Date of birth Referral process for new patients . for the treatment of adult and 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). Entecavir. Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. by targeting a root cause of your condition. corticosteroid dependent asthma. A causal association between DUPIXENT and these conditions has not been established. Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. 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. In those situations, the program may change its terms. In some denial cases, a plan may require a peer-to-peer review with a medical reviewer at the health plan. This list does not reflect all medications available from Kroger Specialty Pharmacy. Fax the Enrollment Form with the unchecked box toDUPIXENT MyWay. Many specialty medications, such as DUPIXENT, have longer turnaround times because of the prior authorization process. In children 12 years of age and older, its recommended DUPIXENT be administered by or under supervision of an adult. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. Treat patients with pre-existing helminth infections before initiating therapy with DUPIXENT. Use DUPIXENT exactly as prescribed by your doctor. PREFERRED QUALIFICATIONS: Ability to thrive in a fast-paced . 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. Contact Sanofi USor call18446437346 July 2022. When DUPIXENT is prescribed by a healthcare professional, you can work with the patient to complete the Enrollment Form, and then fax the Enrollment Form with all signatures, dates, and ICD-10 codes toDUPIXENT MyWay. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. This leads to fewer and less severe episodes of inflammation when used to treat conditions . Least 40 kg. Remember to monitor and document the patients progress for reauthorization. Years, Weighing at Medication is often one of them. DUPIXENT MyWay is a patient support program that can help enable access to Watch the video below for more information. The on call team is available 24/7 for help after hours. Magellan Technical Call Center 800-884-3238. for the treatment of adult and Ask your Field Representative for additional information. All you need to know about the COVID-19 vaccines and boosters.Get the details. If symptoms persist or worsen, consider rheumatological evaluation and/or discontinuation of DUPIXENT. Do not change or stop your corticosteroid medicine or other asthma medicine without talking to your healthcare provider. Advise patients to report new onset or worsening joint symptoms. For patients with commercial insurance who are new to DUPIXENT Support begins when your patients enroll inDUPIXENT MyWay. are scheduled to receive any vaccinations. Navigating Prior Authorizations & Appeals, DUP.22.09.0183Last Update: October 2022. Please contact us at 888.355.4191 if you do not see your prescribed medication, ancillary therapy or medical equipment listed. At CVS Specialty, our goal is to help streamline the onboarding process to get patients the medication they need as quickly as possible. Show More. First, allow the patient to review the Patient Authorization and Certifications. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. DUPIXENT andDUPIXENT MyWayare registered trademarks of Sanofi Biotechnology. 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. financial assistance for Learn how to navigate the approval and specialty pharmacy process to get your patients started on DUPIXENT. Consider ophthalmological examination for patients who develop conjunctivitis that does not resolve following standard treatment or signs and symptoms suggestive of keratitis, as appropriate. Contact Sanofi USor call18446437346 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. This program . Search for brand and generic medications by condition, or download the CVS Specialty drug list as a PDF (PDF). CoverMyMeds provides additional PA process-related support for DUPIXENT. Advising the patient to contact the specialty pharmacy for preferred delivery location. 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. Dupixent side effects. Need additional guidance with the enrollment process? It may be covered by your Medicare or insurance plan, but some pharmacy coupons or cash prices could help offset the cost. You are encouraged to report negative side effects of prescription drugs to the FDA. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. Grand Rapids, MI 49544. After you prescribe DUPIXENT, a correctly filled out DUPIXENT MyWay Enrollment Form helps ensure patient enrollments are processed without delays. DUPIXENT MyWay at 1-844-DUPIXEN(T) Specialty therapy isn't a hands-off process. It is not known if DUPIXENT is safe and effective in children with chronic rhinosinusitis with nasal polyposis under 18 years of age. In order to be effective, and work properly, biologics are injectable medicines. Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections. Conduent State Healthcare, LLC. Be sure to check your inbox. 2350 Three Mile Road NW. Faxed prescriptions will only be accepted from a prescribing practitioner. 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. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. Our specialty pharmacy texting program allows you to receive prescription refill reminders, medication order updates and more all via . 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). 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. 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. You should not receive a live vaccine right before and during treatment with DUPIXENT. The Food and Drug Administration (FDA) has approved it to treat the following conditions: certain types of asthma in adults and. enrollment process, offer A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. Avoid use of live vaccines in patients treated with DUPIXENT. In order to be effective, and work properly, biologics are injectable medicines. Benefits Investigation, Prior Authorization (PA), and Appeals Support. IL-13, Monday-Friday, 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. Certain specialty medication may not qualify. Please refer to Regeneron's Privacy Noticeand Sanofi'sPrivacy Policyfor more information regarding processing of your personal data. 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. DUPIXENT andDUPIXENT MyWayare registered trademarks of Sanofi Biotechnology. Call us at 1-877-342-9352 or visit Optum Infusion Pharmacy. Efficacy and safety of dupilumab in glucocorticoid-dependent severe asthma. Advise patients to report new onset or worsening eye symptoms to their healthcare provider. Consider ophthalmological examination for patients who develop conjunctivitis that does not resolve following standard treatment or signs and symptoms suggestive of keratitis, as appropriate. Info for Patients. ASTHMA Ages 6+ Years, Add-on Maintenance Treatment for Uncontrolled In the case of a denial, you may consider writing an appeal, if appropriate, making sure to address the plans specific concerns. Conjunctivitis and keratitis have been reported with DUPIXENT in postmarketing settings, predominantly in AD patients. This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back. We found 9 results. Usually, your doctor will call or fax a prescription directly to a specialty pharmacy. 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. Emtriva. Populate the clinical information corresponding to your patients diagnosis. 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. 1-844-Dupixen ( T ) specialty therapy isn & # x27 ; T a hands-off process offset the cost PDF. 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