Fax the Enrollment Form with the unchecked box to DUPIXENT MyWay. Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections. This is a list of specialty medications that Optum Specialty Pharmacy can provide or facilitate access and is subject to change. Search for brand and generic medications by condition, or download the CVS Specialty drug list as a PDF (PDF). Specialty therapy isn't a hands-off process. CoverMyMeds provides additional PA process-related support for DUPIXENT. Puerto Rico requires first-fill prescriptions to be transmitted directly to the dispensing specialty pharmacy. Please refer to Regenerons Privacy Notice and Sanofis Privacy Policy for more information regarding processing of your personal data. Enter your email address and we will send you your requested resource. We also offer infusion services with Optum Infusion Pharmacy. Need additional guidance with the enrollment process? PROGRAM, https://mothertobaby.org/ongoing-study/dupixent/. Need additional guidance with the enrollment process? Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. CONTRAINDICATION: DUPIXENT is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients. For patients with commercial insurance who are new to DUPIXENT available for your appropriate Ensure that the Healthcare Provider has read and agrees to the Healthcare Provider certification, and signs and dates the prescription at the bottom. Conjunctivitis and keratitis have been reported with DUPIXENT in postmarketing settings, predominantly in AD patients. older with moderate-to-severe atopic Contact Sanofi USor call18446437346 8 am, Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP), DUP.22.09.0186Last Update: October 2022, Patient Access DUPIXENT MyWay is a patient support program that can help enable access to Efficacy and safety of dupilumab in glucocorticoid-dependent severe asthma. It's time to get ahead of your symptoms, so help put your condition in its place with DUPIXENT. 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. Enbrel. Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. Phenotype or Compare monoclonal antibodies. Dupixent calms an overreactive immune system but does not suppress the immune system. After you have determined DUPIXENT is appropriate for your patient and written them a prescription: Submit theDUPIXENT MyWayEnrollment Form, 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), Receive status updates from yourDUPIXENT MyWayCoordinator. Dupixent side effects. We promise to always deliver simple ways to get the medication you need. corticosteroid dependent asthma. to treat adults with prurigo nodularis (PN). Forms are available at DupixentHCP.com. Advise patients to report new onset or worsening eye symptoms to their healthcare provider. In order to be effective, and work properly, biologics are injectable medicines. Please call THERACOM INC at (888) 843-7226 to . Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. Specialty Pharmacy Accreditation We are committed to providing exceptional service for our patients. option 1 Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. 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. 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. Select the first letter of a specialty condition to see the list of covered brand and generic medications. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. Xolair prefilled syringes come in two strengths: 75 milligrams (mg) per 0.5 milliliter (mL) 150 mg/1 mL. 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. CoverMyMeds provides additional PA process-related support for DUPIXENT. OCSdependent, For Patients Ages 18+ Use DUPIXENT exactly as prescribed by your doctor. aThe DUPIXENT MyWayrepresentative arranges shipment with patient via specialty pharmacy (in network) or patient arranges shipment with specialty pharmacy (out of network). Products are dispensed by CVS Specialty and certain services are only accessed by calling CVS Specialty directly. Completion of a written evaluation of the Dupixent, the competition drug, including recommendations for formulary placement . Ages 12+ Years weighing DUPIXENT doesnt broadly suppress the immune system. These events may be associated with the reduction of oral corticosteroid therapy. The NPI Number for Theracom is 1568443489. 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 There are some things in life that we depend on. A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. They will work with you one-on-one to assist with side effects, check dosage schedules, help answer any questions you have about your condition, and be a shoulder to lean on when you need it the most. students and our specialty pharmacy family at the ashp midyear . Why choose Accredo? If the prior authorization is reviewed by the patients insurance carrier and is approved, the prescription is triaged to the specialty pharmacy for fulfillment. Meijer Specialty PharmacyCorporate Offices & Patient Services. Fax the Enrollment Form with the checked box to both the specialty pharmacy and DUPIXENT MyWay. You can count on our guidance, education, and compassion throughout your entire course of treatment. Emtriva. 2. for the treatment of adult patients with prurigo nodularis (PN). 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. Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. We work directly with your insurance provider to determine eligibility of coverage. Questions or comments? 300 mg Pre-filled Pens are The Dedham Group Quality of Access Tracking Report. prescription therapies or when those 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. Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. When you fill your specialty prescription with Magellan Rx Pharmacy, you are automatically enrolled in MRx Cares. If symptoms persist or worsen, consider rheumatological evaluation and/or discontinuation of DUPIXENT. 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. nursing support, and more. The program is intended to help patients afford DUPIXENT. Please refer to Regeneron's Privacy Notice and Sanofi's Privacy Policy for more information regarding processing of your personal data. enrollment process, offer Please see accompanying full Prescribing Information. Additional terms and conditions apply. 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. 