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Benefits Investigation, Prior Authorization (PA), and Appeals Support. Ages 12+ Years weighing Thanks for any help on this confusing issue. We promise to always deliver simple ways to get the medication you need. Role of interleukin-13 in asthma. How do companies and individuals find a program that works in their best interests? 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 . Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. Theracom in Rockville - Pharmacy Location, Contact Theracom - NPI 1568443489 Theracom (THERACOM) is a Specialty Pharmacy in Rockville, Maryland. Since DUPIXENT is a specialty medication, it may require additional approval from your insurance company and is typically shipped from a specialty pharmacy. Treat patients with pre-existing helminth infections before initiating therapy with DUPIXENT. Treat patients with pre-existing helminth infections before initiating therapy with DUPIXENT. It is not known whether DUPIXENT passes into your breast milk. Magellan Technical Call Center 800-884-3238. Its an injection given under the skin (subcutaneous injection). 8 am, Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP), DUP.22.09.0186Last Update: October 2022, Patient Access DUPIXENT MyWayrepresentative arranges shipment with patient via specialty pharmacy (in network) or patient arranges shipment with specialty pharmacy (out of network). Need additional guidance with the enrollment process? Let SaveOnSP administer a plan benefit design aimed at lowering these rising costs. This program . IL-4 and DUPIXENT can be used with or without topical corticosteroids. It's time to get ahead of your symptoms, so help put your condition in its place with DUPIXENT. 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. Questions or comments? 2020 Sanofi and Regeneron Pharmaceuticals, Inc. Dupixent is a prescription drug, which means you need an order for it from your healthcare provider. DUPIXENT is covered under the pharmacy benefit plan, which requires a patient to coordinate delivery with a specialty pharmacy. nursing support, and more. We can be reached Monday - Friday, from 8 a.m. - 6 p.m. Support, LEARN ABOUT OUR Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. When writing letters, be sure to populate an appropriate ICD-10 code matching your patients diagnosis. medication [e.g., Adbry (tralokinumab), Xolair (omalizumab)] -AND- (3) Prescribed by one of the following: (a) Dermatologist Be sure to provide only one ICD-10 code, even if the patient has comorbid disease. 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. 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. Haz clic en "Continuar" si quieres proseguir. They will begin the benefits investigation and inform your office of the next steps. For more information, call1-844-DUPIXEN(T) (1-844-387-4936), option 1. aApproval is not guaranteed. Advise patients to report new onset or worsening joint symptoms. 2350 Three Mile Road NW. 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. 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. Advise patients to report new onset or worsening eye symptoms to their healthcare provider. The DUPIXENTMyWay Copay Card may help eligible, commercially insured patients cover the out-of-pocket cost of DUPIXENT. Magellan Rx Specialty Pharmacy Making a difference in pharmacy care Specialty drug spend escalated dramatically over the past decade. Entecavir. 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. 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. 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. 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. Our mobile app currently supports iOS 16 or above. corticosteroid dependent asthma. Egrifta. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. 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. Collaborate with US Dupixent Finance & other US Specialty Care forecasters in forecast cycle planning to promote harmonization across therapeutic areas. For more information, Be sure to provide only one ICD-10 code, even if the patient has comorbid disease. The MRx Cares team consists of pharmacists and nurses who are specially trained in your condition and step in to provide a strong support system for you during your treatment journey. Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. 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. 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. All Rights Reserved. pediatric patients aged 12 years, 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. For Patients Ages 6+ Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. more. 8 am The DUPIXENT MyWay team will research each patient's situation and determine eligibility. for the treatment of adult and 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. 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. 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 (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. GoodRx seems to be suggesting a specialty pharmacy. Lastly, the specialty pharmacy reviews the prescription and contacts the patient to arrange for payment and delivery. Please see accompanying adjacent links for full Prescribing Information including Patient Information. Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. If a prior authorization is denied, you can fill out the payers appeal form, write an appeal letter, and add supporting documentation. 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. Putting the pieces together for acquiring DUPIXENT. 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. At CVS Specialty, our goal is to help streamline the onboarding process to get patients the medication they need as quickly as possible. 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. Download our reference guide to have on hand. We'll be here to help guide youany time you need us withcompassionate care and asimple experience. If your patients need further support,DUPIXENT MyWayNursing Support is available as an additional point of contact. Call us at 1-877-342-9352 or visit Optum Infusion Pharmacy. This is a list of specialty medications that Optum Specialty Pharmacy can provide or facilitate access and is subject to change. Conjunctivitis and keratitis have been reported with DUPIXENT in postmarketing settings, predominantly in AD patients. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. DUPIXENT MyWaycomplements your offices process for accessing DUPIXENT. 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. controlled chronic rhinosinusitis 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. Xolair prefilled syringes come in two strengths: 75 milligrams (mg) per 0.5 milliliter (mL) 150 mg/1 mL. At a time when the cost of specialty medications accounts for over 50 percent of pharmacy spend, it's never been more urgent to find a solution to this growing problem. Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. LIBERTY ASTHMA TRAVERSE CSR, 2020. Visit our Pricing and Insurance page to get more information on coverage, ordering through a specialty pharmacy, and the cost of DUPIXENT. Dupixent (dupilumab) is a brand-name prescription medication. 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. Active Accredo prescription number. Key points of contact for coverage are located on the card itself. The Specialty Pharmacy Program is designed to support your treatment plan for specialty conditions and facilitate the physician/patient relationship. Patients. 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. 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. 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. Data on file, Sanofi US. Specialty therapy isn't a hands-off process. Support begins when your patients enroll inDUPIXENT MyWay. Patients may have insurance plans that attempt to dilute the impact of the assistance available under the program. weighing at least 40 kg, and older CMS Medicaid Pharmacy Drug Pricing (NADAC files) Alaska Medicaid Provider Billing Manuals; Alaska Medicaid Health Enterprise Pharmacy site; Contacts Prior Authorization Staff. Please contact us at 888.355.4191 if you do not see your prescribed medication, ancillary therapy or medical equipment listed. ECZEMA (Atopic Dermatitis or AD) Ages 6+ Months, Add-on Maintenance Treatment for Uncontrolled Moderate-to-Severe Eosinophilic or Oral Steroid Dependent 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. DUPIXENT andDUPIXENT MyWay are registered trademarks of Sanofi Biotechnology. 907-644-6800, 800 . Risk Associated with Abrupt Reduction of Corticosteroid Dosage: Do not discontinue systemic, topical, or inhaled corticosteroids abruptly upon initiation of DUPIXENT. CoverMyMeds provides additional PA process-related support for DUPIXENT. Learn how to get your patients started with DUPIXENT MyWay. 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. Putting the pieces together for acquiring DUPIXENT. relief of acute bronchospasm or is a patient support program 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 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. Specialty now accounts for half of total pharmacy costs. To adhere to this promise, we undergo accreditations through leading healthcare advisory groups. They include treatments for cancer, autoimmune diseases, multiple sclerosis, HIV, : 75 milligrams ( mg ) per 0.5 milliliter ( mL ) 150 mg/1 mL to harmonization! Of the assistance available under the pharmacy benefit plan, which requires a patient arrange! 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