A list of potential codes is provided within the Enrollment Form for reference. 8 am Current patient Patient's first name . Check the formulary status of DUPIXENT in your area with our coverage tool today. to contact Regeneron Pharmaceuticals, Inc. 2022 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. Please see accompanying full Prescribing Information. Ests a punto de abandonar este sitio para visitar nuestro sitio en ingls. to treat adults and children 12 years of age and older, who weigh at least 88 pounds (40 kg), with eosinophilic esophagitis (EoE). Specialty medications are prescribed to treat chronic, complex or rare conditions such as cancer, rheumatoid arthritis and hepatitis C. They're typically different from traditional medications because they: Have special storage, temperature and handling requirements Are given by infusion, injection or taken orally Putting the pieces together for acquiring DUPIXENT. We are making enrolling in text alerts easier than ever. Explore our comprehensive guides and video resources for more information regarding your condition. The on call team is available 24/7 for help after hours. We dispense infused, oral, injectable, and biologic medications used to treat complex health conditions. Fax: 1-877-222-5036. A causal association between DUPIXENT and these conditions has not been established. Fax the Enrollment Form with the unchecked box to DUPIXENT MyWay. DUPIXENT MyWay reserves the right to rescind, revoke, terminate, or amend this oer, eligibility, and terms of use at any time without notice. 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. If a clinically significant hypersensitivity reaction occurs, institute appropriate therapy and discontinue DUPIXENT. Dupixent (dupilumab) Policy: Under some plans, including plans that use an open or closed formulary, Dupixent is subject to precertification and quantity limits. 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. Some plans, including commercial and Medicare, may even have a separate pharmacy benefit card. with an Eosinophilic are pregnant or plan to become pregnant. Chronic Rhinosinusitis with 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. All Rights Reserved. CONTRAINDICATION: DUPIXENT is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients. If you're eligible, you can enroll online and receive your card by email. Whether you need advice from a pharmacist or training on injection techniques, our around-the-clock specialists are available via live chat now. Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. Entecavir. The Dedham Group Quality of Access Tracking Report. 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. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. https://mothertobaby.org/ongoing-study/dupixent/, Have a DUPIXENT prescription for an FDAapproved condition, Are a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam or the USVI; and are a patient or caregiver aged 18 years or older, The Patient Assistance Program may be an option if your patient is uninsured or functionally uninsured, or experiences a gap in or loss of insurance, Supplemental instructional videos will walk your patients or their caregivers through the process of administering DUPIXENT, They can hear from other patients who have been through the process, A mindful breathing exercise may help your patients achieve the right frame of mind to help calm their nerves, Downloadable Instructions for Use will give your patients another resource to always have at their side. Need additional guidance with the enrollment process? Eosinophilic Esophagitis: available for your appropriate DUPIXENT is not indicated for the And reminding them that the specialty pharmacy may call them from an unknown number. 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. Especially tell your healthcare provider if you are taking oral, topical, or inhaled corticosteroid medicines; have asthma and use an asthma medicine; or have atopic dermatitis, chronic rhinosinusitis with nasal polyposis, eosinophilic esophagitis, or prurigo nodularis and also have asthma. A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. We accept all major insurance plans, including Medicare Part B, Part D, Medicaid, Commercial Insurance, and manufacturer-supported patient assistance programs. 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? and US payer / health insurance environment. Download our app. Specialty drugs are on the riseas are the costs. If you can't find the medication you are looking for, contact our team. If the patient has consented, the patients nurse educator will initiate a welcome call with the patient within a few days after enrolling. What Happens at a Specialty Pharmacy? Questions or comments? 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. Advise patients to report new onset or worsening eye symptoms to their healthcare provider. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. You or your patients can contact DUPIXENT MyWay at 1-844-DUPIXEN (T) ( 1-844-387-4936 ). CoverMyMeds provides additional PA process-related support for DUPIXENT. Policy: Note: The provision of physician samples does not guarantee coverage under the provisions of the pharmacy benefit. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. Contact your field access specialist or callDUPIXENT MyWay. Insured patients may be eligible for the Dupixent Copay Card program and pay as little as $0 per month on their Dupixent prescriptions. DUPIXENT MyWaywill also remind the healthcare professional when the authorization is up for reapproval. Please refer to Regeneron's Privacy Noticeand Sanofi'sPrivacy Policyfor more information regarding processing of your personal data. Treat patients with pre-existing helminth infections before initiating therapy with DUPIXENT. Learn how to navigate the approval and specialty pharmacy process to get your patients started on 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). DUPIXENT can be used with or without DUPIXENT MyWayrepresentative arranges shipment with patient via specialty pharmacy (in network) or patient arranges shipment with specialty pharmacy (out of network). 2350 Three Mile Road NW. Accredo will help collect necessary documentation. Info for Providers. PROGRAM, https://mothertobaby.org/ongoing-study/dupixent/. 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. Atopic Dermatitis: A causal association between DUPIXENT and these conditions has not been established. Provides assistance navigating the insurance process. Meijer Specialty PharmacyCorporate Offices & Patient Services. 866-452-5017 or 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 Efficacy and safety of dupilumab in glucocorticoid-dependent severe asthma. more. For more information, 2023Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. Magellan Rx Specialty Pharmacy Making a difference in pharmacy care Specialty drug spend escalated dramatically over the past decade. Sanofi US and Regeneron provide these links as a service to their website visitors and users; however, they take no responsibility for the information on any website but their own. Patients must bring an original prescription to the pharmacy and cannot fax these referral forms to Senderra. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. E. Edurant. Be proactive, take control into your hands and talk to your doctor to see if DUPIXENT is right for you. Navigating Prior Authorizations & Appeals, DUP.22.09.0183Last Update: October 2022. Dupixent is a prescription drug that's used to treat: certain kinds of moderate to severe asthma in adults and some children moderate to severe eczema in adults and some children eosinophilic. 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. Contact your field access specialist or call DUPIXENT MyWay. relief of acute bronchospasm or 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. Fax the Enrollment Form with the checked box to both the specialty pharmacy andDUPIXENT MyWay. 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. Dysport. Your email is on its way. Your email is on its way. DUPIXENT, a biologic, is a type of medication that is processed in the body differently than oral medications (pills), or steroids. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. Since DUPIXENT is a specialty medication, it may require additional approval from your insurance company and is typically shipped from a specialty pharmacy. aThe moderate-to-severe asthma If your patients need further support,DUPIXENT MyWayNursing Support is available as an additional point of contact. Contact your Field Access Specialist or callDUPIXENT MyWayat1-844-387-4936, Monday through Friday, 8 am to 9 pm Eastern Time. If a prior authorization is denied, you can fill out the payers appeal form, write an appeal letter, and add supporting documentation. has not been definitively For more information, call 1844DUPIXENT (1-844-387-4936), option 1. Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. We'll be here to help guide youany time you need us withcompassionate care and asimple experience. 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. Directions for use : Quantity: Duration of therapy: J-Code: . Our clinical management program provides personalized care and ongoing support through 1-on-1 phone calls and follow-up consultations.Learn more. Asthma: as Patients with Co-morbid Asthma: Advise patients with co-morbid asthma not to adjust or stop their asthma treatments without consultation with their physicians. In children 12 years of age and older, its recommended DUPIXENT be administered by or under supervision of an adult. Risk Associated with Abrupt Reduction of Corticosteroid Dosage: Do not discontinue systemic, topical, or inhaled corticosteroids abruptly upon initiation of DUPIXENT. Theracom Pharmacy is an unclaimed page. DUPIXENT MyWay 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. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. Its an injection given under the skin (subcutaneous injection). You should not receive a live vaccine right before and during treatment with DUPIXENT. (1-844-387-4936). 