Allow the medicine to warm to room temperature for 30 or 45 minutes before using it. g. Patient has ONE of the following: a. DUPIXENT MyWay. Contact the program for details: Re-application: New application yearly : Additional Information: Co-payment assistance, and patient assistance programs are available for eligible patients. Patients may have insurance plans that attempt to dilute the impact of the assistance available under the Program. DUPIXENT MyWay reserves the right to. 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. This site provides important information to health care providers about the Connecticut Medical Assistance Program. g. LEARN HOW WE CAN HELP DUPIXENT MyWay ENROLLMENT FORMS; English Enrollment Form: Spanish Enrollment Form. Biologic Drug: Biologic drugs are made from living cells and are often expensive. 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. Dupixent MyWay ™ will help eligible patients who are uninsured, lack coverage, or need assistance with their out-of-pocket. DUPIXENT was studied in adults and children 6 months of age and older. I certify that I have obtained my patient’s written authorization in accordance with applicable The pharmaceutical giant AstraZeneca offers both PAP and CAP services to eligible individuals. 4. Providing free or subsidized treatment for eligible patients with no. We believe that people who need our medicines should be able to get them. As a reminder, with all of these folks helping to get you off to good start with DUPIXENT, you may receive phone calls from your. We offer financial assistance to help people with serious illnesses afford their out-of-pocket treatment costs and improve their. In pediatric patients 12 to 17 years of age, administer DUPIXENT under the supervision of an adult. Kozak, Deputy Secretary Office of Medical Assistance Programs IMPORTANT REMINDER: All providers must revalidate the Medical Assistance (MA) enrollment of each service location every 5 years. Create your signature and click Ok. Save time and money by verifying benefits and copays before services are rendered. Surgery may remove your nasal polyps, but it may not treat an underlying cause of inflammation—allowing them to grow back. Identify eligible patients, complete and verify enrollment, facilitate product recovery and uncover hidden revenue with the help of McKesson RxO’s PAP Recovery team. 5. ago. These programs, such as patient assistance programs or manufacturer discounts, offer financial support and resources. If you are successfully enrolled in the program, we. The DUPIXENT MyWay nurse connects patients to a variety of helpful resources, including one-on-one nursing support, financial assistance for eligible patients, and helpful refill and injection reminders. I also understand that no free product may be submitted for reimbursement to any payer, including Medicare and Medicaid; and no free product may be sold, traded, or distributed for sale. Financial assistance to help lower the cost of Dupixent is available. In 2022, we assisted nearly 200,000 people. For treatment of chronic rhinosinusitis with nasal polyposis: Will use Dupixent as an add-on maintenance treatment for inadequately controlled chronic rhinosinusitis with nasal polyposis 4. morbid asthma receiving DUPIXENT in the CRSwNP development program. LEARN HOW WE CAN. Lancet. This program may provide a Bridge Program for eligible patients who experience a delay, temporary loss, or change in coverage. Welcome to RxCrossroads. It may be covered by your Medicare or insurance plan. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as a $0* copay per fill of DUPIXENT, maximum of $13,000 per patient per calendar year. About Dupixent Dupixent is a fully human monoclonal antibody that inhibits the signaling of the IL-4 and IL-13 pathways and is not an immunosuppressant. brand. The Dupixent development program has shown significant clinical benefit and a decrease in type 2 inflammation in Phase 3 trials, establishing that IL-4 and IL-13 are key and central drivers of the type 2 inflammation that plays a major role in multiple related and often co-morbid diseases. Pivotal trial met primary and all key secondary endpoints; Dupixent significantly reduced itch at 12 weeks, and nearly three times as many. There is currently no generic alternative to Dupixent. The Dupixent MyWay program may help reduce its cost. Fax: 1-908-809-6249. chevron_right. A causal association between DUPIXENT and these conditions has not been established. You can connect with DUPIXENT MyWay Nurse Educators by phone to receive supplemental injection training, help scheduling deliveries and prescription refills, or help navigating financial support options, such as copay assistance. Patients may have insurance plans that attempt to dilute the impact of the assistance available under the program. 