Once final approval and payment are received, the patient coordinates shipment to their home or their healthcare provider’s office, depending on treatment plan. CONTRAINDICATION: DUPIXENT is contraindicated in patients with known Check the formulary status of DUPIXENT in your area with our coverage tool today. Your healthcare provider can enroll you or you may enroll yourself. as an add-on maintenance treatment in adult patients with inadequately controlled chronic rhinosinusitis with nasal polyposis. Your email is on its way. Ensure that the Healthcare Provider has read and agrees to the Healthcare Provider certification, and signs and dates the prescription at the bottom. 1-844-DUPIXENT (1-844-387-4936) Topicort (desoximetasone spray 0.25%) Taro Pharma patient … appropriate therapy and discontinue DUPIXENT. Be sure to provide only one ICD-10 code, even if the patient has comorbid disease. You or your patients can contact Dupixent Myway Form. VO: Hear from real patients and caregivers on why they use DUPIXENT You can refer to DupixentHCP.com for the appeals kit, which will provide information about the process of appealing a denial, and reference sample letters provided by DUPIXENT MyWay. The DUPIXENT MyWay … are pregnant or plan to become pregnant. Your healthcare provider will tell you how much DUPIXENT to inject and how often to inject it. 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. Once you’ve been prescribed DUPIXENT, your healthcare provider can download the enrollment form, These Programs may also be called indigent drug programs, charitable drug programs or medication assistance programs. 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. There are several reasons for this, including incomplete documentation, administrative errors, clinical reasons or a no-coverage determination, or a plan exclusion. Use up a © 2021 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. They will also help you and your patient understand the appeals process if coverage is denied. DUPIXENT can be used with or without topical corticosteroids. Enter your email address and we will send you your requested resource. Make it into their routine and let them go at their own pace. patients treated with DUPIXENT. Limitation of Use: DUPIXENT is not indicated for the relief of acute We have multiple resources available for patients. To enroll in DUPIXENT MyWay, your patients can call 1-844-DUPIXEN(T) (1-844-387-4936) or download and fill out the following forms with your assistance. DUPIXENT is indicated as an add-on maintenance treatment in patients with moderate-to-severe asthma aged 12 years and I am enrolling in the DUPIXENT MyWay Program (the "Program") and authorize Regeneron Pharmaceuticals, Inc., Sanofi US, and their agents (together the "Alliance") to provide me services under the program, and as may be added in the future. Use 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. Fill out, securely sign, print or email your Dupixent MyWay Program Enrollment Form instantly with SignNow. I went to this patient’s house and he seemed very standoffish. It’s important to understand the specialty pharmacy process and its role in obtaining DUPIXENT. with other medicines for the maintenance treatment of chronic rhinosinusitis with nasal polyposis (CRSwNP) in adults whose disease is not controlled. Act as a point of contact for Patient Support Services (Dupixent MyWay), and communicate and collaborate cross-functionally in order to lead Dupixent … between DUPIXENT and these conditions has not been established. Watch the video below for more information. Not valid for prescriptions paid, in whole or in part, by Medicaid, Medicare, VA, DoD, TRICARE, or other federal or state programs, including any state pharmaceutical assistance programs. This will allow the specialty pharmacy to conduct the benefits investigation, and DUPIXENT MyWay will provide additional support to the patient. Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response This program is not valid where prohibited by law, taxed, or restricted. DUPIXENT MyWay is a patient support program that can help enable access to. Terms & Restrictions A Summary of Benefits Form will be faxed to your office within a few days, detailing the patient’s coverage—including prior authorization requirements and out-of-pocket costs. A causal association co-morbid asthma in the chronic rhinosinusitis with nasal polyposis development program. After you have determined DUPIXENT is appropriate for your patient and written them a prescription: DUPIXENT MyWay representative arranges shipment with patient via specialty pharmacy (in network) or patient arranges shipment with specialty pharmacy (out of network). Reduction in corticosteroid dose may be associated with DUPIXENT MyWay complements your office’s process for accessing DUPIXENT. ADVERSE REACTIONS: The most common adverse reactions Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi Genzyme: 1800 Innovation Point Fort Mill, SC 29715. Eligible patients covered by commercial health insurance may pay as little as a $0a copay per fill of DUPIXENT (maximum of $13,000 per patient per calendar year). Some plans, including commercial and Medicare, may even have a separate pharmacy benefit card. Contact your field access specialist or call DUPIXENT MyWay. You are encouraged to report negative side effects of prescription drugs to the FDA. DUP.20.06.0387 eosinophilic granulomatosis with polyangiitis (EGPA), conditions which are often treated with systemic It is not known whether DUPIXENT will harm your unborn baby. hypersensitivity to dupilumab or any of its excipients. It is not known if DUPIXENT is safe and effective in children with asthma under 12 years of age. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. injection process, including: Your dedicated Nurse Educator will share helpful resources and tools from DUPIXENT MyWay to support you through your treatment journey. form of assistance from the Sanofi and Regeneron Pharmaceuticals sponsored Dupixent MyWayTM program shall be required to meet initial authorization criteria as if patient were new to therapy. If your office does not use a preferred specialty pharmacy, leave the box unchecked to indicate that you would like DUPIXENT MyWay to conduct the benefits investigation on the patient’s behalf. When our patients call in, they get to speak to a real person, an experienced clinician who can provide them support along their journey. When I was very young, I knew that I wanted to be a nurse. information on how to manage the disease. go so far. Very quaint. They had a medical professional come to the house and train us on how to administer the injection. DUPIXENT is a prescription medicine used: Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. with other asthma medicines for the maintenance treatment of moderate-to-severe eosinophilic or oral steroid dependent asthma in people aged 12 years and older whose asthma is not controlled with their current asthma medicines. KRISTY: It's very reassuring to know that DUPIXENT MyWay. It is not known if DUPIXENT is safe and effective in children with atopic dermatitis under 6 years of age. the terms, limitations and conditions set by the Not only to teach them how to give themselves the medicine, but also to just come and give them encouragement, and show them kindness and patience. RACHEL: The nurses were available if I had any questions about my prescription or Nurse Educators take a patient-centric approach to helping patients start and stay on therapy. DUPIXENT MyWay will also remind the healthcare professional when the authorization is up for reapproval. FRMs will be subject matter experts on Dupixent MyWay support programs, access issue resolution, financial assistance and alternative funding options provided by our Patient Support Program. Being a nurse for DUPIXENT MyWay is very rewarding. Remember to monitor and document the patient’s progress for reauthorization. This site is intended for U.S. Healthcare Professionals only. The small-town environment lends to the type of work that I do, more one-on-one with our patients. Insightful tips and tools to help them along the way, One-on-one nursing support, when needed, to provide disease and DUPIXENT education and ongoing follow-up to ensure patients stay on track with DUPIXENT, Reminder when eligible patients must reapply for financial support programs (Copay Card Program, Patient Assistance Program), Supplemental injection training virtually or over the phone. Sanofi and Regeneron Pharmaceuticals, Inc. Dupixent MyWay Program. When writing letters, be sure to populate an appropriate ICD-10 code matching your patient’s diagnosis. For more information, call 1-844-DUPIXEN(T) (1-844-387-4936), option 1. aTHIS IS NOT INSURANCE. are breastfeeding or plan to breastfeed. I like to go out and do this job. Be sure to fill Please see accompanying full Prescribing Information. Patients prescribed DUPIXENT and enrolled in DUPIXENT MyWay can access: DUPIXENT is given as an injection under the skin (subcutaneous injection) into different injection sites. Monday-Friday, 8 am to 9 pm ET.
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