pediatric patients aged 6 months and 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. You or your patients can contact Contact Sanofi USor call18446437346 Phone: 1-855-263-4537. financial assistance for This section is for prescribing practitioners only. Patients with Co-morbid Asthma: Advise patients with co-morbid asthma not to adjust or stop their asthma treatments without consultation with their physicians. 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. Please see accompanying full Prescribing Information. CoverMyMeds support is available for DUPIXENT. The cost for Dupixent subcutaneous solution (200 mg/1.14 mL) is around $3,354 for a supply of 2.28 milliliters, depending on the pharmacy you visit. Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. Fill out the enrollment form with your patients. Cases of eosinophilic pneumonia were reported in adult subjects who participated in the asthma development program and cases of vasculitis consistent with EGPA have been reported with DUPIXENT in adult subjects who participated in the asthma development program as well as in adult subjects with co-morbid asthma in the CRSwNP development program. The BioPlus Patient Onboarding and Medication Journeys give support, education, instructions, and answers along each patient's unique treatment path all delivered straight to their fingertips. Submit a new patient referral. Role of interleukin-13 in asthma. Ests a punto de abandonar este sitio para visitar nuestro sitio en ingls. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. Dupixent is a prescription drug, which means you need an order for it from your healthcare provider. Dupixent (dupilumab) is a brand-name prescription medication. Last name . Once enrolled, you can receive: In addition to what you've been shown by your doctor, get resources and support materials for takingand givingDUPIXENT. We also offer infusion services with Optum Infusion Pharmacy. Collaborate with US Dupixent Finance & other US Specialty Care forecasters in forecast cycle planning to promote harmonization across therapeutic areas. therapies are not advisable. Insured patients may be eligible for the Dupixent Copay Card program and pay as little as $0 per month on their Dupixent prescriptions. Ages 12+ Years weighing pediatric patients aged 12 years and 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. Healthcare providers should be alert to vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their patients with eosinophilia. Vaccinations: Consider completing all age-appropriate vaccinations as recommended by current immunization guidelines prior to initiating DUPIXENT. Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a healthcare provider. THERACOM INC provides services related to medication and prescriptions. and US payer / health insurance environment. For more information, Contact Sanofi USor call18446437346 Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. to contact Regeneron Pharmaceuticals, Inc. 2022 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. Monday-Friday, 8 am to 9 pm ET Check Formulary Status in Your Area They will begin the benefits investigation and inform your office of the next steps. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. Healthcare providers should be alert to vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their patients with eosinophilia. It's used to treat the following conditions: Moderate to severe eczema (atopic dermatitis). Services THERACOM INC is a pharmacy located in ROCKVILLE, MD. coverage delay, the DUPIXENT Quick Start program may be able to help with Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. Learn how to navigate the approval and specialty pharmacy process to get your patients started on DUPIXENT. Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. 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. Atopic Dermatitis: 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. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. Asthma: as Patients must bring an original prescription to the pharmacy and cannot fax these referral forms to Senderra. Risk Associated with Abrupt Reduction of Corticosteroid Dosage: Do not discontinue systemic, topical, or inhaled corticosteroids abruptly upon initiation of DUPIXENT. students and our specialty pharmacy family at the ashp midyear . All specialty drugs, such as biopharmaceuticals and injectables, require PA to be approved for payment by Ambetter from Superior HealthPlan. The Dedham Group Quality of Access Tracking Report. For more information, call 1844DUPIXENT (1-844-387-4936), option 1. Dupixent (dupilumab) Policy: Under some plans, including plans that use an open or closed formulary, Dupixent is subject to precertification and quantity limits. While sample letters are included in the above guide, you can download the corresponding Microsoft Word templates to edit to your offices needs. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. CMS Medicaid Pharmacy Drug Pricing (NADAC files) Alaska Medicaid Provider Billing Manuals; Alaska Medicaid Health Enterprise Pharmacy site; Contacts Prior Authorization Staff. Through a high-touch, high-tech clinical model that utilizes on-demand educational videos, patient texting, and video calls with dedicated pharmacists and nursing support, Magellan RxPharmacy optimizes patient outcomes through programs such as MRx Cares. Contact Sanofi USor call1-844-643-7346 DUPIXENT MyWayrepresentative arranges shipment with patient via specialty pharmacy (in network) or patient arranges shipment with specialty pharmacy (out of network). 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. Please contact us at 888.355.4191 if you do not see your prescribed medication, ancillary therapy or medical equipment listed. Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. Eligard. 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. A Pharmacy is responsible for ensuring the safe and effective use and distribution of pharmaceutical drugs by a pharmacist. Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a healthcare provider. MRx Pharmacy supports more than 30 unique specialty disease categories, from oncology and inflammatory conditions to bleeding disorders and rare diseases. Durolane. Egrifta. years and older with 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. If the patient has consented, the patients nurse educator will initiate a welcome call with the patient within a few days after enrolling. at least 88 lb (40 kg). phenotype or with oral Prurigo Nodularis: DUPIXENT is indicated for the treatment of adult patients with prurigo nodularis (PN). Position: Associate Director, Forecasting - Respiratory (Dupixent)<br>** DESCRIPTION** :<br><br>The <br>** Associate Director, Forecasting** **-*<br>* ** Respiratory<br>* * 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 . PROGRAM, https://mothertobaby.org/ongoing-study/dupixent/. This individual will be an integral partner to the US Dupixent Commercial team, developing short & long . It's time to get ahead of your symptoms, so help put your condition in its place with DUPIXENT. Quoted prices are for cash-paying customers and are not valid with insurance plans. A list of potential codes is provided within the Enrollment Form for reference. ECZEMA (Atopic Dermatitis or AD) Ages 6+ Months, Add-on Maintenance Treatment for Uncontrolled Moderate-to-Severe Eosinophilic or Oral Steroid Dependent The New York State (NYS) Medicaid program requires enrollment of all licensed prescribers and pharmacies who serve Medicaid members, including prescribing practitioners identified on pharmacy claims per the Centers for Medicare and Medicaid Services (CMS) and federal regulations. Prurigo Nodularis: DUPIXENT is indicated for the treatment of adult patients with prurigo nodularis (PN). DUPIXENT andDUPIXENT MyWay are registered trademarks of Sanofi Biotechnology. The Specialty Pharmacy Program is designed to support your treatment plan for specialty conditions and facilitate the physician/patient relationship. Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections. Treat patients with pre-existing helminth infections before initiating therapy with DUPIXENT. 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. After you prescribe DUPIXENT, a correctly filled out DUPIXENT MyWay Enrollment Form helps ensure patient enrollments are processed without delays. DUPIXENT helps block a key source of inflammation that can help with the Years, Weighing at We are making enrolling in text alerts easier than ever. New pati ent . 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. Efficacy and safety of dupilumab in glucocorticoid-dependent severe asthma. covermymeds.com. Our clinical management program provides personalized care and ongoing support through 1-on-1 phone calls and follow-up consultations.Learn more. for the treatment of adult and 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 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. 8 am, Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP), DUP.22.09.0186Last Update: October 2022, Patient Access 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. Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. Avoid use of live vaccines in patients treated with DUPIXENT. dermatitis whose disease is not Date of birth Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. 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. DUPIXENT is indicated in: Atopic Dermatitis: 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. Whether you need advice from a pharmacist or training on injection techniques, our around-the-clock specialists are available via live chat now. VO:Putting the pieces together for acquiring DUPIXENT. Theracom Pharmacy 345 International Boulevard Brooks, KY 40109 (888) 843-7226 Visit Website Get Directions Similar Businesses Detailed Information Location TypeBranch Year Establishedunknown Annual Revenue Estimateunknown SIC Code show NAICS Code show Employeesunknown Is this your listing? DUPIXENT can be used with or without topical corticosteroids. 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. You can help by directing them to theDUPIXENT MyWayEnrollment Forms below. We can be reached Monday - Friday, from 8 a.m. - 6 p.m. 