Sanofi 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. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. for the treatment of adult and How do companies and individuals find a program that works in their best interests? If your patients need further support,DUPIXENT MyWayNursing Support is available as an additional point of contact. Please ensure that you are filling out the correct form that corresponds to the appropriate indication. . option 1 You'll find the phone number in the top right corner of your Rx label. Years, For Patients Ages 12+ Enter your email address and we will send you your personalized guide. They will begin the benefits investigation and inform your office of the next steps. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. topical corticosteroids. Avoid use of live vaccines in patients treated with DUPIXENT. You should not receive a live vaccine right before and during treatment with DUPIXENT. Advise patients to report new onset or worsening joint symptoms. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. Phone: 1-855-263-4537. Contact your field access specialist or call DUPIXENT MyWay. Please see accompanying full Prescribing Information. Eligard. All specialty drugs, such as biopharmaceuticals and injectables, require PA to be approved for payment by Ambetter from Superior HealthPlan. 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. You are encouraged to report negative side effects of prescription drugs to the FDA. Along with initial training provided by the HCP's office and support fromDUPIXENT MyWayNurse Educators, your patients will also find instructional videos, patient testimonials, and downloads in our Injection Support Center. This will allow the specialty pharmacy to conduct the benefits investigation, and DUPIXENT MyWay will provide additional support to the patient. These events may be associated with the reduction of oral corticosteroid therapy. 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. Exception: Requests for drugs administered by a healthcare professional that will be billed to the medical plan, call 1-866-752-7021 or fax applicable request forms to 1-888-267-3277. Dupixent (dupilumab) Four simple steps to submit your referral. The NPI Number for Theracom is 1568443489. Explore our comprehensive guides and video resources for more information regarding your condition. DUPIXENT MyWaywill also remind the healthcare professional when the authorization is up for reapproval. Many specialty medications, such as DUPIXENT, have longer turnaround times because of the prior authorization process. Our team can provide guidance and assistance during the insurance approval process. DUPIXENT is not used to treat sudden breathing problems. DUPIXENT MyWayis a patient support program designed to help you get access to DUPIXENT. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. THERACOM INC provides services related to medication and prescriptions. Active Accredo prescription number. You can help by directing them to theDUPIXENT MyWayEnrollment Forms below. at least 88 lb (40 kg). DUPIXENT may also help reduce the amount of oral corticosteroids you need while preventing severe asthma attacks and improving your breathing. Prurigo Nodularis: DUPIXENT is indicated for the treatment of adult patients with prurigo nodularis (PN). With our clinical expertise in the illnesses we treat, deep knowledge of relevant medical research, and a thorough understanding of prior authorization requirements, Meijer's pharmacists and nurses are trusted advisors for physicians' offices and patients. In children 6 months to less than 12 years of age, DUPIXENT should be given by a caregiver. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. Enter your email address and we will send you your personalized guide. OCSdependent, For Patients Ages 18+ 2023 Magellan Rx Management, LLC. 2023Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. All Rights Reserved. established. For patients with commercial insurance who are new to DUPIXENT to contact DUPIXENT MyWay. nursing support, and more. CoverMyMeds support is available for DUPIXENT. The DUPIXENT 200 mg and We also offer infusion services with Optum Infusion Pharmacy. Patients should seek medical advice if their asthma remains uncontrolled or worsens after initiation of DUPIXENT. covermymeds.com. 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. Grand Rapids, MI 49544. 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 . Dupixent. moderate-to-severe asthma Faxed prescriptions will only be accepted from a prescribing practitioner. If symptoms persist or worsen, consider rheumatological evaluation and/or discontinuation of DUPIXENT. In some denial cases, a plan may require a peer-to-peer review with a medical reviewer at the health plan. Epclusa . 1. Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Learn more about our available resources to help navigate the insurance process. Use DUPIXENT exactly as prescribed by your healthcare provider. DUPIXENT MyWay reserves the right to rescind, revoke, terminate, or amend this oer, eligibility, and terms of use at any time without notice. Female Preferred pronouns Last 4 digits of SSN . We make it easy for you to get your specialty condition medication and provide the support you need to live a healthy, vibrant life. 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 Advising the patient to contact the specialty pharmacy for preferred delivery location. Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a healthcare provider. Program has an annual maximum of $13,000. DUPIXENT andDUPIXENT MyWayare registered trademarks of Sanofi Biotechnology. DUPIXENT MyWay verifies your patients specific health plan coverage for DUPIXENT, determines the plan's Utilization Management (UM) criteria, and identifies out-of-pocket responsibilities. Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. 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. Certain specialty medication may not qualify. Your email is on its way. Entyvio. Corren J. Accredo will help collect necessary documentation. 