DUPIXENT MyWay at 1-844-DUPIXEN(T) It is not known if DUPIXENT is safe and effective in children with chronic rhinosinusitis with nasal polyposis under 18 years of age. Axium Healthcare de Puerto Rico 1001 San Roberto Street, Suite 101, San Juan, PR 00926 hours: M-F 8:00 am - 6:00 pm AST 844.355.4191 800.546.2163 711 You can count on our guidance, education, and compassion throughout your entire course of treatment. To enroll inDUPIXENT MyWay, your patients can call 1-844-DUPIXEN(T) (1-844-387-4936) or email or print and fill out the following forms with your assistance. Then, ensure the patient has signed and dated twice at the top of the form where indicated, as it is vital to the process that the patient reads and agrees to both the Patient Authorization and the Certifications. Envarsus XR. Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. DUPIXENT MyWay is a patient support program that can help enable access to Once enrolled, you can receive: In addition to what you've been shown by your doctor, get resources and support materials for takingand givingDUPIXENT. 2020 Sanofi and Regeneron Pharmaceuticals, Inc. Prurigo Nodularis: Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. This will allow the specialty pharmacy to conduct the benefits investigation, and DUPIXENT MyWay will provide additional support to the patient. Medication is often one of them. Live support is available at 866-452-5017 or covermymeds.com. This is applicable to all Fidelis Managed Medicaid members. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. Eosinophilic Esophagitis: DUPIXENT is indicated for the treatment of adult and pediatric patients aged 12 years and older, weighing at least 40 kg, with eosinophilic esophagitis (EoE). Forms are available at DupixentHCP.com. We dispense infused, oral, injectable, and biologic medications used to treat complex health conditions. CHRONIC RHINOSINUSITIS WITH NASAL POLYPOSIS (CRSwNP) Ages 18+ Years, EOSINOPHILIC ESOPHAGITIS (EoE) Avoid use of live vaccines in patients treated with DUPIXENT. In the case of a denial, you may consider writing an appeal, if appropriate, making sure to address the plans specific concerns. Search for brand and generic medications by condition, or download the CVS Specialty drug list as a PDF (PDF). topical corticosteroids. GoodRx seems to be suggesting a specialty pharmacy. Learn more about our available resources to help navigate the insurance process. THIS IS NOT INSURANCE. Date of birth Avoid use of live vaccines in patients treated with DUPIXENT. are pregnant or plan to become pregnant. If precertification requirements apply, Aetna considers this drug to be medically necessary for those members who meet the following precertification criteria: 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. Eloctate. If this is the case, write the preferred specialty pharmacy name and then check the box indicating that you have sent the prescription to the specialty pharmacy, which will be responsible for securing the coverage on the patients behalf. Forms are available at DupixentHCP.com. To Treat Prurigo Nodularis (Ages 18+ Years), DUPIXENT is not used to treat sudden breathing, Add-on Maintenance Treatment for Uncontrolled Moderate-to-Severe Eosinophilic or Oral Steroid Dependent, Add-on Maintenance Treatment for Uncontrolled, DUP.22.09.0226 Last Update: November 2022, Moderate-to-Severe Eczema (Ages 6+ Months), Moderate-to-Severe Asthma (Ages 6+ Years), Chronic Rhinosinusitis with Nasal Polyposis, One-on-one nursing support when needed for DUPIXENT, Opportunities for financial assistance provided to eligible patients, Supplemental injection training video tutorials, Tips to help manage feelings of uncertainty. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. We help you find the lowestprices for the most effectivemedication. Middle initial . The on call team is available 24/7 for help after hours. prescription therapies or when those We promise to always deliver simple ways to get the medication you need. call To help ensure a seamless enrollment process, ask the patient if they would like to provide their email address, mobile phone number, and to consent to receiving text messages. Sex at birth: Male . Dupixent (dupilumab) is a brand-name prescription medication. PATIENT SUPPORT THERACOM INC provides services related to medication and prescriptions. Dupixent side effects. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. Healthcare providers should be alert to vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their patients with eosinophilia. It's time to get ahead of your symptoms, so help put your condition in its place with DUPIXENT. Please see accompanying full Prescribing Information. Conduent State Healthcare, LLC. Lastly, the specialty pharmacy reviews the prescription and contacts the patient to arrange for payment and delivery. Ask your Field Representative for additional information. Phone: 1-855-263-4537. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. Specialty drugs are on the riseas are the costs. If your office does not use a preferred specialty pharmacy, leave the box unchecked to indicate that you would likeDUPIXENT MyWayto conduct the benefits investigation on the patients behalf. Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a healthcare provider. If this is the case, write the preferred specialty pharmacy name and then check the box indicating that you have sent the prescription to the specialty pharmacy, which will be responsible for securing the coverage on the patients behalf. Risk Associated with Abrupt Reduction of Corticosteroid Dosage: Do not discontinue systemic, topical, or inhaled corticosteroids abruptly upon initiation of DUPIXENT. Patients must bring an original prescription to the pharmacy and cannot fax these referral forms to Senderra. OCSdependent, For Patients Ages 18+ New to Brand Monthly Audit; data through June 2022. TheDUPIXENT MyWaynurse 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. 