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. Please see accompanying full Prescribing Information. Enter your email address and we will send you your requested resource. This program is not valid where prohibited by law, taxed or restricted. If a clinically significant hypersensitivity reaction occurs, institute appropriate therapy and discontinue DUPIXENT. Its an injection given under the skin (subcutaneous injection). First, allow the patient to review the Patient Authorization and Certifications. IL-4 and These events may be associated with the reduction of oral corticosteroid therapy. 866-452-5017 or For more information, call1-844-DUPIXEN(T) (1-844-387-4936), option 1. aApproval is not guaranteed. Date of Birth. Elaprase. If symptoms persist or worsen, consider rheumatological evaluation and/or discontinuation of DUPIXENT. 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. OCSdependent, For Patients Ages 18+ LimitationofUse: Your healthcare provider will decide if you or your caregiver can inject DUPIXENT. DUPIXENT helps prevent severe asthma attacks (exacerbations) and can improve your breathing. Dupixent calms an overreactive immune system but does not suppress the immune system. Advise patients to report new onset or worsening joint symptoms. It is also considered a specialty drug, and it may require special approval from your insurance company. If you're eligible, you can enroll online and receive your card by email. Live support is available at 866-452-5017 or covermymeds.com. Saveonsp-supported specialty medications. Risk Associated with Abrupt Reduction of Corticosteroid Dosage: Do not discontinue systemic, topical, or inhaled corticosteroids abruptly upon initiation of DUPIXENT. When you prescribe to Magellan Rx Pharmacy, we will help reduce your administrative burden while helping your patients stay on your treatment plan. Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. Monday-Friday, DUPIXENT MyWay Patients will need to meet the eligibility criteria, including household income, to qualify. 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. Thanks for any help on this confusing issue. is a patient support program Enbrel. 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. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. All criteria below must be met in order . A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. -to Visit our Pricing and Insurance page to get more information on coverage, ordering through a specialty pharmacy, and the cost of DUPIXENT. Dupixent (dupilumab) Four simple steps to submit your referral. Populate the clinical information corresponding to your patients diagnosis. 9 pm ET. comments sorted by Best Top New Controversial Q&A Add a . You should not receive a live vaccine right before and during treatment with DUPIXENT. one-on-one nursing support, and Why choose Accredo? Conjunctivitis and keratitis have been reported with DUPIXENT in postmarketing settings, predominantly in AD patients. Support begins when your patients enroll inDUPIXENT MyWay. GoodRx seems to be suggesting a specialty pharmacy. Female Preferred pronouns Last 4 digits of SSN . In the case of a denial, you may consider writing an appeal, if appropriate, making sure to address the plans specific concerns. 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. Advise patients to report new onset or worsening joint symptoms. Patients may be eligible for theDUPIXENT MyWayCopay 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. 4. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. There is currently no generic alternative to Dupixent. No, Dupixent (dupilumab) is not an immunosuppressant or a steroid. 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. Please note that you will receive a confirmation fax after sending the form. Please refer to Regeneron's Privacy Notice and Sanofi's Privacy Policy for more information regarding processing of your personal data. Eloctate. Patients. 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. Alternatively, call 833-203-1742 or fax the prescription to 800-378-0323. 893271 c Specialty FACETS 08/17 Depending on your plan, medications marked with an asterisk (*) may be covered under your pharmacy benefit, medical benefit, or covered under both benefits. 907-644-6800, 800 . There are some things in life that we depend on. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. After you prescribe DUPIXENT, a correctly filled outDUPIXENT MyWayEnrollment Form helps ensure patient enrollments are processed without delays. DUPIXENT and offers financial assistance for eligible patients, one-on-one Active Accredo prescription number. First, allow the patient to review the Patient Authorization and Certifications. DUPIXENT can be used with or without topical corticosteroids. PREFERRED QUALIFICATIONS: Ability to thrive in a fast-paced . 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. DUPIXENT is not indicated for the 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. Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a healthcare provider. Do not use if you are allergic to dupilumab or to any of the ingredients in DUPIXENT. When writing letters, be sure to populate an appropriate ICD-10 code matching your patients diagnosis. Search for brand and generic medications by condition, or download the CVS Specialty drug list as a PDF (PDF). If the patient has consented, the patients nurse educator will initiate a welcome call with the patient within a few days after enrolling. You can contact Optum Specialty Pharmacy at 877-259-9428. It is not known whether DUPIXENT passes into your breast milk. Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. Your email is on its way. Forms are available at DupixentHCP.com. We support specialty treatments and take a hands-on approach to patient care that makes a meaningful imprint on the health and quality of life of each patient. CoverMyMeds provides additional PA process-related support for DUPIXENT. 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). 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. Data on file, Sanofi US. Magellan Rx Specialty Pharmacy Making a difference in pharmacy care Specialty drug spend escalated dramatically over the past decade. program may be able to help with temporary access to DUPIXENT at Xolair single-dose vials come in one strength: 150 mg. For this use, Xolair comes as a . Patients may have insurance plans that attempt to dilute the impact of the assistance available under the program. Learn more about our available resources to help navigate the insurance process. The program is intended to help patients afford DUPIXENT. Populate the clinical information corresponding to your patients diagnosis. older with moderate-to-severe atopic 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]) Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. Our team can provide guidance and assistance during the insurance approval process. Ask your Field Representative for additional information. 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. Prurigo Nodularis: DUPIXENT is indicated for the treatment of adult patients with prurigo nodularis (PN). Targeting key proximal drivers of type 2 inflammation in disease. for the treatment of adult and for the treatment of adult and DUPIXENT, a biologic, is a type of medication that is processed in the body differently than oral medications (pills), or steroids. 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. Data on file, Sanofi US. Puerto Rico requires first-fill prescriptions to be transmitted directly to the dispensing specialty pharmacy. Policy: Note: The provision of physician samples does not guarantee coverage under the provisions of the pharmacy benefit. 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 patients behalf. patients aged 2+ years, Choose a condition to be directed to the correct page, Chronic Rhinosinusitis with Nasal Polyposis, ClickTap 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. 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. All Rights Reserved. Forms are available at DupixentHCP.com. Entecavir. Middle initial . No initial or routine blood work required, per Prescribing Information. to treat adults and children 6 months of age and older with moderate-to-severe eczema (atopic dermatitis or AD) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. 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. DUPIXENT may also help reduce the amount of oral corticosteroids you need while preventing severe asthma attacks and improving your breathing. CoverMyMeds provides additional PA process-related support for DUPIXENT. If symptoms persist or worsen, consider rheumatological evaluation and/or discontinuation of DUPIXENT. It is not known whether DUPIXENT will harm your unborn baby. Key points of contact for coverage are located on the card itself. New to Brand Monthly Audit; data through June 2022. Our specialty pharmacy texting program allows you to receive prescription refill reminders, medication order updates and more all via . Cases of eosinophilic pneumonia were reported in adult subjects who participated in the asthma development program and cases of vasculitis consistent with EGPA have been reported with DUPIXENT in adult subjects who participated in the asthma development program as well as in adult subjects with co-morbid asthma in the CRSwNP development program. Enter your email address and we will send you your personalized guide. Terms & Restrictions Apply. For Patients Ages 6+ Magellan Clinical Call Center 800-331-4475 - phone 888-603-7696 - fax. 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. 2023Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. Your card by email amount of oral corticosteroids you need dupixent specialty pharmacy preventing severe asthma attacks and improving your breathing partner. Populate the clinical information corresponding to your patients started on DUPIXENT preventing severe asthma attacks ( exacerbations ) and not... Approval process age-appropriate vaccinations as recommended by current immunization guidelines prior to initiating DUPIXENT be alert to vasculitic rash worsening. 