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it would be coming or any concerns at all. It’s important to understand how to identify prescription drug coverage. Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response this 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. JUDY: It was really comforting knowing that there was someone walking beside me on They will also help you and your patient understand the appeals process if coverage is denied. It’s neat to go in and get to know people. DUPIXENT is not used to treat sudden breathing problems. chart notes, laboratory values) … DUPIXENT MyWay® is a patient support program designed to assist with access to DUPIXENT® (dupilumab) while providing useful tools and resources. They had a medical professional come to the house and train us on how to administer the injection. REFERENCES • Dupixent [prescribing information]. Fax the Enrollment Form with the checked box to both the specialty pharmacy and DUPIXENT MyWay. the DUPIXENT MyWay Patient Assistance Program is conditioned upon timely verification of income. DUPIXENT may also help reduce the amount of oral corticosteroids you need while preventing severe asthma attacks and improving your breathing. Download our reference guide to have on hand. Every day is different depending on the type of calls that we have. VO: Putting the pieces together for acquiring DUPIXENT. DUP.20.08.0149 If you’re eligible, you can enroll and download your copay card on the site. The DUPIXENT MyWay nurse 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. Dupixent MyWay Copay Card: Eligible commercially insured patients may pay $0 copay for their prescriptions with a maximum savings of $13,000 per year; for additional information contact the program at 844-387-4936. against helminth infections. I give supplemental injection training to the patient and the patient’s caregiver. MyWay. ©2020 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. Eosinophilic Conditions: Patients being treated for asthma may present with serious systemic Patients should seek medical advice if their asthma there to help me. Sanofi US does not review the information Patients will need to meet the eligibility criteria, including household income, to qualify. Please note: By clicking on this link, you will be leaving this Sanofi hosted US website and going to another, entirely independent, website. This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back. You or your patients can contact participated in the asthma development program and cases of vasculitis consistent with EGPA have been reported with It is important to note that a plan may deny prior authorization. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. Sanofi US does not review the information Receive emails about: Whether you are just getting started or have been using DUPIXENT for awhile, we can offer some Populate the clinical information corresponding to your patient’s diagnosis. Be sure to check your inbox. 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). If requested, I agree to provide proof of income within thirty (30) days of the request. Our team can provide guidance and assistance during the insurance approval process. If a prior authorization is denied, you can fill out the payers appeal form, write an appeal letter, and add supporting documentation. I can’t wait to go and meet them, and see where they are in their life, and be excited for them. Limitation of … of and access to this information is subject to It is not known if DUPIXENT is safe and effective in children with asthma under 12 years of age. 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. When I was very young, I knew that I wanted to be a nurse. Fax the Enrollment Form with the unchecked box to DUPIXENT MyWay. Guidelines … no free product may be sold, traded, or distributed for sale. Need additional guidance with the enrollment process? Every enrolled patient is assigned a phone-based DUPIXENT MyWay Nurse Educator, who takes a patient-centric approach to providing tools, support resources, and education throughout the patient's treatment journey. the terms, limitations and conditions set by the 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. 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. contained on this website and/or database KRISTY: It's very reassuring to know that DUPIXENT MyWay. Physicians Once final approval and payment are received, the patient coordinates shipment to their home or their healthcare provider’s office, depending on treatment plan. Once enrolled, a benefits investigation to determine coverage begins. CoverMyMeds provides additional PA process-related support for DUPIXENT. eosinophilia sometimes presenting with clinical features of eosinophilic pneumonia or vasculitis consistent with It is more popular than comparable drugs. 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. The DUPIXENT … Learn about at-home or in-office administration and dosing options for the DUPIXENT® (dupilumab), 300mg pre-filled pen and pre-filled syringe for adult CRSwNP patients. DUPIXENT in adult patients who participated in the asthma development program as well as in adult patients with I help them to relax. In children younger than 12 years of age, DUPIXENT should be given by a caregiver. 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. Your healthcare provider will tell you how much DUPIXENT to inject and how often to inject it. 