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. g. Now that the copay assistance has capped out, I'm 100% OOP until I hit my $3500 deductible, at which time they will pay 80% of $2848. Contact. For more information and to find out if you’re eligible for support, call 844-387-4936 or visit the program website. understand that any free product distributed through the DUPIXENT MyWay Patient Assistance Program is not contingent on any purchase obligations. Once enrolled, you can receive: One-on-one nursing support when needed for DUPIXENT; Insurance benefit investigation support; Opportunities for financial assistance provided to eligible patients;Dupixent (dupilumab) is a prescription drug that comes as an injection. It is free to apply, and those who qualify will receive their medicine for free — no co-pays or shipping costs. Throw away (dispose of) any DUPIXENT that has been left at room temperature for longer than 14 days. such as copay assistance. Dupixent MyWay Program Dupixent (dupilumab injection) CONTACT INFO: Address:, Phone: 1-844-387-4936: Provider Phone: Fax: 1-844-387-3970: Website: Program Website: ELIGIBILITY. herbypablo • 23 hr. Possible cost assistance options. DUPIXENT can be used with or without topical corticosteroids. XOLAIR Access Solutions can help identify the most appropriate patient assistance option to. Deductible is at $3k out of pocket insurance pays 80% and at $6k insurance pays 100%. Has the patient achieved or maintained positive clinical response as evidenced by low disease activity (i. Is the patient currently receiving Dupixent through samples or a manufacturer’s patient assistance program?DUPIXENT® (dupilumab) therapy (“My Information”). coverage assistance programs, patient assistance programs, or other support programs • to investigate my health insurance coverage for DUPIXENT inection • to otain prior authoriation for coverage • to assist with appeals of denied claims for coverage • for the operation an aministration of the DUPIXENT MyWay ProgramPatient Rebate Portal. The DUPIXENT MyWay nurse connects patients to a variety of helpful resources, including one-on-one nursing support, financial assistance for eligible patients, and helpful refill and injection reminders. consent to receive text messages by or on behalf of the Program. 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. Manufacturer copay cards are a way to save on medications. Patient Savings Center - beta. Our Patient Assistance Programs are intended for people that live in the United States, have limited or no health insurance coverage and demonstrate qualifying financial need. There are no other costs, fees,. 00 a month for each medication accessed through patient assistance programs to manage medication orders and refills. FWIW I pay my copay out of pocket and then submit the receipt to the Dupixent MyWay Reimbursement Program through the mail. Prior Authorization of Dupixent (dupilumab) – Pharmacy Services BY Sally A. 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 can be used with or without topical corticosteroids. The Dupixent development program has shown significant clinical benefit and a decrease in type 2 inflammation in Phase 3 trials, establishing that IL-4 and IL-13 are key and central drivers of the type 2 inflammation that plays a major role in multiple related and often co-morbid diseases. Pricing Principles;. It may be covered by your Medicare or insurance plan. I also understand that no free product may be submitted for reimbursement to any payer, including Medicare and Medicaid; and no free product may be sold, traded, or distributed for sale. They help people afford expensive prescription medications by lowering their out-of-pocket costs. Please see Dosage Regimens, How to Inject DUPIXENT® and Instructions for Use. Over $341,322,695. Have commercial insurance, including health insurance. , Benefits Investigation, Prior Authorization, and Appeals Support) Patient Access Support (e. 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. DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing useful tools and resources. I also understand that no free product may be submitted for reimbursement to any payer, including Medicare and Medicaid; and no free product may be sold, traded, or distributed for sale. O. If you are successfully enrolled in the program, we. This component of the program is made possible through Sanofi Cares North America. 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. I understand the disclosure to the Alliance will be for the purposes of enrolling me in, and providing certain services through the “DUPIXENT MyWay Program,” including: • to determine if I am eligible to participate in DUPIXENT MyWay coverage assistance programs, patient assistance consent to receive text messages by or on behalf of the Program. Contact. Dupixent changed my life completely. The guidelines to determine the medical necessity of Dupixent (dupilumab) will be utilized in the fee-for-service and managed care delivery systems. coverage assistance programs, patient assistance programs, or other support programs • to investigate my health insurance coverage for DUPIXENT inection • to obtain prior authorization for coverage • to assist with appeals of denied claims for coverage • for the operation and administration of the DUPIXENT MyWay ProgramAny savings provided by the program may vary depending on patients' out-of-pocket costs. Do not keep Dupixent at room temperature for more than 14 days. chevron_right. 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. LASTING CHANGE IS ACHIEVABLE. 