENT is safe and effective in children with chronic rhinosinusitis with nasal polyposis under 18 years of age. Fill out the enrollment form with your patients. DUPIXENT is not used to treat sudden breathing problems. Any savings provided by the program may vary depending on patients' out-of-pocket costs. call Learn how to get your patients started with DUPIXENT MyWay. can help you understand the process. household income, to qualify. In the case of a denial, you may consider writing an appeal, if appropriate, making sure to address the plans specific concerns. DUPIXENTMyWay is a patient support program designed to help you get access to DUPIXENT as quickly as possible once you have a prescription, and help you stay on track while providing helpful tools and resources. team can research each patient's situation and determine eligibility. 10050-40. You are encouraged to report negative side effects of prescription drugs to the FDA. Lactation: There are no data on the presence of DUPIXENT in human milk, the effects on the breastfed infant, or the effects on milk production. *48 Contiguous States and District of Columbia Source: US Dept of Health & Human Services. Please see accompanying adjacent links for full Prescribing Information including Patient Information. Important Safety Information. 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). are breastfeeding or plan to breastfeed. Use DUPIXENT exactly as prescribed by your healthcare provider. Do not try to prepare and inject DUPIXENT until you or your caregiver have been trained by your healthcare provider. This site is intended for use by U.S. residents only. Please see accompanying full Prescribing Information. 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. Sanofi US and Regeneron provide these links as a service to its website visitors and users; however, they take no responsibility for the information on any website but their own. Call your doctor for medical advice about side effects. Out-of-pocket costs were standardized to a 30-day supply period. This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back. Once coverage for DUPIXENT is approved, your patient must work with the specialty pharmacy to arrange for delivery of DUPIXENT to their home or preferred location. If you can't find your recommended plan, enter the ZIP Code of the insured patient's employer. with other medicines for the maintenance treatment of chronic rhinosinusitis with nasal polyposis (CRSwNP) in adults whose disease is not controlled. Voice-over (VO): DUPIXENT andDUPIXENT MyWay are registered trademarks of Sanofi Biotechnology. IL-4 and to contact Regeneron Pharmaceuticals, Inc. 202333322 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. Advising the patient to contact the specialty pharmacy for preferred delivery location. Please visit our Medications Available page to see if assistance is available for medication, Patient Assistance Connection Financial Eligibility. Approximately 60% of commercial/employer-provided insured patients pay between $0-$100 per month for DUPIXENT. with other medicines for the maintenance treatment of chronic rhinosinusitis with nasal polyposis (CRSwNP) in adults whose disease is not controlled. I like when my dad does my injection for me. It is recommended that you fax a copy of prior authorization approval to DUPIXENT MyWay to help the office staff continue the process in several ways, such as: Initiating contact with the patient regarding the approval and sharing the specialty pharmacy name and phone number. It is not known whether DUPIXENT will harm your unborn baby. Once final approval and payment are received, the patient coordinates shipment to their home or their healthcare providers office, depending on treatment plan. CONTRAINDICATION: DUPIXENT is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients. years and older with for the treatment of adult patients with prurigo nodularis (PN). This can help you avoid potential delays in getting your prescription. 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. Patients with Co-morbid Asthma: Advise patients with co-morbid asthma not to adjust or stop their asthma treatments without consultation with their physicians. . A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. Out-of-pocket costs were standardized to a 30-day supply period. Human IgG antibodies are known to cross the placental barrier; therefore, DUPIXENT may be transmitted from the mother to the developing fetus. We have the ability to send out package inserts that include all the important safety information for DUPIXENT. Terms & Restrictions Apply. 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. WAC is the price at which Sanofi sells its products to wholesalers. It is not known whether DUPIXENT will harm your unborn baby. Im a registered nurse withDUPIXENT MyWay. You should not receive a live vaccine right before and during treatment with DUPIXENT. Questions or comments? Part D is included in most Medicare Advantage (Part C) plans and can be added separately if you have Original Medicare (Parts A and B).9. Prurigo Nodularis: To enroll or get more information call 1-877-311-8972 or go to https://mothertobaby.org/ongoing-study/dupixent/. Database current as of, https://www.ssa.gov/benefits/medicare/prescriptionhelp.html, https://www.cms.gov/files/document/2022-announcement.pdf, https://marketplace.cms.gov/technical-assistance-resources/fast-facts-medicaid-chip.pdf, 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.22.03.0194 Last Update: August 2022, 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 oral steroid, https://mothertobaby.org/ongoing-study/dupixent/, https://www.census.gov/content/dam/census/library/publications/2017/demo/p60-260.pdf, https://www.bcbsm.com/index/health-insurance-help/faqs/plan-types/health-spending-accounts/fsa.html, Whether you have prescription drug insurance, Whether your insurance provider considers the medication to be preferred or not preferred. covermymeds.com. Very quaint. He was trained by my doctor. Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. I have a training kit that has a training syringe in it. 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. Vaccinations: Consider completing all age-appropriate vaccinations as recommended by current immunization guidelines prior to initiating DUPIXENT. Please see accompanying full Prescribing Information. DUPIXENT (dupilumab)a medicine with special storage requirementsis whats known as a specialty medicine. You can connect withDUPIXENT MyWaynurse educators by phone 24/7 to receive supplemental injection training, help scheduling deliveries and prescription refills, or help navigating financial support options, such as copay assistance. Blue Cross Blue Shield Blue Care Network of Michigan website. In those situations, the program may change its terms. Advise patients to report new onset or worsening eye symptoms to their healthcare provider. DUPIXENT is given as an injection under the skin (subcutaneous injection) into different injection sites. Dupixent MyWay Program Enrollment Form for Allergists (AD, Asthma, CRSwNP)(Spanish) . Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. . Additional terms and conditions apply. 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. DUPIXENT MyWay Mentor Program Additional terms and conditions apply. Next, your prescription may have to be authorized by insurance. So, we step into our offices, were going into a nice relaxing environment. I give supplemental injection training to the patient and the patients caregiver. It is important that the patient consents to receiving communication from DUPIXENT MyWay and indicates how they would like to be contacted, whether it be via email, phone, or text. Approval is not guaranteed. 1844DUPIXENT (1-844-387-4936), option 1.

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