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. Treat patients with pre-existing helminth infections before initiating therapy with are scheduled to receive any vaccinations. © 2021 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. He was anxious, he wouldn’t give me eye contact. Reductions in corticosteroid dose, if appropriate, should be gradual and nodosum, anaphylaxis and serum sickness or serum sickness-like reactions, were reported in <1% of subjects who In some denial cases, a plan may require a peer-to-peer review with a medical reviewer at the health plan. I went to this patient’s house and he seemed very standoffish. Some of the common questions we get: “How much is it going to cost me?” “When will I get started?” “How do I take my DUPIXENT injections when I’m traveling?”. For more information or to enroll in the patient support program, dial. co-morbid asthma in the chronic rhinosinusitis with nasal polyposis development program. December 2020, Prescribing It is not known if DUPIXENT is safe and effective in children with atopic dermatitis under 6 years of age. Key points of contact for coverage are located on the card itself. They will begin the benefits investigation and inform your office of the next steps. of DUPIXENT. Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. If a clinically significant hypersensitivity reaction occurs, institute They set Patients can enroll in DUPIXENT MyWay, a support program that can help optimize access to DUPIXENT and provide:. are breastfeeding or plan to breastfeed. Use Provides assistance navigating the insurance process. Please note that you will receive a confirmation fax after sending the form. reactions, oropharyngeal pain, and eosinophilia. The most secure digital platform to get legally binding, electronically … enrolled patients and caregivers. I think it’s very important for me as a nurse to go and teach these patients. 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. One of my favorite parts of providing nursing care to our patients is being able to walk them through their journey, hold their hand through the process, just to give them confidence along the way, and we always want them to know that they have our support. *In children 12 years of age and older, it is recommended that DUPIXENT … TEL: 844-387-4936 FAX: … Remember to monitor and document the patient’s progress for reauthorization. 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. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, Program Prior Authorization Medication Dupixent (dupilumab) Markets in Scope Arizona, California, Hawaii, Maryland, Nevada, New Jersey, New York, … You should not receive a “live vaccine” if you are treated with DUPIXENT. These are not all the possible side effects of DUPIXENT. Dupixent (dupilumab) is an expensive drug used to treat certain patients with eczema and asthma. I’ve been with DUPIXENT MyWay since the very beginning. Visit our Pricing and Insurance page to get more information on coverage, ordering through a specialty pharmacy, or cost. ADVERSE REACTIONS: The most common adverse reactions Dupixent (dupilumab) Policy Number: 5.01.628 Last Review: 04/2020 Origination: 05/2017 Next Review: 04/2021 . 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. ANTHONY: I had assistance from DUPIXENT MyWay.. Putting the pieces together for acquiring DUPIXENT. 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. _____ What is your total annual household income? Once you’ve been prescribed DUPIXENT, your healthcare provider can download the enrollment form, Be sure to fill 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. 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. You are about to leave sanofi site for U.S. © 2002-2018 sanofi-aventis U.S. LLC. for content, accuracy or completeness. eosinophilic granulomatosis with polyangiitis (EGPA), conditions which are often treated with systemic SUE: The DUPIXENT MyWay. DUPIXENT is a prescription medicine used: Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. DUPIXENT. 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). between DUPIXENT and these conditions has not been established. How to save on Dupixent. Ensure that the Healthcare Provider has read and agrees to the Healthcare Provider certification, and signs and dates the prescription at the bottom. 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. Information - Spanish, https://mothertobaby.org/ongoing-study/dupixent/, Submit PA and Letter of Medical Necessity (optional) and include all required documentation (a copy of your chart notes with details of diagnosis, disease severity, and treatment history), Have a DUPIXENT prescription for an FDA‑approved condition, Are a resident of the 50 United States, the District of Columbia, or Puerto Rico; 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. A patient may self-inject DUPIXENT after training in subcutaneous injection technique using the pre-filled syringe or pre-filled pen. guidelines in Section B. above to assess the medical necessity of a prescription for Dupixent (dupilumab). Many specialty medications, such as DUPIXENT, have longer turnaround times because of the prior authorization process. would Live support is available at 866-452-5017 or covermymeds.com. should be alert to vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy 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 might not comply with the regulatory requirements of US. 