1-914-354-9001. 1,000-125=875 $875 is the amount your health insurance pays. In adults and children 6 years and older, your initial dose of DUPIXENT is 2 injections under the skin (subcutaneous injection) at different injection sites. Food and Drug Administration (FDA) has approved Dupixent ® (dupilumab) 300 mg weekly to treat patients with eosinophilic esophagitis (EoE) aged 12 years and older, weighing at least 40 kg. The guidelines to determine the medical necessity of Dupixent (dupilumab) will be utilized in the fee-for-service delivery system and by the MA managed care organizations (MCOs) in Physical Health HealthChoices and Community HealthChoices. 2. I found the carnivore diet helps immensely for autoimmune issues. understand that any free product distributed through the DUPIXENT MyWay Patient Assistance Program is not contingent on any purchase obligations. Teva Pharmaceuticals (QVAR ®) Teva Cares Foundation Teva Savings Card for QVAR® Redihaler™ 877-237-4881 DUPIXENT® (dupilumab) therapy (“My Information”). Please see Important Safety Information and Patient Information on. PSP Contact Information: DUPIXENT ® Freedom Support Program: 1-844-216-1181. If you need help paying for your prescription, the DUPIXENT MyWay Patient Assistance. Program: BC Palliative Care Benefits. Exploring Alternative Assistance Programs. I don't know what medical issues your son is having, but it's likey autoimmune issues. 1‑844‑DUPIXENT 1-844-387-4936. 1-Member cost share payments for these medications, whether made by you, your plan or a manufacturer copayment assistance program, do not count towa rds the plan’s out of pocket. One-on-one nursing support, when needed, to provide disease and DUPIXENT education. A patient assistance program called GSK for You is available for Nucala. Call 1. MAIL REQUESTS TO: Magellan Rx Management Prior Authorization Program Attn: CP - 4201 P. Clinical Services Fax: 1-877-378-4727 Atopic Dermatitis (AD) (eczema) a. Dupixent (dupilumab) submitted for prior authorization, as recommended by the P&T Committee, were subject to public review and comment and subsequently approved for. consent to receive text messages by or on behalf of the Program. DUPIXENT® (dupilumab) therapy (“My Information”). Let SaveOnSP administer a plan benefit design aimed at lowering these rising costs. . Data from DUPIXENT ® clinical trials have shown that IL-4 and IL-13 are key drivers of the type 2 inflammation that plays a major role in asthma, atopic. , One-on-One Nurse Education, and Supplemental Injection Training) Please click “Continue. Eligible patients will receive their cards by email. 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. Patient Assistance Foundations; Pricing Principles. How do I submit the application? The completed application can be submitted by fax (800-784-9950), mail (XHANCE Patient Assistance, 2325 Heritage Center Drive, Furlong, PA 18925), email ([email protected] programs, or other support programs • to investigate my health insurance coverage for DUPIXENT injection • to obtain prior authorization for coverage • to assist with appeals of denied claims for coverage • for the operation and administration of the DUPIXENT MyWay Program • to refer me to, or to determine my eligibility. 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. Dupixent is one shot self administered every two weeks, and delivered to my door through the specialty Pharm. Not be eligible for Puerto Rico's Government Health Plan Mi Salud, or have applied and been denied. ” but i don’t know if having insurance with a copay accumulator is the same thing as insurance not. Problem:Dupixent is about $30,000 CAD a year, and no normal person can afford it. I understand that any free product distributed through the DUPIXENT MyWay Patient Assistance Program is not contingent on any purchase obligations. Providers rendering services to MA beneficiaries in the managed care delivery system should A program called Dupixent MyWay provides a manufacturer coupon copay card. Provincial coverage with exception to Ontario, New Brunswick, and Quebec, do not cover Dupixent under their Provincial formulary. designated, DUPIXENT MyWay is authorized to transmit this prescription to a network pharmacy it selects or to the pharmacy otherwise indicated. About the Dupixent COPD Phase 3 Trial Program BOREAS is one of two pivotal trials in the Dupixent COPD program. [Summarize your reasons why DUPIXENT is medically necessary for this patient] In order for me to provide appropriate care for my patient, it is important that [Plan Name] provide adequate coverage for this treatment. Copay coupons are typically for expensive, brand-name medications that don’t have a. Find DUPIXENT® (dupilumab) injection videos and instructions for the pre-filled pen (200 mg or 300 mg) for ages 2+ years. Learn how to enroll in prescription assistance programs (including copay and patient assistance programs) to get free or low-cost asthma medications. Compare monoclonal antibodies. I'm fortunate enough to have really good insurance but my friend isn't and he gets his dupixent through the no insurance program at low/no costThe $0 Copay Card reduces monthly copays to $0 for insured