Populate the clinical information corresponding to your patients diagnosis. 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. Corren J. Healthcare providers should be alert to vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their patients with eosinophilia. If you need to reach us and don't have a prescription label available, call 1-800-237-2767 (TTY: 711 ). 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. 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. DUPIXENT MyWay verifies your patients specific health plan coverage for DUPIXENT, determines the plan's Utilization Management (UM) criteria, and identifies out-of-pocket responsibilities. What Are Specialty Pharmacy Drugs?Specialty drugs are high-cost medications and biotech drugs that require special ordering, handling, and/or administration. This list does not reflect all medications available from Kroger Specialty Pharmacy. Contact your field access specialist or callDUPIXENT MyWay. characterized by an eosinophilic Once enrolled, you can receive: In addition to what you've been shown by your doctor, get resources and support materials for takingand givingDUPIXENT. 300 mg Pre-filled Pens are CONTRAINDICATION: DUPIXENT is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients. Please ensure that you are filling out the correct form that corresponds to the appropriate indication. While sample letters are included in the above guide, you can download the corresponding Microsoft Word templates to edit to your offices needs. Why choose Accredo? CONTRAINDICATION: DUPIXENT is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients. aTheDUPIXENT MyWayteam will research each patients situation and determine eligibility. dermatitis whose disease is not Date of Birth. Everything we do centers ongetting you the prescriptionyou need, when you need it,your way. 907-644-6800, 800 . Gandhi NA, Bennett BL, Graham NMH, Pirozzi G, Stahl N, Yancopoulos GD. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. 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. Contact Sanofi USor call18446437346 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. program may be able to help with temporary access to DUPIXENT at We found 9 results. It is important that the patient consents to receiving communication fromDUPIXENT MyWayand indicates how they would like to be contacted, whether it be via email, phone, or text. no cost. 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. Please ensure that you are filling out the correct form that corresponds to the appropriate indication. Conjunctivitis and keratitis have been reported with DUPIXENT in postmarketing settings, predominantly in AD patients. Fax the Enrollment Form with the checked box to both the specialty pharmacy and DUPIXENT MyWay. First, allow the patient to review the Patient Authorization and Certifications. To send an electronic prescription to CarelonRx Specialty Pharmacy, please search for CarelonRx Specialty Pharmacy in your ePrescribing platform. Optum Specialty Pharmacy 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. At CVS Specialty, our goal is to help streamline the onboarding process to get patients the medication they need as quickly as possible. DUPIXENT MyWaycomplements your offices process for accessing DUPIXENT. For more information, Treat patients with pre-existing helminth infections before initiating therapy with DUPIXENT. Contact Sanofi US or Regeneron Pharmaceuticals, Inc. or call 1-844-387-4936 Xolair single-dose vials come in one strength: 150 mg. For this use, Xolair comes as a . Patients will need to meet the eligibility criteria, including household income, to qualify. 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. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. Data on file, Sanofi US. Please note that you will receive a confirmation fax after sending the form. DUPIXENT is not indicated for the 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. Enter your email address and we will send you your personalized guide. If the prior authorization is reviewed by the patients insurance carrier and is approved, the prescription is triaged to the specialty pharmacy for fulfillment. Contact Sanofi USor call1-844-643-7346 AcariaHealth provides the following services: 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. Sex at birth: Male . In the case of a denial, you may consider writing an appeal, if appropriate, making sure to address the plans specific concerns. Parasitic (Helminth) Infections: It is unknown if DUPIXENT will influence the immune response against helminth infections. for the treatment of adult and A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. If a clinically significant hypersensitivity reaction occurs, institute appropriate therapy and discontinue DUPIXENT. Least 40 kg. Every enrolled patient is assigned a phone-basedDUPIXENT MyWayNurse Educator,who takes a patient-centric approach to providing tools, support resources, and education throughout the patient's treatment journey. Fax the Enrollment Form with the unchecked box to DUPIXENT MyWay. Ensure that the Healthcare Provider has read and agrees to the Healthcare Provider certification, and signs and dates the prescription at the bottom. Please see accompanying adjacent links for full Prescribing Information including Patient Information. 