The Specialty Pharmacy Program is designed to support your treatment plan for specialty conditions and facilitate the physician/patient relationship. CONTRAINDICATION: DUPIXENT is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients. Quoted prices are for cash-paying customers and are not valid with insurance plans. A causal association between DUPIXENT and these conditions has not been established. Enter your email address and we will send you your personalized guide. Live support is available at866-452-5017orcovermymeds.com. Thanks for any help on this confusing issue. In some denial cases, a plan may require a peer-to-peer review with a medical reviewer at the health plan. All you need to know about the COVID-19 vaccines and boosters.Get the details. to contact Regeneron Pharmaceuticals, Inc. 2022 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. IQVIA syndicated reports, internal patient services & specialty pharmacy data, etc.) Consider ophthalmological examination for patients who develop conjunctivitis that does not resolve following standard treatment or signs and symptoms suggestive of keratitis, as appropriate. 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. Use DUPIXENT exactly as prescribed by your healthcare provider. 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. Magellan Rx Specialty Pharmacy Making a difference in pharmacy care Specialty drug spend escalated dramatically over the past decade. If a clinically significant hypersensitivity reaction occurs, institute appropriate therapy and discontinue DUPIXENT. Live support is available at 866-452-5017 or covermymeds.com. Home Infusion Services. Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. Corren J. comments sorted by Best Top New Controversial Q&A Add a . Epclusa . 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. Be sure to check your inbox. Dupixent calms an overreactive immune system but does not suppress the immune system. Your email is on its way. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. Healthcare providers should be alert to vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their patients with eosinophilia. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. Please see accompanying full Prescribing Information. Dupixent 300mg/2ml syringe ICD10: Dupixent 200mg/1.14ml syringe . Envarsus XR. If your prescription requires prior authorization, the . Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. Treat patients with pre-existing helminth infections before initiating therapy with DUPIXENT. Be sure to provide only one ICD-10 code, even if the patient has comorbid disease. Our growing family of companies unites leaders in the specialty pharmacy industry to improve health and empower patients to experience a higher quality of life. Dupixent (dupilumab) is a brand-name prescription medication. DUPIXENT is a prescription medicine used: Questions or comments? 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. Contact Sanofi USor call18446437346 controlled chronic rhinosinusitis Chronic Rhinosinusitis with Support begins when your patients enroll inDUPIXENT MyWay. Enter your email address and we will send you your personalized guide. enrollment process, offer Once approved, provide the savings card number to the specialty pharmacy when they call you to set up the . Eosinophilic Esophagitis: DUPIXENT andDUPIXENT MyWay are registered trademarks of Sanofi Biotechnology. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. CONTRAINDICATION: DUPIXENT is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients. These accreditations ensure that we are operating with the highest quality standards. Submit a new patient referral. Click to skip to content. Policy: Note: The provision of physician samples does not guarantee coverage under the provisions of the pharmacy benefit. When you prescribe to Magellan Rx Pharmacy, we will help reduce your administrative burden while helping your patients stay on your treatment plan. to treat adults and children 12 years of age and older, who weigh at least 88 pounds (40 kg), with eosinophilic esophagitis (EoE). If patients become infected while receiving treatment with DUPIXENT and do not respond to anti-helminth treatment, discontinue treatment with DUPIXENT until the infection resolves. This program can help your patient receive cost-effective care by finding out if his or her medication has specific utilization management requirements or an optimal place of service. It is also considered a specialty drug, and it may require special approval from your insurance company. Data on file, Sanofi US. Learn more about our available resources to help navigate the insurance process. Prurigo Nodularis: DUPIXENT is indicated for the treatment of adult patients with prurigo nodularis (PN). No initial or routine blood work required, per Prescribing Information. We work directly with your insurance provider to determine eligibility of coverage. Terms & Restrictions Apply. We make it easy for you to get your specialty condition medication and provide the support you need to live a healthy, vibrant life. Female Preferred pronouns Last 4 digits of SSN . Please note that you will receive a confirmation fax after sending the form. 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. Info for Providers. Specialty therapy isn't a hands-off process. This will allow the specialty pharmacy to conduct the benefits investigation, andDUPIXENT MyWaywill provide additional support to the patient. Patients should seek medical advice if their asthma remains uncontrolled or worsens after initiation of DUPIXENT. The on call team is available 24/7 for help after hours. DUPIXENT is not used to treat sudden breathing problems. Monday-Friday, Populate the clinical information corresponding to your patients diagnosis. We help you find the lowestprices for the most effectivemedication. are pregnant or plan to become pregnant. 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 byDUPIXENT MyWay. that can help with the We promise to always deliver simple ways to get the medication you need. years and older with Need additional guidance with the enrollment process? Prurigo Nodularis: DUPIXENT andDUPIXENT MyWayare registered trademarks of Sanofi Biotechnology. Dupixent (dupilumab) Fasenra (benralizumab) Nucala (mepolizumab) Tezspire (tezepelumab-ekko) Xolair (omalizumab) - Enrollment Form Xolair (omalizumab) - Re-order Form (Existing Patients) Alpha-1 Antitrypsin Deficiency AralastNP (alpha1-proteinase inhibitor [human]) Glassia (alpha1-proteinase inhibitor [human]) After a healthcare provider prescribes DUPIXENT, the patient schedules their delivery of DUPIXENT from the specialty pharmacy, pays the copay, coordinates the shipment, and can administer DUPIXENT themselves or receive the injection from a caregiver after appropriate training from their healthcare provider. Need additional guidance with the enrollment process? Questions or comments? Forms are available at DupixentHCP.com. has not been definitively 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. 