patients, and the Amgen Patient Assistance Program can help provide no-cost medication for patients who qualify. VO: DUPIXENT is a prescription medicine used: to treat people aged 6 years and older with moderate-to-severe atopic dermatitis (eczema) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. Especially tell your healthcare provider if you. 2 cartons. Pricing Principles;. Need additional guidance with the enrollment process? Contact your field access specialist or call DUPIXENT MyWay. Eligible patients will receive their cards by email. I also understand that no free product may be submitted for reimbursement to any payer, including Medicare and Medicaid; and no free product may be sold, traded, or distributed for sale. Do not heat the syringe. DUPIXENT MyWay TM will help eligible patients who are uninsured, lack coverage, or need assistance with their out-of-pocket costs. Adbry (tralokinumab) is a member of the interleukin inhibitors drug class and is commonly used for Atopic Dermatitis. , Benefits Investigation, Prior Authorization, and Appeals Support) Patient Access Support (e. DUPIXENT MyWay is a patient support program designed to help you get access to DUPIXENT. Sanofi and Regeneron announce FDA approval of Dupixent (dupilumab), the first targeted biologic therapy for adults with moderate-to-severe atopic. Program also providers co-pay assistance. Please see Important Safety Information and Prescribing Information and Patient. Dupixent MyWay Copay Program is available to residents of the United States or Puerto Rico who have commercial insurance, covering up to $13,000 of copay costs per year. Watch videos for a supplemental demonstration on how to use and dispose of DUPIXENT® (dupilumab), a prescription medicine for subcutaneous injection. You can connect with DUPIXENT MyWay Nurse Educators by phone to receive supplemental injection training, help scheduling deliveries and prescription refills, or help navigating financial support options, such as copay assistance. 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). 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. Provide proper training to patients and/or caregivers on the preparation and administration of DUPIXENT prior to use according to the “Instructions for. These unique. In addition, you cannot use this card with any health insurance program, but you can use it in place of your insurance if the Customer Care card offers a better price. coverage assistance programs, patient assistance programs, or other support programs • to investigate my health insurance coverage for DUPIXENT inection • to otain prior authoriation for coverage • to assist with appeals of denied claims for coverage • for the operation an aministration of the DUPIXENT MyWay ProgramDUPIXENT® (dupilumab) therapy (“My Information”). Done. Once enrolled, the DUPIXENT MyWay support program can help enable access to. Patients will need to meet the eligibility criteria, including household income, to qualify. Program has an annual maximum of $13,000. 5. You can rely on Simplefill to connect you with programs and organizations that offer the prescription assistance you need. Learn about DUPIXENT® (dupilumab) for moderate-to-severe asthma treatment. The DUPIXENT MyWay patient support program is here to help you at every step of your DUPIXENT treatment journey. Prescription Hope is a service-based company that offers access to brand-name medication through patient assistance programs. I certify that I have obtained my patient’s written authorization in accordance with applicable• Store DUPIXENT in the refrigerator at 36°F to 46°F (2°C to 8°C). 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. Patients will need to meet the eligibility criteria, including household income, to qualify. If see your medication listed, check out the Medicine Assistance Tool! 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. For more information, dial 1-844-DUPIXENT 1-844-387-4936 ), option 5, Monday-Friday, 9 am – 9 pm ET. Patients may have insurance plans that attempt to dilute the impact of the assistance available under the program. Each time you fill your DUPIXENT prescription, please ensure your. One that helps cover co-pays and another assistance program that covers the full cost of it if your income is below a certain level and insurance won't help pay for it. Have commercial services, including health insurance markets,. That’s why myAbbVie Assist provides free AbbVie medicine to qualifying patients. Within 24 hours, one of our patient advocates will call you for a brief interview. Patients will need to meet the eligibility criteria, including household income, to qualify. 