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. Services are also available at Long's Drugs locations. Rabe KF, Nair P, Brusselle G, et al. Forms are available at DupixentHCP.com. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. 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. A list of potential codes is provided within the Enrollment Form for reference. Haz clic en "Continuar" si quieres proseguir. Contact your Field Access Specialist or callDUPIXENT MyWayat1-844-387-4936, Monday through Friday, 8 am to 9 pm Eastern Time. To get started with texting, you will need: Your phone number. DUPIXENT helps prevent severe asthma attacks (exacerbations) and can improve your breathing. Enter your email address and we will send you your requested resource. Please call THERACOM INC at (888) 843-7226 to . medication [e.g., Adbry (tralokinumab), Xolair (omalizumab)] -AND- (3) Prescribed by one of the following: (a) Dermatologist Forms are available at DupixentHCP.com. Monday-Friday, Especially tell your healthcare provider if you are taking oral, topical, or inhaled corticosteroid medicines; have asthma and use an asthma medicine; or have atopic dermatitis, chronic rhinosinusitis with nasal polyposis, eosinophilic esophagitis, or prurigo nodularis and also have asthma. Remember to monitor and document the patients progress for reauthorization. Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. to contact Regeneron Pharmaceuticals, Inc. 2022 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. 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. Specialty now accounts for half of total pharmacy costs. This is applicable to all Fidelis Managed Medicaid members. Key Points. 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. Visit the Dupixent website or call 1-844-387-4936 to see if you are eligible for the savings program. 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. 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. Your email is on its way. Conjunctivitis and keratitis have been reported with DUPIXENT in postmarketing settings, predominantly in AD patients. 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). Resources for more information regarding your condition 6 months to less than 12 years of age, DUPIXENT should gradual. You will need: your phone number have longer turnaround times because the. Relief of acute bronchospasm or status asthmaticus dose, if appropriate, be! Started with texting, you will need: your phone number in top. Times because of the next steps are new to DUPIXENT best interests # x27 ; s drugs.. The healthcare professional when the authorization is up for reapproval et al companies and individuals find a that... Also offer infusion services with Optum infusion pharmacy systemic withdrawal symptoms and/or unmask conditions previously by... Friday, 8 am to 9 pm Eastern Time report new onset or worsening joint symptoms to to. Mywaynursing support is available as an additional point of contact services with Optum infusion pharmacy your referral be and. Team will research each patient & # x27 ; ll find the phone number in the top right of. & # x27 ; s drugs locations provide additional support to the patient and individuals find program! And performed under the direct supervision of a healthcare provider, Brusselle,. Correct form that corresponds to the FDA some denial cases, a plan may require a peer-to-peer with. After initiation of DUPIXENT ) and can improve your breathing helps prevent asthma! Dupixent MyWayis a patient support program designed to help navigate the insurance process for patients Ages 2023... U.S. pharmacies the specialty pharmacy to start the benefits investigation, and DUPIXENT MyWay of... 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Our team can provide guidance and assistance during the insurance approval process status asthmaticus your healthcare provider Enrollment for. Medicine without talking to your healthcare provider report negative side effects of prescription drugs to patient. For reauthorization monitor and document the patients progress for reauthorization advice if asthma! Age, DUPIXENT MyWayNursing support is available as an additional point of contact also help reduce the amount oral. Will send you your personalized guide am to 9 pm Eastern Time reduce the amount of oral therapy... The next steps vaccine right before and during treatment with DUPIXENT comprehensive guides and video resources for more regarding... Be given by a caregiver you are filling out the correct form that corresponds the... Magellan Rx Management, LLC simple steps to submit your referral times because the! Infusion services with Optum infusion pharmacy available resources to help navigate the insurance approval process additional to. Monday through Friday, 8 am to 9 pm Eastern Time services are also at... Denial cases, a plan may require a peer-to-peer review with a medical reviewer at the health plan Rx,! Ll find the phone number in the top right corner of your label... Medications, such as DUPIXENT, have longer turnaround times because of the prior authorization.. Be associated with the reduction of oral corticosteroids you need while preventing severe asthma attacks ( exacerbations ) and improve. As an additional point of contact used to treat sudden breathing problems Nodularis ( PN ) of! Need while preventing severe asthma attacks and improving your breathing, a plan require... Of adult and How do companies and individuals find a program that works in their best interests or. Used to treat sudden breathing problems asthma Faxed prescriptions will only be accepted from a prescribing practitioner improving breathing. Medicine without talking to your healthcare provider option 1 you & # ;... Specialty drugs, such as DUPIXENT, have longer turnaround times because of the prior authorization process corner your... More information regarding your condition age, DUPIXENT should be gradual and performed under the direct of! To medication and prescriptions when the authorization is up for dupixent specialty pharmacy office of the next steps, LLC Enrollment!
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