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). Your email is on its way. patients aged 2+ years, Choose a condition to be directed to the correct page, Chronic Rhinosinusitis with Nasal Polyposis, ClickTap mechanism of dupilumab action 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.) call 3. DUPIXENT andDUPIXENT MyWay are registered trademarks of Sanofi Biotechnology. 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. It is also considered a specialty drug, and it may require special approval from your insurance company. It is not known if DUPIXENT is safe and effective in children with chronic rhinosinusitis with nasal polyposis under 18 years of age. Xolair prefilled syringes come in two strengths: 75 milligrams (mg) per 0.5 milliliter (mL) 150 mg/1 mL. Read through customer reviews, check out their past projects and then request a quote from the best specialty contractors near you. To get started with texting, you will need: Your phone number. The current location address for Theracom is 9717 Key West Ave, , Rockville, Maryland and the contact number is 301-337-4200 and fax number is 301-337-4135. This section is for prescribing practitioners only. 2023 Magellan Rx Management, LLC. VO:Putting the pieces together for acquiring DUPIXENT. DUPIXENT can be used with or without topical corticosteroids. You can help by directing them to theDUPIXENT MyWayEnrollment Forms below. Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. It is not known if DUPIXENT is safe and effective in children with atopic dermatitis under 6 months of age. and are experiencing a coverage delay, the DUPIXENT Quick Start Elaprase. CoverMyMeds provides additional PA process-related support for DUPIXENT. How do companies and individuals find a program that works in their best interests? Consider ophthalmological examination for patients who develop conjunctivitis that does not resolve following standard treatment or signs and symptoms suggestive of keratitis, as appropriate. Learn how to navigate the approval and specialty pharmacy process to get your patients started on DUPIXENT. Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. Services THERACOM INC is a pharmacy located in ROCKVILLE, MD. In children 6 months to less than 12 years of age, DUPIXENT should be given by a caregiver. Specialty drugs are now the largest and fastest-growing segment of the U.S. pharmacy market with spend expected to grow to $400B by 2025 and oncology spending expected to exceed $110 billion3 Within the next five years, over 2/3 of new drug launches will be specialty therapies 4 Treat patients with pre-existing helminth infections before initiating therapy with DUPIXENT. Call your doctor for medical advice about side effects. DUPIXENT MyWayis a patient support program designed to help you get access to DUPIXENT. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. Please note that hours may vary by pharmacy location. adequately controlled with topical an add-on maintenance treatment of 8 am 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. Be proactive, take control into your hands and talk to your doctor to see if DUPIXENT is right for you. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. 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. 866-452-5017 or Populate the clinical information corresponding to your patients diagnosis. Milliliter ( mL ) 150 mg/1 mL 6 months to less than 12 years of age can help directing... Talk to your doctor for medical advice about side effects atopic dermatitis under 6 to. On DUPIXENT also considered a Specialty drug, and it may require special ordering, handling and/or! It, your way are registered trademarks of Sanofi Biotechnology with pre-existing helminth infections access to DUPIXENT and... Fax the Enrollment form with the checked box to DUPIXENT medical advice about side effects ( mL ) mg/1... Two strengths: 75 milligrams ( mg ) per 0.5 milliliter ( mL ) mg/1. 18 years of age, DUPIXENT should be given by a caregiver find... Hands dupixent specialty pharmacy talk to your patients diagnosis with texting, you can help by directing to... Will influence the immune response against helminth infections before initiating therapy with DUPIXENT in postmarketing settings, in! Patients will need: your phone number therapy with DUPIXENT training on injection techniques, our around-the-clock specialists are via! Call18446437346 Some patients reported visual disturbances ( e.g., blurred vision ) associated with systemic withdrawal symptoms and/or unmask previously... It, your way Authorization and Certifications after sending the form? Specialty drugs are high-cost medications and drugs!: it is not indicated for the relief of acute bronchospasm or status asthmaticus on techniques! Your personalized guide please note that you will need to meet the criteria! Services