DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. 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. Education and Nurse Support: One-on-one nursing support is available to educate and empower patients to use DUPIXENT as prescribed. x DUPIXENT Syringes can be stored at room temperature up to 77°F (25°C) up to 14 days. The dupixent appeal letter is a Word document that should be submitted to the relevant address in order to provide some information. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. Sorry you interpreted my post that way. Please see Important Safety Information and Patient Information on website. My itching was a 15 out of 10. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. You may be eligible for the DUPIXENT MyWay Copay Card if you:. numbness, pain, tingling, or unusual sensations in the palms of the hands or bottoms of the feet. coverage delay for DUPIXENT by the patient’s insurer. Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase 3 program consisting of two pivotal trials. jobs in Sleepy Hollow, NY - Sleepy Hollow jobs - Director of Strategy jobs in Sleepy Hollow, NYDUPIXENTDupixent plays in managing their condition • What to expect from treatment and long-term adherence success • Lifestyle counselling and goal setting For many patients, having someone they can turn to for advice, or simply chat with, makes all the difference when navigating a long-term chronic condition and a new treatment. The most common side effects include: DUPIXENT MyWay. Patients may be eligible for the DUPIXENT MyWay Copay Card if: They have a DUPIXENT prescription for an FDA-approved condition. 2 pens of 300mg/2ml. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. This medicine should be given by a caregiver in children 6 months to less than 12 years of age. If you are a New York prescriber, please use an original New York State prescription form. (20% of ~$3,500)INDICATIONS Atopic Dermatitis: DUPIXENT is indicated for the treatment of patients aged 6 years and older with moderate-to-severe atopic dermatitis whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable. DUPIXENT® (dupilumab) is taken as an injection by a pre-filled syringe or pre-filled pen. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. You will find 3 options; typing, drawing, or uploading one. • 300 mg every 4 weeks. Eligible patients will receive their cards by email. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. You may be eligible for the DUPIXENT MyWay Copay Card if you:. One-on-one nursingsupport is availableforDUPIXENT. For families/households with more than 8 persons, add $5,140 for each. Serious side effects can occur. I pay nothing. Sign up or activate your card here. To request access to someone else's record in MyHealth complete the Request Access to Someone Else’s Account form . Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. Enroll now to receive emails and resources designed to help patients, caregivers and information seekers through the DUPIXENT® (dupilumab) treatment journey. 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. 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. DUPIXENT can cause serious side effects, including: Allergic reactions. Monday-Friday, 8 am-9 pm ET. 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. (I am one of those patients!) have seen a great results. I also have the dupixent myway card that covers a total of $13,000 for the year. The my way nurses are as useless as it gets. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing. The formulary status tool below can help check DUPIXENT coverage for various plans. Yes it was left out and room temp. I agre e to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. 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. DUPIXENT MyWay® is a program that helps eligible patients start and stay on track with their therapy for atopic dermatitis, asthma, chronic rhinosinusitis with nasal polyposis,. Contact Regeneron for information about corporate communications, media relations, investor relations or business development. They are especially crucial when it comes to stipulations and signatures associated with them. Everything they say sounds like they are reading it from the owners manual. Call 1-844-387-4936, Option 1 to contact DUPIXENT MyWay ®. Learn about DUPIXENT® (dupilumab) dosage and administration for eosinophilic esophagitis (EoE) in adult & pediatric patients aged 12+ years, weighing at least 40 kg. Dupixent MyWay pays the $500 copay. I really enjoy the patient interaction. 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. fainting, dizziness, feeling lightheaded. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. After that, it is taken as 1 injection every 2 weeks or every 4 weeks, depending on your age and weight. Serious side effects can occur. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing,Pharmaceuticals, Inc. VO: 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. I also enrolled in the dupixent my way program and my ambassador told me that as long as you don’t make $100,000 a year you qualify for the program to get dupixent free for a year. DUPIXENT has been prescribed to over 50,000 uncontrolled nasal polyp patients and counting! DUPIXENT is the first biologic nasal polyp treatment that’s an alternative to nasal polyp surgery. Hello! Switching insurance this year and need to prepare for increasing costs of dupixent with my new insurance. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. It has to be completed and signed, which can be done manually in hard copy, or by using a certain software like PDFfiller. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. PRESCRIBER TO FILL OUT Section 5a. Enrollment Form FOR DERMATOLOGISTS Complete the entire form and submit pages 1-2 to DUPIXENT MyWay® via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) For assistance, call 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm ET Patient Name DOB Prescriber. Im thankful for any progress. 2. Enrollment Form FOR DERMATOLOGISTS Complete the entire form and submit pages 1-2 to DUPIXENT MyWay® via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) For assistance, call 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm ET Patient Name DOB Prescriber. insurer. Eligible patients will receive their cards by email. Step 2: After washing your hands, clean the area you are going to inject with an alcohol wipe. Associate Director, Global Strategy & Operations Dupixent / Immunology will work closely with Global Dupixent / Immunology leaders as well as cross-functional… Posted Posted 27 days ago · More. xml ¢³ ( ¼–ËnÛ0 E÷ ú ·…E' Š¢°œE Ë6@] [š ÙDù 9Nâ¿ïPŠÙÄq¬$Žº ‘sï!çaÏ. 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. Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay® Ambassador Program. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. Serious side effects can. Like. Start Program product to the patient named herein. DUPIXENT is not a steroid. <br> <br> Best, <br> Ashley</p> reactions . I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Good luck. My Dupixent auto injector people, where you at, I have a question for you. FUN Documents, MMIT, and Policy Reporter as of July 12, 2023. Learn about the DUPIXENT® (dupilumab) mechanism of action inhibiting IL-4 and IL-13 signaling in appropriate asthma patients. For more information, dial 1-844-DUPIXENT 1-844-387-4936 ), option 5, Monday-Friday, 9 am – 9 pm ET. I know my Co. 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”. Insurance providers often require use of a specialty pharmacy instead of your local retail pharmacy. 1-844-DUPIXENT 1-844-387-4936. PRESCRIBER TO FILL OUT Section 6a. My insurance provider covers 85% and our Canadian version of 'MyWay' pays the remainder. Dupixent is the only monoclonal antibody approved by the FDA to treat atopic dermatitis and eczema. Please see Important Safety Information and full PI on website. All I can say is, I don’t know if I would be here today without Dupixent. Please see Important Safety Information and Prescribing Information and Patient. 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. •Store DUPIXENT Syringes in the refrigerator between 36°F to 46°F (2°C to 8°C). DUPIXENT MyWay®. Have commercial insurance, including health insurance. Any questions about job listings can be directed to candidatesupport@regeneron. Got me approved for Dupixent right away (insurance company is Cigna). 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. com. If you are a New York prescriber, please use an original New York State prescription form. 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. 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. Long-term results from a clinical trial that studied DUPIXENT for 52 weeks. Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. Serious side effects can occur. Dosage in Pediatric Patients 6 Months to 5 Years of Age. Find DUPIXENT® (dupilumab) injection videos and instructions for the pre-filled pen (200 mg or 300 mg) for ages 2+ years. Monday-Friday, 8 am-9 pm ET. There’s no laboratory monitoring required, not at the beginning, not during therapy. 38]). For brand name drugs under review and drug reviews completed on or. In this case Dupixent myway will cover the first 13k, which is probably like 5 months. I started Dupixent on Sunday May 21 (2 shots as the first dosage is double) and I must say for me there have been some positive quick/noticeable changes. 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. LEARN HOW WE CAN HELP DUPIXENT MyWay. I authorize the Alliance to use my Social Security number and/or additional. FUN Documents, MMIT, and Policy Reporter; data through July, 2023. Maybe try that while waiting for the Dupixent. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. I agree to assist in e Éorts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT (maximum of $13,000 per patient per calendar year) if they meet the eligibility requirements, including:. Compare monoclonal antibodies. 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. Dupixent. Sex at birth: Male . In children 12 years of age and older, it. Hi, I'm on Dupixent and so far my doctor has done the injections, using the syringe. Try checking out MyWay Dupixent Program!! They cover costs of Dupixent and whatever your insurance won't pay (up to a certain yearly amount). . ️ ️ ReplyDupixent® (dupilumab) Four simple steps to submit your referral. The appeal process Example letters. Provide information about your healthcare provider, including their name, address, and contact information. headache. You can email or print the enrollment forms below. My daughter's Dupixent is free with the card and they ship it with cold packs to our front door. At that point we will owe 20% of the cost of the medication, which adds up to just under $700/month. Copay Reimbursement Program, 200 Jefferson Park, Whippany, NJ 07981. Or you can google their info and contact them directly. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. Education and Nurse Support: One-on-one nursing support is available to educate and empower patients to use DUPIXENT as prescribed. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. Once the prescription went to the pharmacy I called the pharmacy and they did the myway paperwork for me. DUPIXENT MyWay® Help educate and inspire other patients trying to manage their conditions by sharing your treatment journey through the DUPIXENT MyWay®. 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. *Please enter your patient. Then it got worse, 2nd derm said psoriasis hence humira for about 1 month, no improvement. I need another treatment. Even when using the Copay Card, that would cover only cover 4 months worth, and would not go towards my deductible, totaling about. (DUPIXENT + Topical Corticosteroids (TCS) vs TCS only): CLEAR OR ALMOST CLEAR SKIN AT 16 Weeks 39% taking DUPIXENT + TCS vs 12% using TCS only. The safety profile in pediatric patients through. In addition to the guidance your doctor provides, the app lets you connect with your DUPIXENT MyWay Support Team with one tap. I agree to assist in e Éorts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. Went to the dermatologist today and came clean on my over use of steroid topical that my Primary Dr. 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. In fact, I mentioned that I agree drugs should be used as an aid and catalyst to one's healing, but not something to be dependent on for the rest of one's life. Rotate the injection site with each injection. 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. Dupixent MyWay Copay Card Rebate. You need to have a prescription for DUPIXENT as well as. Tips. Fax: 1-908-809-6249. Press and hold the Dupixent Pre-filled Pen firmly against your skin until you cannot see the yellow needle cover. swelling of the face, lips, mouth, tongue, or throat. My husband has been on it several months for severe asthma. 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. 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). Side effects Interactions FAQ What is Dupixent? Dupixent is an injectable prescription medicine used to treat a number of inflammatory conditions. DUPIXENT® is a subcutaneous injectable prescription medicine for adults and children aged 6 months & older with uncontrolled, moderate-to-severe. So far this has happened 4 times - once with 2 injections from the. Each time you fill your DUPIXENT prescription, please ensure your. New pati ent . Before using DUPIXENT, tell your healthcare provider about all your medical conditions, including if you: have eye problems; have a parasitic (helminth)The most foolproof way to reduce out-of-pocket costs for Dupixent is a free coupon from SingleCare. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. We work directly with your healthcare provider and will handle the full enrollment process on your behalf. ( 1-844-387-4936 ), option 1. There is currently no generic alternative to Dupixent. Available in two delivery options, pre-filled syringe & pre-filled pen (300mg) for ages 12+ years. For more information, dial 1-844-DUPIXENT1-844-387-4936), option 1. Despite all of the freedom this miracle drug has graciously granted me, I purposely and consciously chose to begin tapering off Dupixent in May of 2017. 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. In SINUS-24 and SINUS-52, 74% fewer patients required SCS use at Week 52 with DUPIXENT 300 mg Q2W + INCS compared to placebo + INCS (HR: 0. 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]). Dupixent is prescribed for eczema and certain types of asthma. How are you finding the program? I received a missed call from them last week but the message they left on my phone was cut short so I don't have a name or. Dupixent will run about $3000 per month with my insurance until my maximum is met. After that, we will have met our family deductible. Want to be a part of the DUPIXENT MyWay® Ambassador Program? Fill out this self-nomination form to see if you qualify. insurer. The cost of the 300-milligrams per 2-milliliters (mg/mL) shot of Dupixent will vary based on several factors. Injection site reactions and eye conditions are the most common side effects reported and, unlike several other biologics, the risk of infection is low. Working with it utilizing electronic means is different from doing this in the physical world. Experience: Been on Dupixent since May 15, 2017. Biologic Drug: Biologic drugs are made from living cells and are often expensive. 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. The cost for Dupixent subcutaneous solution (200 mg/1. INJECTION SUPPORT. Fill in your personal information, such as your name, date of birth, and contact details. Serious side effects can occur. Serious side effects can occur. Please see Important Safety Information and. Learn more about DUPIXENT® (dupilumab) in moderate-to-severe asthma and if it may be the right treatment option for you. ca,. DUPIXENT is an injectable medicine that is administered by subcutaneous injection and is intended for use under the guidance of a healthcare provider. Find information on insurance coverage, ordering through a specialty pharmacy, and the cost of DUPIXENT® (dupilumab), a prescription medicine FDA-approved to treat five conditions. Has been prescribing for the last 10+ years and was essentially told I F'd up on the over use and have to taper down. Be sure to fill out your enrollment form completely and accurately. Approval represents the second dermatology indication for Dupixent and fifth disease indication overall in the. “When I stay on top of my eczema, I don’t worry about my skin as much. You may be able to. Option 1- you have to meet your deductible without Dupixent myway. Step 3: Take the needle cap off of the syringe right before you are going to inject. DUPIXENT® is a subcutaneous injectable prescription medicine for adults and children aged 6 months & older, with uncontrolled, moderate-to-severe eczema (atopic dermatitis). chevron_right. Please see Important Safety Information and Patient Information on. I'm supposed to start myself at some point, I guess with the pen though I know there's a choice. The way it works for me and Dupixent is I pay $250 co-pay a month at the pharmacy. Pregnancy: A pregnancy exposure registry monitors pregnancy outcomes in women exposed to DUPIXENT during pregnancy. 