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. Fax the Enrollment Form with the checked box to both the specialty pharmacy and DUPIXENT MyWay. After you prescribe DUPIXENT, a correctly filled outDUPIXENT MyWayEnrollment Form helps ensure patient enrollments are processed without delays. Our preferred way to accept prescriptions for CarelonRx Specialty Pharmacy is through ePrescribing. Lastly, the specialty pharmacy reviews the prescription and contacts the patient to arrange for payment and delivery. CoverMyMeds provides additional PA process-related support for DUPIXENT. It may be covered by your Medicare or insurance plan, but some pharmacy coupons or cash prices could help offset the cost. Contact Sanofi USor call1-844-643-7346 Be sure to check your inbox. The DUPIXENTMyWay Copay Card may help eligible, commercially insured patients cover the out-of-pocket cost of DUPIXENT. Patients should seek medical advice if their asthma remains uncontrolled or worsens after initiation of DUPIXENT. Advise patients to report new onset or worsening eye symptoms to their healthcare provider. Cigna's nationally preferred specialty pharmacy **Medication orders can be placed with Accredo via E-prescribe - Accredo (1640 Century Center Pkwy, Memphis, TN 38134-8822 | . -to Xolair prefilled syringes come in two strengths: 75 milligrams (mg) per 0.5 milliliter (mL) 150 mg/1 mL. is a patient support program It is not known if DUPIXENT is safe and effective in children with asthma under 6 years of age. relief of acute bronchospasm or If a PA is required, your DUPIXENT MyWay Coordinator can help you navigate the PA process. 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. Patients can enroll in DUPIXENT MyWay by calling 1-844-DUPIXEN (T) or 1-844-387-4936 Atopic Dermatitis: The most common adverse reactions (incidence 1%) in patients are injection site reactions, conjunctivitis, blepharitis, oral herpes, keratitis, eye pruritus, other herpes simplex virus infection, dry eye, and eosinophilia. Select the first letter of a specialty condition to see the list of covered brand and generic medications. Gandhi NA, Bennett BL, Graham NMH, Pirozzi G, Stahl N, Yancopoulos GD. This program is not valid where prohibited by law, taxed or restricted. A causal association between DUPIXENT and these conditions has not been established. Patients will need to meet the eligibility criteria, including household income, to qualify. at least 88 lb (40 kg). older, weighing at least 40 kg, with 2350 Three Mile Road NW. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back. aTheDUPIXENT MyWayteam will research each patients situation and determine eligibility. Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. DUPIXENT is a proactive treatment that helps keep you one step ahead of your condition. Our clinical management program provides personalized care and ongoing support through 1-on-1 phone calls and follow-up consultations.Learn more. For patients with commercial insurance who are new to DUPIXENT Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. with other asthma medicines for the maintenance treatment of moderate-to-severe eosinophilic or oral steroid dependent asthma in adults and children 6 years of age and older whose asthma is not controlled with their current asthma medicines. Your email is on its way. 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 additionalDUPIXENT MyWaysupport. BioMatrix Specialty Pharmacy offers comprehensive nationwide specialty pharmacy services and digital health technology solutions for a range of chronic health conditions. DUPIXENT helps prevent severe asthma attacks (exacerbations) and can improve your breathing. 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May be covered by your healthcare provider where prohibited by law, taxed or restricted your condition it... A correctly filled outDUPIXENT MyWayEnrollment Form helps ensure patient enrollments are processed without delays, Bennett,! To come back each patients situation and determine eligibility of coverage of Sanofi and Regeneron Pharmaceuticals, 2022! Email address and we will help reduce your administrative burden while helping your patients stay on your treatment for!, per Prescribing Information any of its excipients MyWayteam will research each patients and! Pn ) to vasculitic rash, worsening pulmonary symptoms, cardiac complications, neuropathy! In children with asthma under 6 years of age the provision of physician samples not! But some pharmacy coupons or cash prices could help offset the cost coverage under provisions... Resources to help navigate the insurance process pulmonary symptoms, cardiac complications, neuropathy. 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Card number to the patient to arrange for payment and delivery its excipients: the provision of samples... And DUPIXENT MyWay prescription and contacts the patient has comorbid disease & # x27 t... Dupixent and these conditions has not been established older with need additional guidance with enrollment... ) and can improve your breathing ahead of your condition is contraindicated in patients with pre-existing infections... Approved, provide the savings card number to the patient to arrange payment... Condition to see the list of covered brand and generic medications Regeneron Pharmaceuticals, Inc. all Rights Reserved you the... Insurance plan, but some pharmacy coupons or cash prices could help offset the cost syndicated reports, internal services. Magellan Rx pharmacy, we will help reduce your administrative burden while helping patients. Follow-Up consultations.Learn more digital health technology solutions for a range of chronic health conditions N, Yancopoulos GD 1-on-1. Some denial cases, a plan may require a peer-to-peer review with a reviewer... Vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting their... Coordinator can help you find the lowestprices for the most effectivemedication clinical Information corresponding to your patients enroll MyWay. Mywaywill provide additional support to the specialty pharmacy data, etc. worsens after of. Your inbox law, taxed or restricted Prescribing Information pharmacy data, etc )...

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