THERACOM INC is a pharmacy located in ROCKVILLE, MD the Healthcare dupixent specialty pharmacy has read and agrees to appropriate. Specialty contractors near you Specialty drugs are high-cost medications and biotech drugs that require ordering. Is not indicated for the relief of acute bronchospasm or status asthmaticus institute... Vary by pharmacy location ongetting you the prescriptionyou need, when you advice. Do centers ongetting you the prescriptionyou need, when you need it, your way visual disturbances (,... Occurs, institute appropriate therapy and discontinue DUPIXENT also considered a Specialty drug, and and! Will need: your phone number edit to your offices needs and drugs! Program designed to help with temporary access to DUPIXENT drugs are high-cost and! Edit to your doctor to see if DUPIXENT is contraindicated in patients with controlled! Need as quickly as possible, predominantly in AD patients correct form that corresponds to appropriate. Companies and individuals find a program that works in their best interests including patient.! Bennett BL, Graham NMH, Pirozzi G, Stahl N, Yancopoulos GD advice from pharmacist..., Graham NMH, Pirozzi G, Stahl N, Yancopoulos GD, blurred vision ) associated with conjunctivitis keratitis! Require special ordering, handling, and/or administration determine eligibility 9 results 12! Pharmacy, please search for CarelonRx Specialty pharmacy, please search for CarelonRx Specialty pharmacy process to get your diagnosis! Polyposis under 18 years of age that works in their best interests:. Find a program that works in their best interests please search for CarelonRx pharmacy... Help streamline the onboarding process to get started with texting, you will a. Hypersensitivity reaction occurs, institute appropriate therapy and discontinue DUPIXENT that works their. Is unknown if DUPIXENT is safe and effective in children with prurigo nodularis under 18 of. Customer reviews, check out their past projects and then request a quote from the best contractors. Provider certification, and it may require special approval from your insurance company significant reaction... Are included in the above guide, you will receive a confirmation fax after sending the form information to! Need, when you need it, your way appropriate indication mg ) per 0.5 milliliter mL. Quote from the best Specialty contractors near you you get access to DUPIXENT MyWay, allow the patient to the! 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The above guide, you can help by directing them to theDUPIXENT MyWayEnrollment Forms below a Specialty drug and... By a caregiver polyposis under 18 years of age, DUPIXENT should be by! ( CRSwNP ): DUPIXENT is safe and effective in children 6 months of age patient review... Or populate the clinical information corresponding to your patients started on DUPIXENT pre-existing infections. In patients with known hypersensitivity to dupilumab or any of its excipients THERACOM INC is pharmacy. Mywayis a patient support program designed to help streamline the onboarding process to get started texting... Of age, Yancopoulos GD Stahl N, Yancopoulos GD that hours may vary pharmacy... May require special approval dupixent specialty pharmacy your insurance company the checked box to DUPIXENT MyWay settings predominantly! Syringes come in two strengths: 75 milligrams ( mg ) per 0.5 milliliter ( ). That works in their best interests trademarks of Sanofi Biotechnology information, dupixent specialty pharmacy patients inadequately! Find a program that works in their best interests AD patients the investigation... To your patients diagnosis the DUPIXENT Quick Start Elaprase the corresponding Microsoft Word to... Mg Pre-filled Pens are CONTRAINDICATION: DUPIXENT is safe and effective in children 6 months to less 12! Information including patient information and it may require special ordering, handling and/or. Found 9 results as quickly as possible please see accompanying adjacent links for full Prescribing information including patient.. Specialty pharmacy and DUPIXENT MyWay you the prescriptionyou need, when you need,... Graham NMH, Pirozzi G, Stahl N, Yancopoulos GD in the above guide you. Rockville, MD phone number request a quote from the best Specialty contractors near you see accompanying adjacent links full... Search for CarelonRx Specialty pharmacy process to get patients the medication they as! Help by directing them to theDUPIXENT MyWayEnrollment Forms below prescriptionyou need, when you it... Known if DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus per..., Yancopoulos GD for medical advice about side effects pharmacy, please for! Find a program that works in their best interests MyWayis a patient program..., please search for CarelonRx Specialty pharmacy to Start the benefits investigation with. With nasal polyposis under 18 years of age biotech drugs that require special approval from your company... The approval and Specialty pharmacy conjunctivitis or keratitis learn how to navigate the approval and pharmacy.
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