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 Failure to do so could cause delays. The prior authorization information required by the patient’s insurance to approve coverage for DUPIXENT may include the patient’s history, medication, and clinical information. VO: Putting the pieces together for acquiring DUPIXENT. go so far. Physicians The DUPIXENT MyWay team can research each patient’s … for content, accuracy or completeness. Dupixent (dupilumab injection) CONTACT INFO. I wanted to go out and make a difference and help people. this remains uncontrolled or worsens after initiation of DUPIXENT. DUPIXENT in adult patients who participated in the asthma development program as well as in adult patients with Please inform patients that DUPIXENT MyWay will be contacting them through their preferred method of communication and that maintaining communication is important for them to receive support from DUPIXENT MyWay. I went to this patient’s house and he seemed very standoffish. All rights reserved. These events may be associated with the reduction of oral corticosteroid therapy. Reductions in corticosteroid dose, if appropriate, should be gradual and Once enrolled, a benefits investigation to determine coverage begins. 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. Important Safety Information and Indication. DUPIXENT MyWay will also remind the healthcare professional when the authorization is up for reapproval. So, I asked the parents, “Would it be OK if I just come back the next day?”. against helminth infections. DUPIXENT can be used with or without topical corticosteroids. Very quaint. We also provide patient assistance programs that are designed to increase access to medicine and provide education on using medicines safely and appropriately. appropriate therapy and discontinue DUPIXENT. It is not known whether DUPIXENT will harm your unborn baby. are breastfeeding or plan to breastfeed. Once I got a new job, I called Dupixent MyWay … We have multiple resources available for patients. 1-866-EUCRISA (1-866-382-7472) Dupixent (dupilamab) Dupixent MyWay patient support program. Remember to monitor and document the patient’s progress for reauthorization. If a prior authorization is denied, you can fill out the payers appeal form, write an appeal letter, and add supporting documentation. Once enrolled, you can receive: One-on-one nursing support when needed for DUPIXENT. Use would 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. If you need help paying for your prescription, the DUPIXENT MyWay Patient Assistance Program may be able to help. Cases of eosinophilic pneumonia were reported in adult patients who I didn’t know that a company 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. CoverMyMeds provides additional PA process-related support for DUPIXENT. are pregnant or plan to become pregnant. Patient Assistance Program Copay Assistance Specialty Pharmacya DUPIXENT MyWay aServices will vary depending on which specialty pharmacy you use. DUP.20.06.0387 hypersensitivity to dupilumab or any of its excipients. When our patients call in, they get to speak to a real person, an experienced clinician who can provide them support along their journey. Lastly, the specialty pharmacy reviews the prescription and contacts the patient to arrange for payment and delivery. contained on this website and/or database A causal association Along with initial training provided by the HCP's office and support from DUPIXENT MyWay Nurse Educators, your patients will also find instructional videos, patient testimonials, and downloads in our Injection Support Center. www.eucrisa.com. Sanofi US does not review the information RACHEL: The nurses were available if I had any questions about my prescription or Patients will need to meet the eligibility criteria, including household income, to qualify. YETUNDE: Having the support of DUPIXENT MyWay. Terms & Restrictions nodosum, anaphylaxis and serum sickness or serum sickness-like reactions, were reported in <1% of subjects who 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). The DUPIXENT MyWay Copay Card may help eligible, commercially-insured patients cover the out-of-pocket cost It’s important to understand the specialty pharmacy process and its role in obtaining DUPIXENT. 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. Additional terms and conditions apply. It is important to note that a plan may deny prior authorization. of and access to this information is subject to I travel to see the patients—sometimes for hours. 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 Act as a point of contact for Patient Support Services (Dupixent MyWay), and communicate and collaborate cross-functionally in order to lead Dupixent … Insurance benefit … DUPIXENT MyWay … The most secure digital platform to get legally binding, electronically … 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. Shari: I grew up in a very small town—one stoplight, if you blink you might miss it. my copay, which is amazing! help you fill it out, and fax it back to DUPIXENT MyWay at 1-844-387-9370. Once final approval and payment are received, the patient coordinates shipment to their home or their healthcare provider’s office, depending on treatment plan. Receive emails about: Whether you are just getting started or have been using DUPIXENT for awhile, we can offer some Some plans, including commercial and Medicare, may even have a separate pharmacy benefit card. Download our reference guide to have on hand. 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 patient’s behalf. performed under the direct supervision of a physician. the terms, limitations and conditions set by the Advising the patient to contact the specialty pharmacy for preferred delivery location. 