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. Enter your email address and we will send you your requested resource. Some plans, including commercial and Medicare, may even have a separate pharmacy benefit card. A Pharmacy is responsible for ensuring the safe and effective use and distribution of pharmaceutical drugs by a pharmacist. DUPIXENT MyWaywill not conduct the benefits investigation, nor send a Summary of Benefits Form, for providers who have checked the specialty pharmacy box on the Enrollment Form, as this indicates that they wish the specialty pharmacy to conduct the benefits investigation. BioMatrix Specialty Pharmacy offers comprehensive nationwide specialty pharmacy services and digital health technology solutions for a range of chronic health conditions. The cost for Dupixent subcutaneous solution (200 mg/1.14 mL) is around $3,354 for a supply of 2.28 milliliters, depending on the pharmacy you visit. We found 9 results. Be sure to check your inbox. adequately controlled with topical Once the primary ICD-10 code is filled in and the form is completed, write the names of the patient and prescriber at the top of all pages. Monday-Friday, 8 am to 9 pm ET. What Happens at a Specialty Pharmacy? 2023 Magellan Rx Management, LLC. controlled chronic rhinosinusitis In an open-label extension study, the long-term safety profile of DUPIXENT TCS in pediatric patients observed through Week 52 was consistent with that seen in adults with atopic dermatitis, with hand-foot-and-mouth disease and skin papilloma (incidence 2%) reported in patients 6 months to 5 years of age. 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. Gandhi NA, Bennett BL, Graham NMH, Pirozzi G, Stahl N, Yancopoulos GD. Dupixent will be approved based on all of the following criteria: (1) Documentation of positive clinical response to Dupixent therapy -AND- (2) Patient is not receiving Dupixent in combination with another biologic . Live support is available at It is recommended that you fax a copy of prior authorization approval toDUPIXENT MyWayto 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. New pati ent . Fax the Enrollment Form with the checked box to both the specialty pharmacy andDUPIXENT MyWay. eligible patients, provide with nasal polyposis. All Rights Reserved. In children 6 to 11 years old using Dupixent or placebo plus a topical corticosteroid for severe eczema, studies at 16 weeks show that . Visit our Pricing and Insurance page to get more information on coverage, ordering through a specialty pharmacy, and the cost of DUPIXENT. A causal association between DUPIXENT and these conditions has not been established. 300 mg Pre-filled Pens are These are not all the possible side effects of DUPIXENT. Read through customer reviews, check out their past projects and then request a quote from the best specialty contractors near you. with eosinophilic esophagitis has not been definitively Patients may have insurance plans that attempt to dilute the impact of the assistance available under the program. Be sure to check your inbox. Support, LEARN ABOUT OUR These events may be associated with the reduction of oral corticosteroid therapy. one-on-one nursing support, and IL-13, Monday-Friday, When writing letters, be sure to populate an appropriate ICD-10 code matching your patients diagnosis. Epclusa . We work directly with your insurance provider to determine eligibility of coverage. CoverMyMeds support is available for DUPIXENT. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. If you can't find the medication you are looking for, contact our team. DUPIXENT MyWay Theracom Pharmacy is an unclaimed page. Please see accompanying full Prescribing Information. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. Phenotype or moderate-to-severe asthma Referral process for new patients . Services are also available at Long's Drugs locations. Contact Sanofi USor call1-844-643-7346 Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. . In order to be effective, and work properly, biologics are injectable medicines. DUPIXENT can be used with or without Dupixent is a prescription drug, which means you need an order for it from your healthcare provider. 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. Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. The BioPlus Patient Onboarding and Medication Journeys give support, education, instructions, and answers along each patient's unique treatment path all delivered straight to their fingertips. Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. For more information, call1-844-DUPIXEN(T) (1-844-387-4936), option 1. aApproval is not guaranteed. 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. to treat adults with prurigo nodularis (PN). All criteria below must be met in order . Magellan Clinical Call Center 800-331-4475 - phone 888-603-7696 - fax. nursing support, and more. Patients with Co-morbid Asthma: Advise patients with co-morbid asthma not to adjust or stop their asthma treatments without consultation with their physicians. that can help with the Prescription Settings brand carton DUPIXENT can be used with or without topical corticosteroids. CoverMyMeds provides additional PA process-related support for DUPIXENT. Please refer to Regeneron's Privacy Notice and Sanofi's Privacy Policy for more information regarding processing of your personal data. Corren J. 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