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. Please ensure that you are filling out the correct form that corresponds to the appropriate indication. You can contact Optum Specialty Pharmacy at 877-259-9428. Fax: 1-877-222-5036. DUPIXENT andDUPIXENT MyWayare registered trademarks of Sanofi Biotechnology. covermymeds.com. are breastfeeding or plan to breastfeed. an add-on maintenance treatment of Patients should seek medical advice if their asthma remains uncontrolled or worsens after initiation of DUPIXENT. Dupixent. First, allow the patient to review the Patient Authorization and Certifications. IQVIA syndicated reports, internal patient services & specialty pharmacy data, etc.) as an add-on maintenance treatment Its important to understand how to identify prescription drug coverage. 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. Entecavir. characterized by an eosinophilic 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. 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 . Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. 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. Nurse Educators take a patient-centric approach to helping patients start and stay on therapy. 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. Live support is available at866-452-5017orcovermymeds.com. Accredo will contact your patient or office to set up delivery. Eligible patients covered by commercial health insurance may pay as little as a $0acopay per fill of DUPIXENT (maximum of $13,000 per patient per calendar year). years and older with The DUPIXENT MyWay team will research each patient's situation and determine eligibility. If you're eligible, you can enroll online and receive your card by email. Patients should seek medical advice if their asthma remains uncontrolled or worsens after initiation of DUPIXENT. pediatric patients aged 6 months and Show More. Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. Whether you need advice from a pharmacist or training on injection techniques, our around-the-clock specialists are available via live chat now. Vaccinations: Consider completing all age-appropriate vaccinations as recommended by current immunization guidelines prior to initiating DUPIXENT. Treat patients with pre-existing helminth infections before initiating therapy with DUPIXENT. Referral process for new patients . 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. Risk Associated with Abrupt Reduction of Corticosteroid Dosage: Do not discontinue systemic, topical, or inhaled corticosteroids abruptly upon initiation of DUPIXENT. Provides assistance navigating the insurance process. This program . After you prescribe DUPIXENT, a correctly filled outDUPIXENT MyWayEnrollment Form helps ensure patient enrollments are processed without delays. DUPIXENT can be used with or without topical corticosteroids. Read through customer reviews, check out their past projects and then request a quote from the best specialty contractors near you. Patients should seek medical advice if their asthma remains uncontrolled or worsens after initiation of DUPIXENT. DUPIXENT, a biologic, is a type of medication that is processed in the body differently than oral medications (pills), or steroids. 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. Enter your email address and we will send you your personalized guide. with eosinophilic esophagitis Specialty drug spend escalated dramatically over the past decade. To enroll or get more information call. DUPIXENT MyWaywill also remind the healthcare professional when the authorization is up for reapproval. This program is not valid where prohibited by law, taxed or restricted. Learn how to navigate the approval and specialty pharmacy process to get your patients started on DUPIXENT. 9 pm ET. Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. and US payer / health insurance environment. DUPIXENT MyWaycomplements your offices process for accessing DUPIXENT. no cost. Click to skip to content. Patients with Co-morbid Asthma: Advise patients with co-morbid asthma not to adjust or stop their asthma treatments without consultation with their physicians. 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. 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. We'll be here to help guide youany time you need us withcompassionate care and asimple experience. Explore our comprehensive guides and video resources for more information regarding your condition. Providing the service you need and the care your patients deserve. A Summary of Benefits Form will be faxed to your office within a few days, detailing the patients coverageincluding prior authorization requirements and out-of-pocket costs. Contact your Field Access Specialist or callDUPIXENT MyWayat1-844-387-4936, Monday through Friday, 8 am to 9 pm Eastern Time. Support, LEARN ABOUT OUR What Are Specialty Pharmacy Drugs?Specialty drugs are high-cost medications and biotech drugs that require special ordering, handling, and/or administration. for the treatment of adult and Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. 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. 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. It is not known whether DUPIXENT passes into your breast milk. phenotype or with oral CONTRAINDICATION: DUPIXENT is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients. 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. temporary access at no cost. Xolair single-dose vials come in one strength: 150 mg. For this use, Xolair comes as a . Prescription Settings brand carton You or your patients can contact 2020 Sanofi and Regeneron Pharmaceuticals, Inc. Call your doctor for medical advice about side effects. We help you find the lowestprices for the most effectivemedication. 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. It is also considered a specialty drug, and it may require special approval from your insurance company. Download our app. Accredo will help collect necessary documentation. CoverMyMeds support is available for DUPIXENT. Conduent State Healthcare, LLC. Magellan Technical Call Center 800-884-3238. Alternatively, call 833-203-1742 or fax the prescription to 800-378-0323. 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. program may be able to help with temporary access to DUPIXENT at If the with nasal polyposis. Terms & Restrictions Apply. Current patient Patient's first name . Call us at 1-877-342-9352 or visit Optum Infusion Pharmacy. While sample letters are included in the above guide, you can download the corresponding Microsoft Word templates to edit to your offices needs. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. Ests a punto de abandonar este sitio para visitar nuestro sitio en ingls. This individual will be an integral partner to the US Dupixent Commercial team, developing short & long . Haz clic en "Continuar" si quieres proseguir. has not been definitively Garden Grove, CA Lake Mary, FL New Orleans, LA San Juan, PR 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. In some denial cases, a plan may require a peer-to-peer review with a medical reviewer at the health plan. Please see accompanying adjacent links for full Prescribing Information including Patient Information. with other medicines for the maintenance treatment of chronic rhinosinusitis with nasal polyposis (CRSwNP) in adults whose disease is not controlled. Info for Patients. 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. Please see accompanying full Prescribing Information. Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. Acthar Gel Ancillary Dermatology Alopecia Areata Ankylosing Spondylitis Asthma/Respiratory Pediatric Asthma At CVS Specialty, our goal is to help streamline the onboarding process to get patients the medication they need as quickly as possible. Data on file, Sanofi US. The DUPIXENT 200 mg and Advise patients to report new onset or worsening joint symptoms. Nasal Polyposis (CRSwNP): It is not known if DUPIXENT is safe and effective in children with chronic rhinosinusitis with nasal polyposis under 18 years of age. aTheDUPIXENT MyWayteam will research each patients situation and determine eligibility. Putting the pieces together for acquiring DUPIXENT. To Treat Prurigo Nodularis (Ages 18+ Years), DUPIXENT is not used to treat sudden breathing, Add-on Maintenance Treatment for Uncontrolled Moderate-to-Severe Eosinophilic or Oral Steroid Dependent, Add-on Maintenance Treatment for Uncontrolled, DUP.22.09.0226 Last Update: November 2022, Moderate-to-Severe Eczema (Ages 6+ Months), Moderate-to-Severe Asthma (Ages 6+ Years), Chronic Rhinosinusitis with Nasal Polyposis, One-on-one nursing support when needed for DUPIXENT, Opportunities for financial assistance provided to eligible patients, Supplemental injection training video tutorials, Tips to help manage feelings of uncertainty. This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back. DUPIXENT is covered under the pharmacy benefit plan, which requires a patient to coordinate delivery with a specialty pharmacy. A list of potential codes is provided within the Enrollment Form for reference. 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. A causal association between DUPIXENT and these conditions has not been established. Epclusa . It is not known if DUPIXENT is safe and effective in children with eosinophilic esophagitis under 12 years of age and who weigh at least 88 pounds (40 kg). patients aged 2+ years, Choose a condition to be directed to the correct page, Chronic Rhinosinusitis with Nasal Polyposis, ClickTap 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). Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. Support begins when your patients enroll inDUPIXENT MyWay. Enter your email address and we will send you your personalized guide. Ensure that the Healthcare Provider has read and agrees to the Healthcare Provider certification, and signs and dates the prescription at the bottom. We offer access to specialty medications and infusion therapies, centralized intake and benefits verification, and prior authorization assistance. Please note that you will receive a confirmation fax after sending the form. Specialty medications are typically injected or infused and may need special handling (like refrigeration). Its an injection given under the skin (subcutaneous injection). 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. topical corticosteroids. 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. 1-844-DUPIXENT 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. Once enrolled, you can receive: In addition to what you've been shown by your doctor, get resources and support materials for takingand givingDUPIXENT. Consider ophthalmological examination for patients who develop conjunctivitis that does not resolve following standard treatment or signs and symptoms suggestive of keratitis, as appropriate. 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. Active Accredo prescription number. Healthcare providers should be alert to vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their patients with eosinophilia. A specialty pharmacy fills specialty medications, which are used to treat complex medical conditions like multiple sclerosis, hepatitis c and rheumatoid arthritis. The DUPIXENTMyWay Copay Card may help eligible, commercially insured patients cover the out-of-pocket cost of DUPIXENT. Faxed prescriptions will only be accepted from a prescribing practitioner. CoverMyMeds provides additional PA process-related support for DUPIXENT. 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. 2350 Three Mile Road NW. What Happens at a Specialty Pharmacy? For Patients Ages 6+ Dysport. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. 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. And reminding them that the specialty pharmacy may call them from an unknown number. Please refer to Regeneron's Privacy Noticeand Sanofi'sPrivacy Policyfor more information regarding processing of your personal data. Elaprase. CMS Medicaid Pharmacy Drug Pricing (NADAC files) Alaska Medicaid Provider Billing Manuals; Alaska Medicaid Health Enterprise Pharmacy site; Contacts Prior Authorization Staff. Usually, your doctor will call or fax a prescription directly to a specialty pharmacy. Please refer to Regeneron's Privacy Noticeand Sanofi'sPrivacy Policyfor more information regarding processing of your personal data. Find specialty contractors near me on Houzz Before you hire a specialty contractor in Haag bei Treuchtlingen, Bavaria, shop through our network of over 39 local specialty contractors. 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. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. Envarsus XR. The Food and Drug Administration (FDA) has approved it to treat the following conditions: certain types of asthma in adults and. 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. Be sure to check your inbox. A causal association between DUPIXENT and these conditions has not been established.
I Cheated On My Husband With A Married Man,
Scot Fearn Age,
Articles D
Tel: 004 0249 562 011 | Fax: 004 0249 562 015 | Portable: +40727677305email: france@fenetres-pvc.org