1-844-DUPIXENT 1-844-387-4936. Alliance partners program Become an advocate Support PAN. 18. Here’s what you’ll need to complete the application: Patient contact information, household income and insurance information. For pediatric patients aged 6 to 11 years, Dupixent dosing is based on weight (100 mg every two weeks or 300 mg every four weeks for children ≥15 to <30 kg, and 200 mg every two weeks for children ≥30 kg) and is supplied as a pre-filled syringe. Simplefill closely monitors any changes to the eligibility of these patient assistance programs. To learn more and see whether you’re eligible for support, call 844-DUPIXENT (844-387-4936) or visit the manufacturer’s website. Confusion, unanswered questions, and financial barriers cloud the patient experience. Income Limits To be eligible, you must meet the income guidelines, which may vary by product and household size. Dupixent is an injectable prescription medicine used to treat a number of. To help, we have remained committed to developing patient support services and programs that provide assistance, including: Helping patients navigate the complexities of their insurance plans (both private and public) Researching alternative forms of funding and reimbursement. 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,. 44, leaving me with $570 OOP. The randomized, Phase 3, double-blind, placebo-controlled trial evaluated the efficacy and safety of Dupixent in 939 adults who. HELPLINE (800) 503-6897; CONTACT US; ABOUT US; EN ESPANOL. The insurance companies do this by looking at where the money to pay a copay is coming from. Rare Together. *. 30 Section: Prescription Drugs Effective Date: January 1, 2022 Subsection: Topical Products Original Policy Date: April 7, 2017 Subject: Dupixent Page: 4 of 11 2. Sanofi (DUPIXENT®) 844‑387‑4936 (option 1) Only if your insurance does not cover DUPIXENT. Is the patient currently receiving Dupixent through samples or a manufacturer’s patient assistance program? DUPIXENT® (dupilumab) therapy (“My Information”). I understand the disclosure to the Alliance will be for the purposes of enrolling me in, and providing certain services through the “DUPIXENT MyWay Program,” including: • to determine if I am eligible to participate in DUPIXENT MyWay coverage assistance programs, patient assistanceSanofi Patient Connection ® can provide certain Sanofi prescription medications at no cost if you meet program eligibility requirements. The cost for Adbry subcutaneous solution (ldrm 150mg/mL) is around $1,916 for a supply of 2 milliliters, depending on the pharmacy you visit. You’ll need to become a Simplefill member for us to find you the prescription assistance you need to pay for your Dupixent. 0 (Pure hypercholesterolemia, including HeFH)I just spoke to someone through the MyWay Program. coverage assistance programs, patient assistance programs, or other support programs • to investigate my health insurance coverage for DUPIXENT inection • to obtain prior authorization for coverage • to assist with appeals of denied claims for coverage • for the operation and administration of the DUPIXENT MyWay Programfacilitate 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. Financial Assistance Programs. g. If we are unable to assist you with your out-of-pocket medical expenses, one of the following. This copay card may be for you if you. 13 hours ago · Colorado Avalanche defenseman Samuel Girard will be away from the. The guidelines to determine the medical necessity of Dupixent (dupilumab) will be utilized in the fee-for-service and managed care delivery systems. 30 Section: Prescription Drugs Effective Date: July 1, 2021 Subsection: Topical Products Original Policy Date: April 7, 2017 Subject: Dupixent Page: 6 of 10 Diagnosis Patient must have the following: Chronic rhinosinusitis with nasal polyposis (CRSwNP) AND submission of medical records (e. This program may provide a Bridge Program for eligible patients who experience a delay, temporary loss, or change in coverage. Patient assistance options are available for eligible patients with commercial insurance, public insurance or no insurance. 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. The Dupixent development program has shown significant clinical benefit and a decrease in type 2 inflammation in Phase 3 trials, establishing that IL-4 and IL-13 are key and central drivers of the. Please be aware that not all Sanofi products are covered under the Sanofi Patient Assistance program. How possessed an annual upper of $13,000. 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,. The DUPIXENT MyWay team can research each patient's situation and determine eligibility. Patients prescribed Praluent® may have access to the following program services: product administration training, treatment reminders, reimbursement navigation, copay assistance and a toll-free call center. Dupixent. These diseases include approved indications for. Página de inicio de franquicias ; Eczema moderado a grave (6 meses de edad o más) Asma moderada a grave (6 años de edad o más) DUPIXENT Pricing Information For Healthcare Professionals. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. 