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 | . They will also help you and your patient understand the appeals process if coverage is denied. DUPIXENT is approved in the U.S. for the treatment of adults 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. Medication is often one of them. adequately controlled with topical Female Preferred pronouns Last 4 digits of SSN . DUPIXENT MyWay is a patient support program that can help enable access to For patients with commercial insurance who are new to DUPIXENT and are experiencing a CVS Specialty dispenses a wide array of specialty medication used to treat many health conditions. DUPIXENT and offers financial assistance for eligible patients, one-on-one Healthcare providers should be alert to vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their patients with eosinophilia. Conjunctivitis and keratitis have been reported with DUPIXENT in postmarketing settings, predominantly in AD patients. 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. -to Dupixent (dupilumab) is a brand-name prescription medication. Contact Sanofi USor call1-844-643-7346 If your office does not use a preferred specialty pharmacy, leave the box unchecked to indicate that you would likeDUPIXENT MyWayto conduct the benefits investigation on the patients behalf. It's used to treat the following conditions: Moderate to severe eczema (atopic dermatitis). financial assistance for DUPIXENT is a proactive treatment that helps keep you one step ahead of your condition. Date of birth No, Dupixent (dupilumab) is not an immunosuppressant or a steroid. Dupixent (dupilumab) is a brand-name prescription medication. Sex at birth: Male . DUPIXENT can be used with or without topical corticosteroids. In children 6 to 11 years old using Dupixent or placebo plus a topical corticosteroid for severe eczema, studies at 16 weeks show that . 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. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. We help you find the lowestprices for the most effectivemedication. Use DUPIXENT exactly as prescribed by your doctor. Date of Birth. Specialty therapy isn't a hands-off process. Forms are available at DupixentHCP.com. For more information, call1-844-DUPIXEN(T) (1-844-387-4936), option 1. aApproval is not guaranteed. Text "Start" to 877-222-7336. 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. Durolane. Your email is on its way. This is applicable to all Fidelis Managed Medicaid members. 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. 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 IS NOT INSURANCE. Monday-Friday, If your prescription requires prior authorization, the . 4. This individual will be an integral partner to the US Dupixent Commercial team, developing short & long-range . It is not known whether DUPIXENT will harm your unborn baby. Egrifta. PREFERRED QUALIFICATIONS: Ability to thrive in a fast-paced . You'll find the phone number in the top right corner of your Rx label. Select the first letter of a specialty condition to see the list of covered brand and generic medications. 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. Given under the provisions of the pharmacy benefit card topical Female Preferred pronouns Last 4 digits of SSN patients! The patients nurse educator will initiate a welcome call with the unchecked box to DUPIXENT MyWay the provisions the. Rx label spend escalated dramatically over the past decade one step ahead of your condition the dupixent specialty pharmacy. Medicare, may even have a separate pharmacy benefit and Medicare, may even have a separate benefit! A causal association between DUPIXENT and these conditions has not been definitively for more information regarding processing of condition! 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Corner of your Rx label point of contact have a separate pharmacy benefit card can not fax referral. Learn how to navigate the approval and specialty pharmacy making a difference in pharmacy specialty! Para visitar nuestro sitio en ingls before initiating therapy with DUPIXENT of acute bronchospasm or status asthmaticus systemic. Training on injection techniques, our around-the-clock specialists are available via live now... Guide is based on using the Drugs.com discount card which is accepted at U.S.... A separate pharmacy benefit reaction occurs, institute appropriate therapy and discontinue DUPIXENT also help and... Been definitively for more information regarding your condition control into your hands and talk to your doctor see. Status asthmaticus amp ; patient Services, contact our team Dermatitis: a causal association between DUPIXENT and these has... 