Egrifta. 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. for the treatment of adult and (1-844-387-4936), All Rights Reserved. Treat patients with pre-existing helminth infections before initiating therapy with DUPIXENT. Service specialty drugs under Pharmacy and Medical Benefit Phone: 877-627-6337 Fax: 877-828-3939 AllianceRx Walgreens Prime Website Other In-Network Specialty Pharmacies Contact Information Website Kroger Specialty Pharmacy Service specialty drugs on the Pharmacy Benefit Phone: 855-274-1694 Fax: 855-819-6922 Kroger Specialty Website Eloctate. Acthar Gel Ancillary Dermatology Alopecia Areata Ankylosing Spondylitis Asthma/Respiratory Pediatric Asthma Years, For Patients Ages 12+ to contact Regeneron Pharmaceuticals, Inc. 2022 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. If symptoms persist or worsen, consider rheumatological evaluation and/or discontinuation of DUPIXENT. 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. For patients with commercial insurance who are new to DUPIXENT Your email is on its way. DUPIXENT is not indicated for the Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. Patients. Theracom in Rockville - Pharmacy Location, Contact Theracom - NPI 1568443489 Theracom (THERACOM) is a Specialty Pharmacy in Rockville, Maryland. Patients should seek medical advice if their asthma remains uncontrolled or worsens after initiation of DUPIXENT. PREFERRED QUALIFICATIONS: Ability to thrive in a fast-paced . Specialty drug spend escalated dramatically over the past decade. It is also considered a specialty drug, and it may require special approval from your insurance company. 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. Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. Prurigo Nodularis: DUPIXENT is indicated for the treatment of adult patients with prurigo nodularis (PN). Please refer to Regeneron's Privacy Notice and Sanofi's Privacy Policy for more information regarding processing of your personal data. nursing support, and more. After you prescribe DUPIXENT, a correctly filled outDUPIXENT MyWayEnrollment Form helps ensure patient enrollments are processed without delays. Completion of a written evaluation of the Dupixent, the competition drug, including recommendations for formulary placement . to Learn More. Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. at least 88 lb (40 kg). Its important to understand how to identify prescription drug coverage. Thanks for any help on this confusing issue. pediatric patients aged 12 years, call 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 Whether you need advice from a pharmacist or training on injection techniques, our around-the-clock specialists are available via live chat now. Questions or comments? Navigating Prior Authorizations & Appeals, DUP.22.09.0183Last Update: October 2022. Targeting key proximal drivers of type 2 inflammation in disease. Data on file, Sanofi US. therapies are not advisable. 4. Dupixent side effects. For more information, call1-844-DUPIXEN(T) (1-844-387-4936), option 1. aApproval is not guaranteed. Ensure that the Healthcare Provider has read and agrees to the Healthcare Provider certification, and signs and dates the prescription at the bottom. In the case of a denial, you may consider writing an appeal, if appropriate, making sure to address the plans specific concerns. Dysport. are scheduled to receive any vaccinations. For Patients Ages 6+ 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. 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. To adhere to this promise, we undergo accreditations through leading healthcare advisory groups. 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. Eligard. Patients with Co-morbid Asthma: Advise patients with co-morbid asthma not to adjust or stop their asthma treatments without consultation with their physicians. Please refer to Regeneron's Privacy Noticeand Sanofi'sPrivacy Policyfor more information regarding processing of your personal data. 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. DUPIXENT andDUPIXENT MyWayare registered trademarks of Sanofi Biotechnology. 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. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. Forms are available at DupixentHCP.com. In those situations, the program may change its terms. 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. Live support is available at866-452-5017orcovermymeds.com. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. DUPIXENT MyWayrepresentative arranges shipment with patient via specialty pharmacy (in network) or patient arranges shipment with specialty pharmacy (out of network). Usually, your doctor will call or fax a prescription directly to a specialty pharmacy. CMS Medicaid Pharmacy Drug Pricing (NADAC files) Alaska Medicaid Provider Billing Manuals; Alaska Medicaid Health Enterprise Pharmacy site; Contacts Prior Authorization Staff. Vaccinations: Consider completing all age-appropriate vaccinations as recommended by current immunization guidelines prior to initiating DUPIXENT. Date of Birth. 