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 its own. A causal association is amazing. I’m a registered nurse with DUPIXENT MyWay. Terms & Restrictions For more information about DUPIXENT MyWay, contact your FAS or call DUPIXENT … I’m ready to help our patients to have the confidence to proceed with their journey. DUPIXENT ® (DU-pix-ent ... follow your community guidelines for the right way to dispose of your sharps disposal container. My name is Shari, and I’m a registered nurse with DUPIXENT MyWay. The recommended dose of DUPIXENT for adult patients is 300 mg given every other week . If the guidelines in Section B. are met, the reviewer will prior authorize the prescription. injecting, took some time, but I did it. If a PA is required, your DUPIXENT MyWay Coordinator can help navigate the PA process. Important Safety Information and Indication. 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. my copay, which is amazing! Your healthcare provider can enroll you or you may enroll yourself. 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. If the prior authorization is reviewed by the patient’s insurance carrier and is approved, the prescription is triaged to the specialty pharmacy for fulfillment. If the guidelines … 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. bronchospasm or status asthmaticus. systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. I like to go out and do this job. When DUPIXENT is prescribed by a healthcare professional, you can work with the patient to complete the Enrollment Form, and then fax the Enrollment Form with all signatures, dates, and ICD-10 codes to DUPIXENT MyWay. To enroll in DUPIXENT MyWay, your patients can call 1-844-DUPIXEN(T) (1-844-387-4936) or download and fill out the following forms with your assistance. Please see accompanying full Prescribing Information. After you prescribe DUPIXENT, a correctly filled out DUPIXENT MyWay Enrollment Form helps ensure patient enrollments are processed without delays. Contact your Field Access Specialist or call DUPIXENT MyWay at 1-844-387-4936, Monday through Friday, 8 am to 9 pm Eastern Time. Fill out, securely sign, print or email your Dupixent MyWay Program Enrollment Form instantly with SignNow. DUPIXENT can be used with or without topical corticosteroids. So, we step into our offices, we’re going into a nice relaxing environment. DUPIXENT is indicated as an add-on maintenance treatment in patients with moderate-to-severe asthma aged 12 years and DUPIXENT is intended for use under the guidance of a healthcare provider. © 2002-2018 sanofi-aventis U.S. LLC. It is not known whether DUPIXENT passes into your breast milk. Sometimes they can just take a deep breath, we’ll go slow, think about their favorite place, think about something that reminds them and makes them happy and calms them down. Limitation of Use: DUPIXENT is not indicated for the relief of acute I think it’s very important to just be patient. corticosteroid therapy. DUPIXENT MyWay® takes a patient-centric approach to education and empowering patients to use and stay on DUPIXENT® (dupilumab) DEDICATED DUPIXENT MyWay NURSE EDUCATORS • Every enrolled patient is assigned a dedicated phone-based DUPIXENT … You are encouraged to report negative side effects of prescription drugs to the FDA. 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. emails have provided great While sample letters are included in the above guide, you can download the corresponding Microsoft Word templates to edit to your office’s needs. If your office does not use a preferred specialty pharmacy, leave the box unchecked to indicate that you would like DUPIXENT MyWay to conduct the benefits investigation on the patient’s behalf. And reminding them that the specialty pharmacy may call them from an unknown number. Additional terms and conditions apply. There is a pregnancy exposure registry for women who take DUPIXENT during pregnancy to collect information about the health of you and your baby. _____ (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income … In the case of a denial, you may consider writing an appeal, if appropriate, making sure to address the plan’s specific concerns. Information - English, Prescribing DUPIXENT (dupilumab) Dupixent FEP Clinical Criteria Diagnosis Patient must have the following: Moderate-to-severe asthma AND submission of medical records (e.g. 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. presenting in their patients with eosinophilia. DUPIXENT MyWay complements your office’s process for accessing DUPIXENT. Program has an annual maximum of $13,000. When I get the order for the patient, I get really excited. All rights reserved. Please ensure that you are filling out the correct form that corresponds to the appropriate indication. Household Income Patient to Fill Out Required if enrolling in the DUPIXENT MyWay® Patient Assistance Program How many people live in your household? I really enjoy the patient interaction. Asthma 1. It is not known whether DUPIXENT will harm your unborn baby. 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. DUPIXENT MyWay verifies your patient’s specific health plan coverage for DUPIXENT, determines plan's Utilization Management (UM) criteria, and identifies out-of-pocket responsibilities. I wanted to go out and make a difference and help people. This site might not comply with the regulatory requirements of US. up a Get to know 2 DUPIXENT MyWay registered nurses. • Sidbury R, et al. We are committed to helping ensure patients have access to DUPIXENT. Use Use DUPIXENT exactly as prescribed. appropriate therapy and discontinue DUPIXENT. received DUPIXENT in clinical trials. 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. 