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. of and access to this information is subject to I think it’s very important to just be patient. out your enrollment form completely and accurately. journey. If your patients need further support, DUPIXENT MyWay Nursing Support is available as an additional point of contact. Learn how to navigate the approval and specialty pharmacy process to get your patients started on DUPIXENT. Please see accompanying full Prescribing Information including Patient Information. ADVERSE REACTIONS: The most common adverse reactions Nurse Educators take a patient-centric approach to helping patients start and stay on therapy. Ensure that the Healthcare Provider has read and agrees to the Healthcare Provider certification, and signs and dates the prescription at the bottom. Patient Assistance Programs for Dupixent Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines to low income or uninsured and … Monday-Friday, 8 am to 9 pm ET. acute exacerbations, acute bronchospasm or status asthmaticus. Patients should seek medical advice if their asthma 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. Hypersensitivity: Hypersensitivity reactions, including generalized urticaria, rash, erythema between DUPIXENT and these conditions has not been established. bronchospasm or status asthmaticus. My name is Shari, and I’m a registered nurse with DUPIXENT MyWay. Visit our Pricing and Insurance page to get more information on coverage, ordering through a specialty pharmacy, or cost. You or your patients can contact Patient Assistance Program. I make sure that I gather all of the things that I may need to help the experienced person, and then the person that’s never even touched a needle. JACQUE: It was an experience that I never had before. is amazing. This site might not comply with the regulatory requirements of US. You can help by directing them to the DUPIXENT MyWay Enrollment Forms below. You could tell that the patient was just not comfortable. offered by some offered by some telephonic only offered by some offered by some Don’t forget to enroll your patients in DUPIXENT … MyWay. I’ve been with DUPIXENT MyWay since the very beginning. © 2002-2018 sanofi-aventis U.S. LLC. First few months into taking Dupixent, I got laid off and worked w my doctors/Dupixent to get assistance. In children younger than 12 years of age, DUPIXENT should be given by a caregiver. I can’t wait to go and meet them, and see where they are in their life, and be excited for them. Patients may be eligible for the DUPIXENT MyWay Copay Card if they: Send them the following link to see if they're eligible: Assistance may still be available for patients who do not have insurance. reactions, oropharyngeal pain, and eosinophilia. 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. Please note: By clicking on this link, you will be leaving this Sanofi hosted US website and going to another, entirely independent, website. Treat patients with pre-existing helminth infections before initiating therapy with Watch the video below for more information. In the case of a denial, you may consider writing an appeal, if appropriate, making sure to address the plan’s specific concerns. 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. Experience: Been on Dupixent since May 15, 2017. He was anxious, he wouldn’t give me eye contact. DUPIXENT helps prevent severe asthma attacks (exacerbations) and can improve your breathing. (1-844-387-4936). Do not use if you are allergic to dupilumab or to any of the ingredients in DUPIXENT®. It’s important to understand how to identify prescription drug coverage. Use 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. Before using DUPIXENT, tell your healthcare provider about all your medical conditions, including if you: Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins and herbal supplements. Contact your Field Access Specialist or call DUPIXENT MyWay at 1-844-387-4936, Monday through Friday, 8 am to 9 pm Eastern Time. DUPIXENT is covered under the pharmacy benefit plan, which requires a patient to coordinate delivery with a specialty pharmacy. Since DUPIXENT is a specialty medication, it may require additional approval from your insurance company and is typically shipped from a specialty pharmacy. Populate the clinical information corresponding to your patient’s diagnosis. the terms, limitations and conditions set by the CONTRAINDICATION: DUPIXENT is contraindicated in patients with known Every day is different depending on the type of calls that we have. It is recommended that you fax a copy of prior authorization approval to DUPIXENT MyWay to 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. Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. website and/or database producer. It’s just really neat. Patients will need to meet the eligibility criteria, including household income, to qualify. emails have provided great Laurie: I’m Laurie. JUDY: It was really comforting knowing that there was someone walking beside me on When I was very young, I knew that I wanted to be a nurse. I like to go out and do this job. DUPIXENT MyWay complements your office’s process for accessing DUPIXENT. This will allow the specialty pharmacy to conduct the benefits investigation, and DUPIXENT MyWay will provide additional support to the patient. systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. You can stay in the know about DUPIXENT and get the latest news and exclusive information. It is not known whether DUPIXENT passes into your breast milk. They have set aside this time for us to learn. It is not known if DUPIXENT is safe and effective in children with asthma under 12 years of age. It’s neat to go in and get to know people. should be alert to vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy 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. Many specialty medications, such as DUPIXENT, have longer turnaround times because of the prior authorization process. The DUPIXENT MyWay team will research each patient’s situation and determine eligibility. Patients prescribed DUPIXENT and enrolled in DUPIXENT MyWay … What if when you leave, I don’t know what to do and it’s time for me to give myself my injection again?” I can refer the patient to the DUPIXENT website for more resources, and there’s also a Nurse Educator phone number. Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response I give supplemental injection training to the patient and the patient’s caregiver. They set 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). December 2020, Prescribing 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 or CRSwNP, and also have asthma. The DUPIXENT MyWay Patient Assistance Program can also help if you are uninsured or your insurance doesn't cover DUPIXENT. Benefits Investigation, Prior Authorization (PA), and Appeals Support. They will begin the benefits investigation and inform your office of the next steps. Your healthcare provider can enroll you or you may enroll yourself. Your healthcare provider will tell you how much DUPIXENT to inject and how often to inject it. Fax the Enrollment Form with the unchecked box to DUPIXENT MyWay. 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. For more information, call 1-844-DUPIXEN(T) (1-844-387-4936), option 1. aTHIS IS NOT INSURANCE. Limitation of Use: DUPIXENT is not indicated for the relief of acute information on how to manage the disease. Our team can provide guidance and assistance during the insurance approval process. Sanofi and Regeneron Pharmaceuticals, Inc. Dupixent MyWay Program. 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. I’m ready to help our patients to have the confidence to proceed with their journey. Our programs help eligible patients throughout their treatment journey with insurance eligibility support, patient resources, financial assistance … Be sure to provide only one ICD-10 code, even if the patient has comorbid disease. DUPIXENT may also help reduce the amount of oral corticosteroids you need while preventing severe asthma attacks and improving your breathing. Dupixent Myway Form. DUPIXENT MyWay will 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. And for me to teach. abruptly upon initiation with DUPIXENT. participated in the asthma development program and cases of vasculitis consistent with EGPA have been reported with 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. So, we step into our offices, we’re going into a nice relaxing environment. Fill out, securely sign, print or email your Dupixent MyWay Program Enrollment Form instantly with SignNow. DUPIXENT MyWay® is a patient support program designed to help you get access to DUPIXENT as quickly as possible and help you stay on track while providing helpful tools and resources. KRISTY: It's very reassuring to know that DUPIXENT MyWay. A list of potential codes is provided within the Enrollment Form for reference. Ask to speak to a nurse and ask about the "Dupixent My … For patients wanting a copay card, they can access that by visiting our product website at DUPIXENT.com. Check the formulary status of DUPIXENT in your area with our coverage tool today. nurse to come to my house to show me how to self-inject, and from that point forward I felt comfortable  Last Update: 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. Patient assistance programs (PAPs) are programs created by drug companies, such as Sanofi and Regeneron Pharmaceuticals, Inc., to offer free or low cost drugs to individuals who are unable to pay for their medication. In addition to what you've been shown by your doctor, visit the Injection Support Center for more on the DUPIXENT and offers financial assistance for eligible patients, one-on-one. You or your patients can contact. received DUPIXENT in clinical trials. Make it into their routine and let them go at their own pace. it would be coming or any concerns at all. treatment, discontinue treatment with DUPIXENT until the infection resolves. This site might not comply with the regulatory requirements of US. Putting the pieces together for acquiring DUPIXENT. tips and tools for: Hear about DUPIXENT MyWay from While sample letters are included in the above guide, you can download the corresponding Microsoft Word templates to edit to your office’s needs. Call your doctor for medical advice about side effects. If patients become infected while receiving treatment with DUPIXENT and do not respond to anti-helminth corticosteroid therapy. This program is not valid where prohibited by law, taxed, or restricted. Get to know 2 DUPIXENT MyWay registered nurses. When I go to see the patient, I can’t wait to travel, no matter how far it is. In some denial cases, a plan may require a peer-to-peer review with a medical reviewer at the health plan. © 2021 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. nursing support, and more. SHAWN: I’m happy to know that I had support for my entire treatment. DUPIXENT MyWay reserves the right to rescind, revoke, terminate, or amend this offer, eligibility, and terms of use at any time without notice. 1-844-DUPIXENT (1-844-387-4936) Topicort (desoximetasone spray 0.25%) Taro Pharma patient … Please note that you will receive a confirmation fax after sending the form. Please ensure that you are filling out the correct form that corresponds to the appropriate indication. I have a training kit that has a training syringe in it. as an add-on maintenance treatment in adult patients with inadequately controlled chronic rhinosinusitis with nasal polyposis. In children 12 years of age and older, it is recommended that DUPIXENT be administered by or under supervision of an adult. 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. This site is intended for U.S. Healthcare Professionals only. 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. Please see accompanying full Prescribing Information. Enter your email address and we will send you your requested resource. DUPIXENT can cause serious side effects, including: Tell your healthcare provider if you have any side effect that bothers you or that does not go away. If the patient is eligible for copay assistance, the patient or caregiver can then ensure the copay assistance is applied, coordinate delivery with the specialty pharmacy, and access additional DUPIXENT MyWay support. These are not all the possible side effects of DUPIXENT. You are about to leave sanofi site for U.S. © 2002-2018 sanofi-aventis U.S. LLC. You must be shown the right way by your healthcare provider before injecting DUPIXENT. The phone number is 1‑844‑DUPIXEN (T) (1-844-387-4936) Option 1, Monday–Friday, 8 AM–9 PM Eastern time. of DUPIXENT. It is not known if DUPIXENT is safe and effective in children with atopic dermatitis under 6 years of age. To get more information about the registry call. Act as a point of contact for Patient Support Services (Dupixent MyWay), and communicate and collaborate cross-functionally in order to lead Dupixent … Program Details. covers