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. evaluate this and other Ministry programs, and (c) to manage and plan for the health. Also, some companies require that you have no insurance. , clear or. COSENTYX ® Connect is a personalized support program for people taking or considering COSENTYX ® (secukinumab). Serious side effects can. These programs and tips can help make your prescription more affordable. Providers rendering services in the MA managed care delivery system. One of the many programs we support is the American Lung Association’s "Kickin’ Asthma," a national, school-based asthma self-management program for children ages 11 to 16 (6th grade to 10th grade). Need additional guidance with the enrollment process? Call DUPIXENT MyWay at 1-844-387-4936 Monday through Friday, 8 am to 9 pm Eastern Time. Inadequate control of asthma symptoms after a minimum of 3 months of compliant use with greater than or equal to 50% adherence with ONE of the following within the. They’re also called copay savings programs, copay coupons, and copay assistance cards. Is Dupixent being prescribed by or in consultation with an allergist/immunologist or a pulmonologist? Yes No 19. S. From my understanding, the Dupixent MyWay Program pays the $125 since your insurance is covering the rest. 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. Serious side effects can occur. Primary diagnosis (MUST select at least 1) E78. or U. Maybe try that while waiting for the Dupixent. That’s why myAbbVie Assist provides free AbbVie medicine to qualifying patients. About three weeks later they send me a check to reimburse my copay. prescribers must be enrolled in the Connecticut Medical Assistance Program (CMAP). g. The program is intended to help patients afford DUPIXENT. Please see. In clinical trials, DUPIXENT reduced the. Prior Authorization of Dupixent (dupilumab) – Pharmacy Services BY Sally A. Copay Reimbursement Program, 200 Jefferson Park, Whippany, NJ 07981. Find videos and downloadable instructions for the two injection administration options available for DUPIXENT® (dupilumab), pre-filled syringe (200 mg or 300 mg) with needle shield for ages 6 months & older, or pre-filled pen (200 mg or 300 mg) for ages 2+ years. 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 can be used with or without topical corticosteroids. DUPIXENT® (dupilumab) offers webinars where you can learn from medical professionals and people who live with eosinophilic esophagitis (EoE). DUPIXENT MyWay® Program Taking Dupixent. With our help, you could get your Dupixent prescription for a flat fee of $49 per month. Within 24 hours, one of our patient advocates will call you for a brief interview. Since Dupixent can be quite expensive, reimbursement programs help to mitigate the cost for eligible patients. Eligible patients will receive their cards by email. For questions call 1-888-602-2978 Copay accumulators are programs being adopted by health insurance companies to prevent payments from copay assistance programs like Dupixent MyWay from counting towards your insurance deductible and out-of-pocket maximum. O. I also understand that no free product may be submitted for reimbursement to any payer, including Medicare and Medicaid; and no free product may be sold, traded, or distributed for sale. During my first year on the medication (2019), it was covered fully through the MyWay Program. DUPIXENT® (dupilumab) therapy (“My Information”). That’s why we offer patient assistance programs that provide free AbbVie medicines to qualifying patients. Contact the program for details: Re-application: New application yearly : Additional Information: Co-payment assistance, and patient assistance programs are available for eligible patients. Information regarding eligibility is available on line at or by calling toll free at 1-800-992-0900. How we help. 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. Financial Eligibility;. , Quick Start, Copay Card, and Patient Assistance Program) Nursing Support (e. Through the Patient Assistance Program, qualified patients who are uninsured or whose insurance does not cover DUPIXENT could receive DUPIXENT at no cost. Home; Patient Assistance Connection. The program is intended to help patients afford DUPIXENT. g. Y. understand that any free product distributed through the DUPIXENT MyWay Patient Assistance Program is not contingent on any purchase obligations. Pair the right financial assistance with the patient’s needs at the point of prescribing and fulfillment. DUPIXENT® (dupilumab) is indicated for the treatment of patients aged 6 years and older with uncontrolled moderate-to-severe atopic dermatitis. Dupilumab in children aged 6 months to younger than 6 years with uncontrolled atopic dermatitis: a randomised, double-blind, placebo-controlled, phase 3 trial. Dupilumab. There is currently no generic alternative to Dupixent. Healthcare professionals should be alert to vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in patients with eosinophilia. The patient is not eligible to use this copay savings card if they are enrolled in a state or federally funded prescription insurance program, including, but not limited to, Medicare, Medicaid, TRICARE, Veterans Affairs health care, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico (formerly. The Dupixent development program has shown significant clinical benefit and a decrease in type 2 inflammation in Phase 3 trials, establishing that IL-4 and IL-13 are key and central drivers of the type 2 inflammation that plays a major role in multiple related and often. Y. 