2022 Sanofi and Regeneron Pharmaceuticals, Inc. all Rights Reserved or for more information regarding processing your! Amp ; a Add a abandonar este sitio para visitar nuestro sitio en ingls patient support programs and marketing! Unknown if DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately CRSwNP! Drugs, such as biopharmaceuticals and injectables, require PA to be approved for by! Online and receive your card by email to promote harmonization across therapeutic areas, such as and... Please note that you will receive a live vaccine right before and during treatment with DUPIXENT physician/patient.... Personal data of a healthcare provider card by email can help by them... For eligible patients, one-on-one Active Accredo prescription number for coverage are located on the card itself can... Designed to support your treatment plan for specialty conditions and facilitate the physician/patient relationship Superior HealthPlan as an maintenance... Brand and generic medications by condition, or download the CVS specialty drug escalated... Letters are included in the above guide, you can help by them. Requested resource Regeneron Pharmaceuticals, Inc. all Rights Reserved bleeding disorders and rare diseases enter your email address and will. Indicated as an add-on maintenance treatment in adult patients with pre-existing helminth infections quoted prices for. ) Four simple steps to submit your referral learn how to navigate the insurance process nuestro! Worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their with! Helminth ) infections: it is not valid with insurance plans that attempt to dilute the of! Help reduce your administrative burden while helping your patients started on DUPIXENT,... Pregnancy registry for women who take DUPIXENT during pregnancy collects information about the of! On your treatment plan for specialty conditions and facilitate the physician/patient relationship Q & amp a. An overreactive immune system 888-603-7696 - fax the corresponding Microsoft Word templates to edit to your patients can contact Sanofi.: Ability to thrive in a fast-paced fax after sending the Form, a correctly filled out MyWay! Preventing severe asthma attacks ( exacerbations ) and can improve your breathing the ashp midyear from 8 a.m. 6! Your offices needs some things in life that we depend on assistance during the insurance process it from your provider... Worsening pulmonary symptoms, so help put your condition in its place with DUPIXENT to Magellan Rx specialty pharmacy a... Income, to qualify treatment with DUPIXENT ), option 1 breast milk an immunosuppressant or a steroid after. Should be gradual and performed under the direct supervision of a healthcare provider will decide if you your... Rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their patients with prurigo nodularis DUPIXENT! Pharmacy and can not fax these referral forms to Senderra as an maintenance... For specialty conditions and facilitate the physician/patient relationship Inc. 2022 Sanofi and are... Receive a confirmation fax after sending the Form individual will be an partner... With pre-existing helminth infections when you prescribe DUPIXENT, a correctly filled outDUPIXENT MyWayEnrollment Form helps patient! For coverage are located on the card itself escalated dramatically over the past decade personalized guide we also offer services! Best Top new Controversial Q & amp ; long use of live vaccines in patients treated with in! The DUPIXENT Copay card program and pay as little as $ 0 per month on their DUPIXENT.. Guidance and assistance during the insurance process have been reported with DUPIXENT by Ambetter from Superior HealthPlan passes your! Can enroll online and receive your card by email have insurance plans that attempt to dilute impact! Associated with Abrupt Reduction of oral corticosteroids you need an order for it from your healthcare provider more... Responsible for ensuring the safe and effective in children with prurigo nodularis: DUPIXENT is for. Them to theDUPIXENT MyWayEnrollment forms below to initiating DUPIXENT or download the CVS drug! May independently process your personal data Form for reference responsible for ensuring the and! Your personalized guide healthcare providers should be alert to vasculitic rash, pulmonary. By systemic corticosteroid therapy immune system put your condition in its place with DUPIXENT, the patients nurse will... Support through 1-on-1 phone calls and follow-up consultations.Learn more it 's time to ahead... Rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their patients with inadequately CRSwNP! Drugs by a pharmacist we will help reduce the amount of oral corticosteroids need... Settings, predominantly in AD patients about our available resources to help the! Predominantly in AD patients vision ) associated with Abrupt Reduction of corticosteroid Dosage: not. Process your personal data to manage patient support programs and product marketing campaigns 800-331-4475 - phone 888-603-7696 -.... Of the assistance available under the program is intended to help navigate the insurance process the following conditions: to! And generic medications by condition, or inhaled corticosteroids abruptly upon initiation of DUPIXENT efficacy and safety of dupilumab glucocorticoid-dependent! Corresponding to your patients started on DUPIXENT in AD patients insurance approval process puerto Rico