are pregnant or plan to become pregnant. Prescription Settings brand carton Elaprase. At CVS Specialty, our goal is to help streamline the onboarding process to get patients the medication they need as quickly as possible. adult and pediatric patients aged 6 eosinophilic esophagitis The prior authorization information required by the patients insurance to approve coverage for DUPIXENT may include the patients history, medication, and clinical information. Please call THERACOM INC at (888) 843-7226 to . If a PA is required, your DUPIXENT MyWay Coordinator can help you navigate the PA process. New to Brand Monthly Audit; data through June 2022. Please ensure that you are filling out the correct form that corresponds to the appropriate indication. Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. DUPIXENT, a biologic, is a type of medication that is processed in the body differently than oral medications (pills), or steroids. Efficacy and safety of dupilumab in glucocorticoid-dependent severe asthma. To get started with texting, you will need: Your phone number. They will also help you and your patient understand the appeals process if coverage is denied. LIBERTY ASTHMA TRAVERSE CSR, 2020. Avoid use of live vaccines in patients treated with DUPIXENT. 3. Entecavir. 2350 Three Mile Road NW. 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. Once enrolled, you can receive: In addition to what you've been shown by your doctor, get resources and support materials for takingand givingDUPIXENT. First, allow the patient to review the Patient Authorization and Certifications. 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. to contact DUPIXENT MyWay. -to Be sure to check your inbox. In children 6 to 11 years old using Dupixent or placebo plus a topical corticosteroid for severe eczema, studies at 16 weeks show that . 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. MRx Pharmacy supports more than 30 unique specialty disease categories, from oncology and inflammatory conditions to bleeding disorders and rare diseases. How do companies and individuals find a program that works in their best interests? Enter your email address and we will send you your personalized guide. Forms are available at DupixentHCP.com. Female Preferred pronouns Last 4 digits of SSN . A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. If the prior authorization is reviewed by the patients insurance carrier and is approved, the prescription is triaged to the specialty pharmacy for fulfillment. 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. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. Populate the clinical information corresponding to your patients diagnosis. Explore our comprehensive guides and video resources for more information regarding your condition. at least 88 lb (40 kg). These are not all the possible side effects of DUPIXENT. Enbrel. If you're eligible, you can enroll online and receive your card by email. Please see accompanying adjacent links for full Prescribing Information including Patient Information. Be sure to check your inbox. Your email is on its way. Conjunctivitis and keratitis have been reported with DUPIXENT in postmarketing settings, predominantly in AD patients. 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 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. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. Saveonsp-supported specialty medications. 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. After you prescribe DUPIXENT, a correctly filled out DUPIXENT MyWay Enrollment Form helps ensure patient enrollments are processed without delays. Treat patients with pre-existing helminth infections before initiating therapy with DUPIXENT. Contact Sanofi USor call18446437346 You can contact Optum Specialty Pharmacy at 877-259-9428. Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a healthcare provider. 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. A causal association between DUPIXENT and these conditions has not been established. 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 . Risk Associated with Abrupt Reduction of Corticosteroid Dosage: Do not discontinue systemic, topical, or inhaled corticosteroids abruptly upon initiation of DUPIXENT. Sanofi US is hosting this website on behalf of Sanofi and Regeneron Pharmaceuticals, Inc. 866-452-5017 or 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. Prurigo Nodularis: There is currently no generic alternative to Dupixent. older, weighing at least 40 kg, with Prurigo Nodularis: DUPIXENT is indicated for the treatment of adult patients with prurigo nodularis (PN). 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. IL-13, Monday-Friday, These events may be associated with the reduction of oral corticosteroid therapy. Need additional guidance with the enrollment process? For more information, Please upgrade your iOS version if you are having trouble using our mobile app. Advise patients to report new onset or worsening eye symptoms to their healthcare provider. 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. 4. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. DUPIXENT can be used with or without topical corticosteroids. Forms are available at DupixentHCP.com. Support, LEARN ABOUT OUR They will begin the benefits investigation and inform your office of the next steps. 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. in adult patients with inadequately Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. Accredo will help collect necessary documentation. We offer access to specialty medications and infusion therapies, centralized intake and benefits verification, and prior authorization assistance. You are on primary menu. moderate-to-severe asthma E. Edurant. IQVIA syndicated reports, internal patient services & specialty pharmacy data, etc.) 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. 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. Avoid use of live vaccines in patients treated with DUPIXENT. Accredo will contact your patient or office to set up delivery. Everything we do centers ongetting you the prescriptionyou need, when you need it,your way. As a specialty pharmacy, Senderra provides faster communication, easier processes, and better support for your health . It's time to get ahead of your symptoms, so help put your condition in its place with DUPIXENT. Treat patients with pre-existing helminth infections before initiating therapy with DUPIXENT. 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. DUPIXENT helps block a key source of inflammation Your email is on its way. 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. Contact Sanofi US or Regeneron Pharmaceuticals, Inc. or call 1-844-387-4936 Puerto Rico requires first-fill prescriptions to be transmitted directly to the dispensing specialty pharmacy. Key Points. Insured patients may be eligible for the Dupixent Copay Card program and pay as little as $0 per month on their Dupixent prescriptions. To adhere to this promise, we undergo accreditations through leading healthcare advisory groups. one-on-one nursing support, and patients aged 2+ years, Choose a condition to be directed to the correct page, Chronic Rhinosinusitis with Nasal Polyposis, ClickTap The NPI Number for Theracom is 1568443489. Enter your email address and we will send you your personalized guide. And reminding them that the specialty pharmacy may call them from an unknown number. In order to be effective, and work properly, biologics are injectable medicines. If symptoms persist or worsen, consider rheumatological evaluation and/or discontinuation of DUPIXENT. CONTRAINDICATION: DUPIXENT is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients. Optum Connections includes videos, virtual visits, support texts and more all designed to help you understand your condition, manage your treatment, and live your best possible life. 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