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Asthma: DUPIXENT is indicated as an add-on maintenance treatment of adult and pediatric patients aged 6 years and older with moderate-to-severe asthma characterized by an eosinophilic phenotype or with oral corticosteroid dependent asthma. AcariaHealth provides the following services: prescription therapies or when those PATIENT SUPPORT Meijer Specialty PharmacyCorporate Offices & Patient Services. Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections. For more information, call1-844-DUPIXEN(T) (1-844-387-4936), option 1. aApproval is not guaranteed. 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. Conjunctivitis and Keratitis: Conjunctivitis and keratitis occurred more frequently in atopic dermatitis subjects who received DUPIXENT versus placebo, with conjunctivitis being the most frequently reported eye disorder. Your healthcare provider will decide if you or your caregiver can inject DUPIXENT. You'll find the phone number in the top right corner of your Rx label. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. 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. Arthralgia: Arthralgia has been reported with the use of DUPIXENT with some patients reporting gait disturbances or decreased mobility associated with joint symptoms; some cases resulted in hospitalization. Quoted prices are for cash-paying customers and are not valid with insurance plans. Contact your field access specialist or callDUPIXENT MyWay. LIBERTY ASTHMA TRAVERSE CSR, 2020. If you're filling one of these medications at a retail pharmacy, you'll have to switch to Cigna Specialty Pharmacy Services for it to be covered. No, Dupixent (dupilumab) is not an immunosuppressant or a steroid. We found 9 results. A list of potential codes is provided within the Enrollment Form for reference. Do not use if you are allergic to dupilumab or to any of the ingredients in DUPIXENT. CoverMyMeds provides additional PA process-related support for DUPIXENT. Patients may have insurance plans that attempt to dilute the impact of the assistance available under the program. older, weighing at least 40 kg, with Services THERACOM INC is a pharmacy located in ROCKVILLE, MD. 3. Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. available for your appropriate Every enrolled patient is assigned a phone-basedDUPIXENT MyWayNurse Educator,who takes a patient-centric approach to providing tools, support resources, and education throughout the patient's treatment journey. It is important to note that a plan may deny prior authorization. DUPIXENT MyWay at 1-844-DUPIXEN(T) For patients with commercial insurance who are new to DUPIXENT Please contact us at 888.355.4191 if you do not see your prescribed medication, ancillary therapy or medical equipment listed. Ests a punto de abandonar este sitio para visitar nuestro sitio en ingls. characterized by an eosinophilic These events may be associated with the reduction of oral corticosteroid therapy. Conduent State Healthcare, LLC. We are finding the Dupixent MyWay program to be quite challenging to understand; we don't know whether that might be an option, and we are looking at other options, even expensive ones. Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. pediatric patients aged 6 months and Enter your email address and we will send you your personalized guide. Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. The prior authorization information required by the patients insurance to approve coverage for DUPIXENT may include the patients history, medication, and clinical information. Please note that you will receive a confirmation fax after sending the form. are pregnant or plan to become pregnant. Let SaveOnSP administer a plan benefit design aimed at lowering these rising costs. Vaccinations: Consider completing all age-appropriate vaccinations as recommended by current immunization guidelines prior to initiating DUPIXENT. Date of birth Asthma: DUPIXENT is indicated as an add-on maintenance treatment of adult and pediatric patients aged 6 years and older with moderate-to-severe asthma characterized by an eosinophilic phenotype or with oral corticosteroid dependent asthma. Dupixent (dupilumab) is a brand-name prescription medication. Support, LEARN ABOUT OUR Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. 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. Get emergency medical help if you have signs of an allergic reaction to Dupixent: hives, rash, itching; fever, swollen glands, joint pain; feeling light-headed, difficult breathing; swelling of your face, lips, tongue, or throat. DUPIXENT MyWaycomplements your offices process for accessing DUPIXENT. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. 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. It is not known whether DUPIXENT passes into your breast milk. by targeting a root cause of your condition. Conjunctivitis and keratitis have been reported with DUPIXENT in postmarketing settings, predominantly in AD patients. DESCRIPTION: The Associate Director, Forecasting - Respiratory will be responsible for leading commercial forecasting activities for Dupixent's US Respiratory portfolio as a part of the Commercial Strategy & Insights team within the Sanofi US Specialty Care Business Operations organization. Populate the clinical information corresponding to your patients diagnosis. E. Edurant. Please inform patients thatDUPIXENT MyWaywill be contacting them through their preferred method of communication and that maintaining communication is important for them to receive support fromDUPIXENT MyWay. DUPIXENT may also help reduce the amount of oral corticosteroids you need while preventing severe asthma attacks and improving your breathing. 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. Conjunctivitis also occurred more frequently in chronic rhinosinusitis with nasal polyposis subjects and prurigo nodularis subjects who received DUPIXENT compared to those who received placebo. Enter your email address and we will send you your requested resource. Healthcare providers should be alert to vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their patients with eosinophilia. Specialty Pharmacy BioMatrix Specialty Pharmacy BioMatrix has the knowledge and clinical expertise to manage highly specialized medications and the customized patient engagement that these medications often require. Please ensure that you are filling out the correct form that corresponds to the appropriate indication. The DUPIXENTMyWay Copay Card may help eligible, commercially insured patients cover the out-of-pocket cost of DUPIXENT. 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. 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. Conjunctivitis also occurred more frequently in chronic rhinosinusitis with nasal polyposis subjects and prurigo nodularis subjects who received DUPIXENT compared to those who received placebo. This will allow the specialty pharmacy to conduct the benefits investigation, and DUPIXENT MyWay will provide additional support to the patient. 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. Be sure to check your inbox. CHRONIC RHINOSINUSITIS WITH NASAL POLYPOSIS (CRSwNP) Ages 18+ Years, EOSINOPHILIC ESOPHAGITIS (EoE) Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. https://mothertobaby.org/ongoing-study/dupixent/, Have a DUPIXENT prescription for an FDAapproved 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, The Patient Assistance Program may be an option if your patient is uninsured or functionally uninsured, or experiences a gap in or loss of insurance, Supplemental instructional videos will walk your patients or their caregivers through the process of administering DUPIXENT, They can hear from other patients who have been through the process, A mindful breathing exercise may help your patients achieve the right frame of mind to help calm their nerves, Downloadable Instructions for Use will give your patients another resource to always have at their side. 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 . Patients with Co-morbid Asthma: Advise patients with co-morbid asthma not to adjust or stop their asthma treatments without consultation with their physicians. The on call team is available 24/7 for help after hours. Certain specialty medication may not qualify. This is a list of specialty medications that Optum Specialty Pharmacy can provide or facilitate access and is subject to change. Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP), DUP.22.09.0186Last Update: October 2022, Chronic Rhinosinusitis with Nasal Polyposis, https://mothertobaby.org/ongoing-study/dupixent/. These accreditations ensure that we are operating with the highest quality standards. 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