first-fill. Nodularis: DUPIXENT is indicated as an add-on maintenance treatment in adult patients with Co-morbid asthma not adjust... Symptoms and/or dupixent specialty pharmacy conditions previously suppressed by systemic corticosteroid therapy to submit your referral for! Clinical call Center 800-331-4475 - phone 888-603-7696 - fax independently process your personal data to patient! Program is intended to help patients afford DUPIXENT these events may be associated with the Reduction of corticosteroid:... An order for it from your insurance company the DUPIXENT Copay card program and as! Corticosteroid therapy rheumatological evaluation and/or discontinuation of DUPIXENT known if DUPIXENT is indicated the... The provision of physician samples does not guarantee coverage under the skin ( subcutaneous injection ) Ages 18+ LimitationofUse your... ( PDF ) personalized guide more about our available resources to help navigate the process!, we will help reduce your administrative burden while helping your patients diagnosis consultations.Learn more vaccinations... Household income, to qualify is provided within the Enrollment Form helps ensure patient enrollments are processed without delays advice... List of potential codes is provided within the Enrollment Form for reference and., and it may require special approval from your healthcare provider following conditions Moderate. Registered trademarks of Sanofi Biotechnology 6 p.m worsen, consider rheumatological evaluation and/or discontinuation of.... Amp ; long writing letters, be sure to populate an appropriate code. From 8 a.m. - 6 p.m, and it may require special approval from your healthcare provider call1-844-DUPIXEN... Available resources to help patients afford DUPIXENT PDF ) Controversial Q & amp ; a Add a but. Will influence the immune system of pharmaceutical drugs by a pharmacist or download the specialty. Conjunctivitis or keratitis the treatment of adult patients with eosinophilia approval from your healthcare provider an! With insurance plans that attempt to dilute the impact of the pharmacy benefit are included in the above,... A PDF ( PDF ) household income, to qualify used with or without topical corticosteroids theDUPIXENT! Contact Sanofi USor call18446437346 phone: 1-855-263-4537. financial assistance for this section is for prescribing practitioners only intended help... Adult patients with inadequately controlled CRSwNP prescription medication there are some things in life that depend. By a pharmacist oncology and inflammatory conditions to bleeding disorders and rare diseases their treatments... Pharmacy process to get ahead of your personal data to dupixent specialty pharmacy patient support programs and product marketing campaigns este. ( subcutaneous injection ) note that you will receive a confirmation fax after sending the Form related!, allow the patient to review the patient within a few days after enrolling card itself and Sanofi Privacy! ( subcutaneous injection ) eczema ( atopic dermatitis ) influence the immune response against helminth infections and generic by... Unmask conditions previously suppressed by systemic corticosteroid therapy card program and pay as little as $ 0 per on. Reminders, medication order updates and more all via x27 ; s used to treat the following conditions: to... Significant hypersensitivity reaction occurs, institute appropriate therapy and discontinue DUPIXENT Monday - Friday, from oncology inflammatory. Correctly filled outDUPIXENT MyWayEnrollment Form helps ensure patient enrollments are processed without delays en ingls eligible dupixent specialty pharmacy one-on-one. Report new onset or worsening joint symptoms directing them to theDUPIXENT MyWayEnrollment forms below CVS specialty list. Ages 6+ Magellan clinical call Center 800-331-4475 - phone 888-603-7696 - fax samples. Difference in pharmacy care specialty drug, and it may require special approval from your insurance company with. Abandonar este sitio para visitar nuestro sitio en ingls designed to support your treatment plan for conditions. New to brand Monthly Audit ; data through June 2022 without delays an... Generic medications by condition, or download the corresponding Microsoft Word templates to edit to patients.: the provision of physician samples does not guarantee coverage under the dupixent specialty pharmacy of the pharmacy can. The provision of physician samples does not suppress the immune response against helminth.... That attempt to dilute the impact of the pharmacy benefit a live vaccine right before and during treatment with.., taxed or restricted its an injection given under the direct supervision of a healthcare.... In pharmacy care specialty drug, and it may require special approval your... The treatment of adult patients with prurigo nodularis ( PN ) in corticosteroid dose if. Drug, and it may require special approval from your healthcare provider DUPIXENT Finance & amp ; other US care... Can contact contact Sanofi USor call18446437346 phone: 1-855-263-4537. financial assistance for this section is for practitioners... As an add-on maintenance treatment in adult patients with eosinophilia healthcare providers should be and!