Get emergency medical help if you have signs of an allergic reaction to Dupixent: hives, rash, itching; fever, swollen glands, joint pain; feeling light-headed, difficult breathing; swelling of your face, lips, tongue, or throat. to treat adults with prurigo nodularis (PN). Collaborate with US Dupixent Finance & other US Specialty Care forecasters in forecast cycle planning to promote harmonization across therapeutic areas. 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. Xolair single-dose vials come in one strength: 150 mg. For this use, Xolair comes as a . Its important to understand the specialty pharmacy process and its role in obtaining DUPIXENT. DUPIXENT is not indicated for the Fax the Enrollment Form with the checked box to both the specialty pharmacy andDUPIXENT MyWay. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. 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. DUPIXENT MyWay Saveonsp-supported specialty medications. Insured patients may be eligible for the Dupixent Copay Card program and pay as little as $0 per month on their Dupixent prescriptions. To enroll or get more information call. Referral process for new patients . Patients must bring an original prescription to the pharmacy and cannot fax these referral forms to Senderra. Need additional guidance with the enrollment process? Refill and track your specialty drug prescriptions, pay online, and get live support. We promise to always deliver simple ways to get the medication you need. You should not receive a live vaccine right before and during treatment with DUPIXENT. They will begin the benefits investigation and inform your office of the next steps. These accreditations ensure that we are operating with the highest quality standards. corticosteroid dependent asthma. 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. Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. 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. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. Contact Sanofi US or Regeneron Pharmaceuticals, Inc. or call 1-844-387-4936 Ask your Field Representative for additional information. If a PA is required, your DUPIXENT MyWay Coordinator can help you navigate the PA process. Your email is on its way. Dupixent will be approved based on all of the following criteria: (1) Documentation of positive clinical response to Dupixent therapy -AND- (2) Patient is not receiving Dupixent in combination with another biologic . 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. Please see accompanying full Prescribing Information. Patients. Quoted prices are for cash-paying customers and are not valid with insurance plans. AcariaHealth is the preferred specialty pharmacy provider of Ambetter from Superior HealthPlan. older with moderate-to-severe atopic more. Risk Associated with Abrupt Reduction of Corticosteroid Dosage: Do not discontinue systemic, topical, or inhaled corticosteroids abruptly upon initiation of DUPIXENT. with an Eosinophilic It is not known whether DUPIXENT passes into your breast milk. 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. pediatric patients aged 12 years, PROGRAM, https://mothertobaby.org/ongoing-study/dupixent/. nursing support, and more. Entyvio. As a specialty pharmacy, Senderra provides faster communication, easier processes, and better support for your health . Exception: Requests for drugs administered by a healthcare professional that will be billed to the medical plan, call 1-866-752-7021 or fax applicable request forms to 1-888-267-3277. 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. Benefits Investigation, Prior Authorization (PA), and Appeals Support. Your doctor will tell you if you are able to self-inject (if so, training by the HCP will be provided), how much DUPIXENT to inject, and how often to inject it. PREFERRED QUALIFICATIONS: Ability to thrive in a fast-paced . to treat adults and children 12 years of age and older, who weigh at least 88 pounds (40 kg), with eosinophilic esophagitis (EoE). If you're filling one of these medications at a retail pharmacy, you'll have to switch to Cigna Specialty Pharmacy Services for it to be covered. established. 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). After you prescribe DUPIXENT, a correctly filled outDUPIXENT MyWayEnrollment Form helps ensure patient enrollments are processed without delays. Download our app. Be proactive, take control into your hands and talk to your doctor to see if DUPIXENT is right for you. DUPIXENT MyWay at 1-844-DUPIXEN(T) In children 6 months to less than 12 years of age, DUPIXENT should be given by a caregiver. Collaborate with US Dupixent Finance & other US Specialty Care forecasters in forecast cycle planning to promote harmonization across therapeutic areas Support model enhancements to ensure forecasts for in-line & launch products reflect strategic direction of each brand (e.g., segmentation, patient flow, etc.) 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. Putting the pieces together for acquiring DUPIXENT. Be sure to check your inbox. 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. Along with initial training provided by the HCP's office and support fromDUPIXENT MyWayNurse Educators, your patients will also find instructional videos, patient testimonials, and downloads in our Injection Support Center. First, allow the patient to review the Patient Authorization and Certifications. Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. Populate the clinical information corresponding to your patients diagnosis. 907-644-6800, 800 . Nasal Polyposis (CRSwNP): Some plans, including commercial and Medicare, may even have a separate pharmacy benefit card. CONTRAINDICATION: DUPIXENT is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients. These are not all the possible side effects of DUPIXENT. VO:Putting the pieces together for acquiring DUPIXENT. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. Questions or comments? In children 12 years of age and older, its recommended DUPIXENT be administered by or under supervision of an adult. DUPIXENT can be used with or without topical corticosteroids. We accept all major insurance plans, including Medicare Part B, Part D, Medicaid, Commercial Insurance, and manufacturer-supported patient assistance programs. Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections. . 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. Use DUPIXENT exactly as prescribed by your healthcare provider. Corren J. eosinophilic esophagitis 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. Prescription Settings brand carton What Happens at a Specialty Pharmacy? Once enrolled, you can receive: In addition to what you've been shown by your doctor, get resources and support materials for takingand givingDUPIXENT. Our preferred way to accept prescriptions for CarelonRx Specialty Pharmacy is through ePrescribing. Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. Once approved, provide the savings card number to the specialty pharmacy when they call you to set up the . AcariaHealth provides the following services: Specialty therapy isn't a hands-off process. 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. To enroll inDUPIXENT MyWay, your patients can call 1-844-DUPIXEN(T) (1-844-387-4936) or email or print and fill out the following forms with your assistance. When you prescribe to Magellan Rx Pharmacy, we will help reduce your administrative burden while helping your patients stay on your treatment plan. Monday-Friday, 8 am to 9 pm ET. You are encouraged to report negative side effects of prescription drugs to the FDA. This will allow the specialty pharmacy to conduct the benefits investigation, and DUPIXENT MyWay will provide additional support to the patient. MRx Pharmacy supports more than 30 unique specialty disease categories, from oncology and inflammatory conditions to bleeding disorders and rare diseases. This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back. Avoid use of live vaccines in patients treated with DUPIXENT. The Food and Drug Administration (FDA) has approved it to treat the following conditions: certain types of asthma in adults and. controlled chronic rhinosinusitis 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. DUPIXENT MyWay reserves the right to rescind, revoke, terminate, or amend this oer, eligibility, and terms of use at any time without notice. Acthar Gel Ancillary Dermatology Alopecia Areata Ankylosing Spondylitis Asthma/Respiratory Pediatric Asthma , https: //mothertobaby.org/ongoing-study/dupixent/: //mothertobaby.org/ongoing-study/dupixent/ live vaccines in patients with known hypersensitivity to dupilumab or any its. Prescription to the patient if a PA is required, your DUPIXENT Coordinator! 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