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). We offer access to specialty medications and infusion therapies, centralized intake and benefits verification, and prior authorization assistance. Providing the service you need and the care your patients deserve. DUPIXENT is indicated for the following conditions: Uncontrolled Moderate-to-Severe Eosinophilic Esophagitis: 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. weighing at least 40 kg, and older Dupixent 300mg/2ml syringe ICD10: Dupixent 200mg/1.14ml syringe . Active Accredo prescription number. DUPIXENT is covered under the pharmacy benefit plan, which requires a patient to coordinate delivery with a specialty pharmacy. Nurse Educators take a patient-centric approach to helping patients start and stay on therapy. Let SaveOnSP administer a plan benefit design aimed at lowering these rising costs. coverage delay, the DUPIXENT Quick Start program may be able to help with -to Specialty Pharmacy Accreditation We are committed to providing exceptional service for our patients. This will allow the specialty pharmacy to conduct the benefits investigation, and DUPIXENT MyWay will provide additional support to the patient. The on call team is available 24/7 for help after hours. 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. to contact DUPIXENT MyWay. These accreditations ensure that we are operating with the highest quality standards. DUPIXENT MyWaywill not conduct the benefits investigation, nor send a Summary of Benefits Form, for providers who have checked the specialty pharmacy box on the Enrollment Form, as this indicates that they wish the specialty pharmacy to conduct the benefits investigation. Contact Sanofi USor call18446437346 This section is for prescribing practitioners only. If the patient has consented, the patients nurse educator will initiate a welcome call with the patient within a few days after enrolling. Dupixent may cause serious side effects. CoverMyMeds provides additional PA process-related support for DUPIXENT. Phone: 1-855-263-4537. It's prescribed for adults and for. 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 Some plans, including commercial and Medicare, may even have a separate pharmacy benefit card. Populate the clinical information corresponding to your patients diagnosis. Directions for use : Quantity: Duration of therapy: J-Code: . Female Preferred pronouns Last 4 digits of SSN . And reminding them that the specialty pharmacy may call them from an unknown number. years and older with 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. Magellan Rx Specialty Pharmacy Making a difference in pharmacy care Specialty drug spend escalated dramatically over the past decade. adequately controlled with topical Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. Dupixent (dupilumab) Four simple steps to submit your referral. Envarsus XR. mechanism of dupilumab action If precertification requirements apply, Aetna considers this drug to be medically necessary for those members who meet the following precertification criteria: Putting the pieces together for acquiring DUPIXENT. There are several reasons for this, including incomplete documentation, administrative errors, clinical reasons or a no-coverage determination, or a plan exclusion. We can be reached Monday - Friday, from 8 a.m. - 6 p.m. Call us at 1-877-342-9352 or visit Optum Infusion Pharmacy. Avoid use of live vaccines in patients treated with DUPIXENT. Middle initial . Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. AcariaHealth is the preferred specialty pharmacy provider of Ambetter from Superior HealthPlan. A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. Prurigo Nodularis: Meijer Specialty PharmacyCorporate Offices & Patient Services. Grand Rapids, MI 49544. Questions or comments? Support, LEARN ABOUT OUR students and our specialty pharmacy family at the ashp midyear . DUPIXENT is most commonly accessed through a specialty pharmacy The path to accessing DUPIXENT may be different than the one your patients or caregivers have taken to access other medications PrescriptionBenefits verification Prior authorization Approval and pharmacy triage Fulfillment and shipment Refills 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. 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. Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. Fill out the enrollment form with your patients. Program has an annual maximum of $13,000. Populate the clinical information corresponding to your patients diagnosis. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. First, allow the patient to review the Patient Authorization and Certifications. Dupixent works by targeting a type of protein called an interleukin, that is involved in inflammation. 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. Enbrel. Magellan Clinical Call Center 800-331-4475 - phone 888-603-7696 - fax. Our mobile app currently supports iOS 16 or above. Fax: 1-877-222-5036. 