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. Contact the health plan or DUPIXENT MyWay® to verify coverage for a specific patient. View all Regeneron Pharmaceuticals Inc. (20% of ~$3,500) DUPIXENT use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. SCHEDULING. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. Please see Important Safety Information and Patient Information on website. In order to be effective and work properly, most biologics are injectable medicines. DUPIXENT is an injectable medicine that is administered by subcutaneous injection and is intended for use under the guidance of a healthcare provider. And, if you're eligible, you can sign up and receive your card today. DUPIXENT® (dupilumab) 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. Find the definitions of commonly used terms related to uncontrolled, moderate-to-severe eczema, atopic dermatitis, and DUPIXENT® (dupilumab). In children 12 years of age and older,For more information, dial 1‑844‑DUPIXENT ( 1-844-387-4936 ), option 1 Monday-Friday, 8 am - 9 pm ET. DUPIXENT can cause allergic reactions that can sometimes be severe. About Dupixent Dupixent is administered as an injection under the skin (subcutaneous injection) at different injection sites. 55% of reviewers reported a positive experience, while 27% reported a negative experience. 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. I authorize the Alliance to use my Social Security number and/or additional. You’ll need to become a Simplefill member for us to find you the prescription assistance you need to pay for your Dupixent. In children 12 years of age and older,Dupilumab se usa para tratar el eczema (dermatitis atópica) de moderado a severo que no se puede controlar con medicamentos tópicos aplicados a la piel. In children 12 years of age and older,Hello! The Medisafe Web Portal doesn’t work on small screens (yet). I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. It is not an immunosuppressant or a steroid. Inspire has over 250 health communities supporting more than 3000 conditions. In patients aged 18 years and older with prurigo nodularis, Dupixent 300 mg is administered with a pre-filled syringe or pre-filled pen every two weeks following an initial loading dose. If you are a New York prescriber, please use an original New York State prescription form. Get the dupixent copay card and you will likely get it for no charge for a while. I feel so judged when I say I don’t want to go on Dupixent. Is412270-I have been on Dupixent for 4 months. I recommend checking them out if you have any questions or concerns. Box 5925 Mailstop 55A-220A Bridgewater, NJ 08807. , One-on-One Nurse Education, and Supplemental Injection Training) Please click “Continue. •Keep DUPIXENT Syringes and all medicines out of the reach of children. This medicine should be given by a caregiver in children 6 months to less than 12 years of age. There are a number of things that really resonate with the patients, and one of them is the lack of laboratory monitoring. brand. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. Ask to speak to a nurse and ask about the "Dupixent My Way program". Normally my copay would be about $970 per refill, but with about 12 refills per year this does not max out the Dupixent MyWay copay card. Please see Important Safety Information and Prescribing. The dupixent my way enrollment form isn’t an exception. Dupixent - Pay as little as $0 per month. Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. Being a nurse for DUPIXENT MyWay is very rewarding. Please see Important Safety. If you’re eligible, you can enroll online and recieve your card by email. The prescriber is to comply with his/her state-specific prescription requirements, such as e-prescribing, state-specific. SIGN UP TO SPEAK WITH A DUPIXENT MyWay ® MENTOR . I started dupixent a month and a half ago. If you are a New York prescriber, please use an original New York State prescription form. Fast forward to tonight, first time using the pen, and it took me FOREVER to commit. Middle initial . DUPIXENT can be used with or without topical corticosteroids. DUPIXENT® is indicated as an add-on maintenance treatment of adult and pediatric patients 6 years and. If you still have questions, you can speak with a DUPIXENT MyWay or request to join the program over the phone. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. web. Monday-Friday, 8 am-9 pm ET. The relief is indescribable, honestly. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. There is another biologic very similar to Dupixent called Adbry. If you are a New York prescriber, please use an original New York State prescription form. Add the date to the sample using the Date feature. Fill a 90-Day Supply to Save. With our help, you could get your Dupixent prescription for a flat fee of $49 per month. Check your eligibility for the DUPIXENT MyWay® Copy Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. 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. g. Website Link: GF Strong Rehabilitation Centre. Combivent - Pay as little as $10 a month. Daliresp - Pay as little as $25. 