1-844-DUPIXENT ( 1-844-387-4936 ). ... Income … Lastly, the specialty pharmacy reviews the prescription and contacts the patient to arrange for payment and delivery. treatment, discontinue treatment with DUPIXENT until the infection resolves. nurse to come to my house to show me how to self-inject, and from that point forward I felt comfortable All rights reserved. B. RACHEL: The nurses were available if I had any questions about my prescription or DUPIXENT MyWay at 1-844-DUPIXEN(T) Benefits Investigation, Prior Authorization (PA), and Appeals Support. While 82% of insurance plans cover the most common version of Dupixent … Some plans, including commercial and Medicare, may even have a separate pharmacy benefit card. For more information, call 1‑844‑DUPIXENT … Last Update: Serious … Forms are available at DupixentHCP.com. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. Your email is on its way. website and/or database producer. If patients become infected while receiving treatment with DUPIXENT and do not respond to anti-helminth I’m ready to make a difference. Sometimes at the end of the training, I’ll get some questions about, “You know, we did great today, but what else? I didn’t know that a company Authorization will be issued for 12 months. For patients wanting a copay card, they can access that by visiting our product website at DUPIXENT.com. We have the ability to send out package inserts that include all the important safety information for DUPIXENT. You can help by directing them to the DUPIXENT MyWay Enrollment Forms below. Learn how to navigate the approval and specialty pharmacy process to get your patients started on DUPIXENT. copay card, and that Dupixent is supplied as 300mg/2mL single dose prefilled syringes. It is not known if DUPIXENT is safe and effective in children with chronic rhinosinusitis with nasal polyposis under 18 years of age. Nurse Educators take a patient-centric approach to helping patients start and stay on therapy. Contact your field access specialist or call DUPIXENT MyWay. 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. DUPIXENT® (dupilumab) is an add-on maintenance therapy for your moderate-to-severe asthma patients aged 12+ with an eosinophilic phenotype or with oral corticosteroid dependent asthma. They have set aside this time for us to learn. Last Update: You can stay in the know about DUPIXENT and get the latest news and exclusive information. older with an eosinophilic phenotype or with oral corticosteroid dependent asthma. DUPIXENT® is a prescription medicine FDA … VO: Hear from real patients and caregivers on why they use DUPIXENT First, allow the patient to review the Patient Authorization and Certifications. DUPIXENT MyWay will also remind the healthcare professional when the authorization is up for reapproval. Watch the video below for more information. Since DUPIXENT is a specialty medication, it may require additional approval from your insurance company and is typically shipped from a specialty pharmacy. SHAWN: I’m happy to know that I had support for my entire treatment. Monday-Friday, 8 am to 9 pm ET. Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will provide coverage for Dupixent … Support begins when your patients enroll in DUPIXENT MyWay. I have a training kit that has a training syringe in it. DUP.20.06.0387 If the patient has consented, the patient’s nurse educator will initiate a welcome call with the patient within a few days after enrolling. 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. It’s just really neat. DUPIXENT helps prevent severe asthma attacks (exacerbations) and can improve your breathing. is DUPIXENT MyWay ® can help navigate the DUPIXENT (dupilumab) approval process, from initiation to fulfillment. DUPIXENT® is an add-on … A list of potential codes is provided within the Enrollment Form for reference. Dupixent Myway Form. Reduction in corticosteroid dose may be associated with are pregnant or plan to become pregnant. Patient to Fill Out … There is currently no generic alternative to Dupixent. remains uncontrolled or worsens after initiation of DUPIXENT. So, I asked the parents, “Would it be OK if I just come back the next day?”. Be sure to provide only one ICD-10 code, even if the patient has comorbid disease. Laurie: I’m Laurie. This program is not valid where prohibited by law, taxed, or restricted. You could tell that the patient was just not comfortable. And that helps us so that we can practice before we do the real thing. In addition to what you've been shown by your doctor, visit the Injection Support Center for more on the Clinical Pharmacy Program Guidelines for Dupixent . information on how to manage the disease. DUPIXENT is an injection given under the skin (subcutaneous injection). (incidence ≥1%) in patients with asthma are injection site When our patients call in, they get to speak to a real person, an experienced clinician who can provide them support along their journey. I travel to see the patients—sometimes for hours. Hypersensitivity: Hypersensitivity reactions, including generalized urticaria, rash, erythema Section 6. I chose to be a nurse because I wanted to help people, and I believe that people should be in service to others. patients treated with DUPIXENT. DUPIXENT MyWay reserves the right to rescind, revoke, terminate, or amend this offer, eligibility, and terms of use at any time without notice. The DUPIXENT MyWay team will research each patient’s situation and determine eligibility. When writing letters, be sure to populate an appropriate ICD-10 code matching your patient’s diagnosis.
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