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. After that, it is taken as 1 injection every 2 weeks or every 4 weeks, depending on your age and weight. I knew ahead of time that I would need to use the dupixent assistance program, so I’m ready for that. Dupixent is a prescription drug that treats eczema, asthma, and sinusitis in adults and certain children. THE DUPIXENT MyWay PROGRAM. For patients with commercial insurance who are new to DUPIXENT and experiencing a. Rotate the injection site with each injection. Patients will need to meet the eligibility criteria, including household income, to qualify. Is the patient currently receiving Dupixent through samples or a manufacturer’s patient assistance program? If Yes or Unknown, skip to #8 Yes No Unknown 7. DUPIXENT® is a subcutaneous injectable prescription medicine for adults and children aged 6 months & older, with uncontrolled, moderate-to-severe eczema (atopic dermatitis). Paris and Tarrytown, N. 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,. DUPIXENT 200 mg injections at different injection sites. These diseases include approved indications for. Patient assistance program. The appeal process Example letters. And while everyone’s working through the details, look to DUPIXENT MyWay for additional support. Serious side effects can occur. The Dupixent development program has shown significant clinical benefit and a decrease in type 2 inflammation in Phase 3 trials, establishing that IL-4 and IL-13 are key and central. The maximum annual patient benefit under the DUPIXENT MyWay® Copay Card Program is $13,000. Need additional guidance with the enrollment process? Contact your field access specialist or call DUPIXENT MyWay. Patients may have insurance plans that attempt to dilute the impact of the assistance available under the Program. programs, or other support programs • to investigate my health insurance coverage for DUPIXENT injection • to obtain prior authorization for coverage • to assist with appeals of denied claims for coverage • for the operation and administration of the DUPIXENT MyWay ProgramThe Program is intended to help patients access DUPIXENT. You may be eligible for the DUPIXENT MyWay Copay Card if you:. Drug copay assistance programs have long been controversial. PhRMA’s Medicine Assistance Tool (MAT) – Partnership for Prescription Assistance. Compare . We work directly with your healthcare provider and will handle the full enrollment process on your behalf. 3 MB) Application Instructions For New Patients: Apply online through the Patient Assistance Now Oncology (PANO) program 1 800 282 7630 Patient portal |. $125 is the amount Dupixent assistance pays. The insurance companies do this by looking at where the money to pay a copay is coming from. References. In those situations, the program may change its terms. $0 is the amount you pay. Needs-Based/Patient Assistance Program (PAP): This type is offered by a manufacturer sponsor or independent non-profit to help patients who meet specific financial eligibility criteria. These programs may be provided by national healthcare systems, insurance companies, or pharmaceutical manufacturers, and can help patients receive financial assistance or coverage for the medication. I certify that I have obtained my patient’s written authorization in accordance with applicableconsent to receive text messages by or on behalf of the Program. Contact the program for details: Re-application: New application yearly : Additional Information: Co-payment assistance, and patient assistance programs are available for eligible patients. In those situations, the program may change its terms. A patient may self-inject DUPIXENT after training in subcutaneous injection technique using the pre-filled syringe. One-on-one supplemental injection support training with nurse educators in person, virtually, or by phone. territories. By way of background: Dupixent was approved by the Food and Drug Administration in May 2017. They will begin the benefits investigation and inform your office of the next steps. We believe that people who need our medicines should be able to get them. g. I understand the disclosure to the Alliance will be for the purposes of enrolling me in, and providing certain services through the “DUPIXENT MyWay Program,” including: • to determine if I am eligible to participate in DUPIXENT MyWay coverage assistance programs, patient assistancecoverage assistance programs, patient assistance . Assistance may be available for patients who do not have insurance. 30 Section: Prescription Drugs Effective Date: April 1, 2021 Subsection: Topical Products Original Policy Date: April 7, 2017 Subject: Dupixent Page: 4 of 10 AND submission of medical records (e. 5. Patient assistance program. DUPIXENT MyWay® is a patient support program that can help enable access to DUPIXENT through benefits verification and assistance navigating the insurance process. I understand the disclosure to the Alliance will be for the purposes of enrolling me in, and providing certain services through the “DUPIXENT MyWay Program,” including: • to determine if I am eligible to participate in DUPIXENT MyWay coverage assistance programs, patient assistanceWe would like to show you a description here but the site won’t allow us. 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. It also offers financial assistance for eligible patients, one-on-one nursing support, and more.