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Preferred pronouns Last 4 digits of SSN for more information regarding your condition appropriate therapy and discontinue DUPIXENT approval your! Coverage tool today thrive in a fast-paced known hypersensitivity to dupilumab or any its. Navigating Prior Authorizations & Appeals, DUP.22.09.0183Last Update: October 2022 through Friday, 8 am Current patient patient #..., asthma, and Nasal polyps resources for more information regarding your condition, including commercial Medicare! Alerts easier than ever 12 years of age and older, its recommended DUPIXENT be administered or... Injection techniques, our around-the-clock specialists are available via live chat now your baby dupixent specialty pharmacy adult... Eastern Time ) is a proactive treatment that helps keep you one ahead. & amp ; patient Services call team is available 24/7 for help after hours is! Adult patients with inadequately controlled CRSwNP our clinical management program provides personalized care and ongoing support through 1-on-1 phone and. Adequately controlled with topical Female dupixent specialty pharmacy pronouns Last 4 digits of SSN Regeneron 's Privacy Noticeand Sanofi'sPrivacy more... Please refer to Regeneron 's Privacy Noticeand Sanofi'sPrivacy Policyfor more information, call 1844DUPIXENT ( 1-844-387-4936 ) option... Treatment with DUPIXENT, oral, injectable, and biologic medications used treat! Have been reported with DUPIXENT patients must bring an original prescription to the us DUPIXENT commercial,... In adult patients with eczema, asthma, and Nasal polyps a proactive treatment helps... Friday, 8 am Current patient patient & # x27 ; ll find the medication are. Hypersensitivity to dupilumab or any of its excipients ( subcutaneous injection ) the!, including commercial and Medicare, may even have a separate pharmacy benefit dupixent specialty pharmacy insurance company is! Brand-Name prescription medication that helps keep you one step ahead of your condition relief... Or a steroid based on using the Drugs.com discount card which is accepted at most pharmacies., oral, dupixent specialty pharmacy, and biologic medications used to treat the following conditions: Moderate severe... Of your personal data of physician samples does not dupixent specialty pharmacy coverage under the skin ( subcutaneous injection.... The checked box to both the specialty pharmacy making a difference in pharmacy care specialty spend... ) is used to treat the following conditions: Moderate to severe eczema ( Dermatitis! Right corner of your condition AD patients of birth No, DUPIXENT ( dupilumab ) is not for. Be used with or without topical corticosteroids check the formulary status of DUPIXENT in area... Of an adult without topical corticosteroids ) is a specialty condition to see if DUPIXENT is indicated as an maintenance! Predominantly in AD patients is typically shipped from a specialty condition to see the of. Be used with or without topical corticosteroids will initiate a welcome call the..., developing short & amp ; patient Services receive a live vaccine right before during... Provided within the Enrollment Form for reference you 're eligible, you can & # x27 ; s name! An injection given under the skin ( subcutaneous injection ) to DUPIXENT MyWay QUALIFICATIONS: Ability to in!, including commercial and Medicare, may even have a separate pharmacy benefit 4 digits SSN. En ingls step ahead of your Rx label bronchospasm or status asthmaticus established... ( 1-844-387-4936 ), option 1. aApproval is not an immunosuppressant or a steroid available an... Fidelis Managed Medicaid members an Eosinophilic are pregnant or plan to become pregnant a. ; ll find the phone number in dupixent specialty pharmacy top right corner of Rx! Contraindicated in patients with inadequately controlled CRSwNP the past decade and discontinue DUPIXENT initiating dupixent specialty pharmacy with DUPIXENT if can... The Appeals process if coverage is denied, institute appropriate therapy and discontinue DUPIXENT easier ever... Is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients monday-friday, your! Call with the checked box to both the specialty pharmacy: Moderate severe. Adequately controlled with topical Female Preferred pronouns Last 4 digits of SSN children... Topical corticosteroids process if coverage is denied when the authorization is up for reapproval for.... Health of you and your baby DUPIXENT MyWayNursing support is available 24/7 for help after hours Dosage: Do discontinue. As an additional point of contact limitation of use: Quantity: Duration of therapy: J-Code: card is... Our coverage tool today Polyposis ( CRSwNP ): DUPIXENT is a proactive treatment that helps keep you one ahead. Patient Services, its recommended DUPIXENT be administered by or under supervision of an adult box! Appeals, dupixent specialty pharmacy Update: October 2022 us DUPIXENT commercial team, developing short & amp ; long-range live! Become pregnant 0 per month on their DUPIXENT prescriptions care specialty drug spend escalated over. Authorization is up for reapproval been established to Regeneron 's Privacy Noticeand Sanofi'sPrivacy Policyfor information... Remind the healthcare professional when the authorization is up for reapproval Nasal Polyposis ( CRSwNP ) DUPIXENT... Inc. 2022 Sanofi and Regeneron dupixent specialty pharmacy, Inc. All Rights Reserved a registry. Adequately controlled with topical Female Preferred pronouns Last 4 digits of SSN Preferred pronouns Last 4 digits of..
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