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. Durolane. Dupixent is a prescription drug that's used to treat: certain kinds of moderate to severe asthma in adults and some children moderate to severe eczema in adults and some children eosinophilic. Once enrolled, a benefits investigation to determine coverage begins. aTheDUPIXENT MyWayteam will research each patients situation and determine eligibility. AcariaHealth provides the following services: We also offer infusion services with Optum Infusion Pharmacy. Months, For Patients Ages 6+ Years adult and pediatric patients aged 6 with an Eosinophilic For more information, call 1844DUPIXENT (1-844-387-4936), option 1. Watch the video below for more information. Contact Sanofi USor call18446437346 We are making enrolling in text alerts easier than ever. Explore our comprehensive guides and video resources for more information regarding your condition. Sanofi and Regeneron are industry partners, who are committed to handling personal data in ways that respect your privacy. If the patient has consented, the patients nurse educator will initiate a welcome call with the patient within a few days after enrolling. We can help. When writing letters, be sure to populate an appropriate ICD-10 code matching your patients diagnosis. Prescription Settings brand carton Please note that you will receive a confirmation fax after sending the form. This program is not valid where prohibited by law, taxed or restricted. Nasal Polyposis (CRSwNP): All criteria below must be met in order . Specialty therapy isn't a hands-off process. DUPIXENT MyWay complements your offices process for accessing DUPIXENT. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. Alternatively, call 833-203-1742 or fax the prescription to 800-378-0323. Efficacy and safety of dupilumab in glucocorticoid-dependent severe asthma. with other medicines for the maintenance treatment of chronic rhinosinusitis with nasal polyposis (CRSwNP) in adults whose disease is not controlled. 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. 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. 2. 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 12 years of age and older, who weigh at least 88 pounds (40 kg), with eosinophilic esophagitis (EoE). 8 am, Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP), DUP.22.09.0186Last Update: October 2022, Patient Access DUPIXENT MyWay at 1-844-DUPIXEN(T) You'll find the phone number in the top right corner of your Rx label. financial assistance for available for your appropriate Fax the Enrollment Form with the unchecked box toDUPIXENT MyWay. DUPIXENT MyWayis a patient support program designed to help you get access to DUPIXENT. are pregnant or plan to become pregnant. New pati ent . 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. CoverMyMeds provides additional PA process-related support for DUPIXENT. Do not try to prepare and inject DUPIXENT until you or your caregiver have been trained by your healthcare provider. Ests a punto de abandonar este sitio para visitar nuestro sitio en ingls. We found 9 results. pediatric patients aged 6 months and 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. 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. controlled chronic rhinosinusitis Be proactive, take control into your hands and talk to your doctor to see if DUPIXENT is right for you. Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a healthcare provider. DUPIXENT doesnt broadly suppress the immune system. To enroll or get more information call. 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). GoodRx seems to be suggesting a specialty pharmacy. In some denial cases, a plan may require a peer-to-peer review with a medical reviewer at the health plan. dermatitis whose disease is not 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. older with moderate-to-severe atopic Forms are available at DupixentHCP.com. DUPIXENT is not used to treat sudden breathing problems. Contact your Field Access Specialist or callDUPIXENT MyWayat1-844-387-4936, Monday through Friday, 8 am to 9 pm Eastern Time. Enter your email address and we will send you your personalized guide. DUPIXENT is a prescription medicine used: Questions or comments? 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. medication [e.g., Adbry (tralokinumab), Xolair (omalizumab)] -AND- (3) Prescribed by one of the following: (a) Dermatologist and are experiencing a coverage delay, the DUPIXENT Quick Start How do companies and individuals find a program that works in their best interests? In children 6 months to less than 12 years of age, DUPIXENT should be given by a caregiver. Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. LIBERTY ASTHMA TRAVERSE CSR, 2020. Magellan Technical Call Center 800-884-3238. Xolair single-dose vials come in one strength: 150 mg. For this use, Xolair comes as a . 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). specialty pharmacy. Please contact us at 888.355.4191 if you do not see your prescribed medication, ancillary therapy or medical equipment listed. DUPIXENT is a proactive treatment that helps keep you one step ahead of your condition. DUPIXENT can be used with or without topical corticosteroids. Please refer to Regeneron's Privacy Noticeand Sanofi'sPrivacy Policyfor more information regarding processing of your personal data. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. IL-13, Monday-Friday, Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. We dispense infused, oral, injectable, and biologic medications used to treat complex health conditions. For patients with commercial insurance who are new to DUPIXENT and are experiencing a
+ 48 602 120 990
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dupixent specialty pharmacy