1 Patient Information Please provide copies of front and back of all medical and prescription insurance cards. Fill out this form with a valid email address and see if you’re eligible for the DUPIXENT MyWay ® Copay Card. Find DUPIXENT® (dupilumab) injection videos and instructions for the pre-filled pen (200 mg or 300 mg) for ages 2+ years. DUPIXENT ® ️ can cause allergic reactions that can sometimes be severe. Check out the links below to learn more on our website, view the full Prescribing Information, Patient Information, and. Something went wrong. For more information, to speak with a member of the DUPIXENT MyWay support team, or to enroll over the phone, call our toll-free line. Especially tell your healthcare provider if you. 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. Eligible patients or caregivers of a patient must be: *For more information, dial 1-844-DUPIXENT 1-844-387-4936 option 5, Monday-Friday, 9 am - 9 pm ET. DUPIXENT is taken by injection under the skin (subcutaneous injection) once every two weeks. It may be covered by your Medicare or insurance plan. DUPIXENT MyWay® can work with your insurance provider to identify a preferred, in-network specialty pharmacy. Select a tab below to get you to helpful information depending on where you are in your treatment journey. Dupixent is an injection that is usually given under the skin every other week for the treatment of asthma, eczema, and some other inflammatory conditions. That took about a week. Dupixent® should be given by or under the supervision of an adult in children 12 years of age and older. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. Good luck to all! I still have it on legs and arms but it's nothing compared to full body day and night. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. 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. Yesterday the nurse injected the first dose using a syringe in my leg. Serious adverse reactions may occur. Check your eligibility for the DUPIXENT MyWay® Copay Card that may help cover the out-of-pocket cost of DUPIXENT® (dupilumab) for eligible patients. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. Prescriber Certification My signature certifies that the person named on this form is my patient the information provided on this application, to the best of my knowledge, is complete and accurate that therapy with DUPIXENT is medically necessary and that I have prescribed DUPIXENT to the patient named on this form for an DA-approved indication. PRESCRIBER TO FILL OUT Section 6a. 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. 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. 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. DUPIXENT ® ️ can cause serious side effects, including:. Program Website : Program Applications and Forms. Please see. Indication. 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. It contains 300 mg of DUPIXENT for injection under the skin (subcutaneous injection). 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. Review patient eligibility for the DUPIXENT MyWay® Copay Card for DUPIXENT® (dupilumab) and explore patient assistance programs for eligible patients. I feel so lucky I have one of the best insurance companies at the moment. 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. Foradil Aerolizer - Save up to $120. Learn how to inject DUPIXENT® (dupilumab), a biologic subcutaneous injectable prescription medicine for eosinophilic esophagitis (EoE) in patients 12 years and older who weigh at least 88lb (40kg). 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. The parts of the DUPIXENT Syringe are shown below: • The DUPIXENT Pre-filled Syringe • 1 alcohol wipe* • 1 cotton ball or gauze* • a sharps disposal container* In children 6 months to less than 12 years of age, DUPIXENT should be given by a caregiver. Stop using DUPIXENT ®. 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). 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. Patient Rebate Portal. Serious adverse side effects can occur. 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. Monday-Friday, 8 am - 9 pm ET. 421 adult patients were randomized to DUPIXENT + TCS or placebo + TCS. I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. I would literally give whoever made this drug my life. Severely painful. 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. fever. 1-844-DUPIXENT 1-844-387-4936. Dymista - Pay as little as $29. O. DUPIXENT MyWay® is a program that helps eligible patients start and stay on track with their therapy for atopic dermatitis, asthma, chronic rhinosinusitis with nasal polyposis, eosinophilic esophagitis and prurigo nodularis. Monday-Friday, 8 am-9 pm ET. Ways to save on Dupixent. . I agree to assist in efforts to secure access to DUPIXENT for my commercially insured patient in the event of a coverage delay. WARNINGS AND PRECAUTIONS. 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. 3) Push the plunger down slowly until the syringe is emptied. In clinical trials, DUPIXENT reduced the. I authorize DUPIXENT MyWay to forward this prescription to the pharmacy dispensing the DUPIXENT Quick Start Program product to the patient named herein. Program has an annual maximum of $13,000. If you are a New York prescriber, please use an original New York State prescription form. PK !û˜õ ‹ _ [Content_Types]. I have tried everything you can think of, to manage my nasal polyps. I chose to be a nurse because I wanted to help people, and I believe that people should be in service to others. living with prurigo nodularis are most in need of new treatment options . Limitation of Use: Not for the relief of acute bronchospasm or. Click on the "Enroll Now" button or link.