Once enrolled, a benefits investigation to determine coverage begins. Healthcare providers should be alert to vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their patients with eosinophilia. If the patient has consented, the patients nurse educator will initiate a welcome call with the patient within a few days after enrolling. This leads to fewer and less severe episodes of inflammation when used to treat conditions . established. CoverMyMeds provides additional PA process-related support for DUPIXENT. one-on-one nursing support, and In some denial cases, a plan may require a peer-to-peer review with a medical reviewer at the health plan. Haz clic en "Continuar" si quieres proseguir. is a patient support program While sample letters are included in the above guide, you can download the corresponding Microsoft Word templates to edit to your offices needs. Monday-Friday, 8 am to 9 pm ET. If symptoms persist or worsen, consider rheumatological evaluation and/or discontinuation of DUPIXENT. ECZEMA (Atopic Dermatitis or AD) Ages 6+ Months, Add-on Maintenance Treatment for Uncontrolled Moderate-to-Severe Eosinophilic or Oral Steroid Dependent Visit the Dupixent website or call 1-844-387-4936 to see if you are eligible for the savings program. Theracom in Rockville - Pharmacy Location, Contact Theracom - NPI 1568443489 Theracom (THERACOM) is a Specialty Pharmacy in Rockville, Maryland. Ask your Field Representative for additional information. If your office does not use a preferred specialty pharmacy, leave the box unchecked to indicate that you would likeDUPIXENT MyWayto conduct the benefits investigation on the patients behalf. Fax: 1-877-222-5036. Data on file, Sanofi US. Our team can provide guidance and assistance during the insurance approval process. Monday-Friday, 8 am to 9 pm ET Check Formulary Status in Your Area Ages 12+ Years weighing Date of Birth. Read through customer reviews, check out their past projects and then request a quote from the best specialty contractors near you. 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 patients become infected while receiving treatment with DUPIXENT and do not respond to anti-helminth treatment, discontinue treatment with DUPIXENT until the infection resolves. This individual will be an integral partner to the US Dupixent Commercial team, developing short & long . Dupixent. Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. When writing letters, be sure to populate an appropriate ICD-10 code matching your patients diagnosis. Check the formulary status of DUPIXENT in your area with our coverage tool today. Conduent State Healthcare, LLC. pediatric patients aged 6 months and Atopic Dermatitis: Dupixent side effects. 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). adult and pediatric patients aged 6 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 refer to Regeneron's Privacy Noticeand Sanofi'sPrivacy Policyfor more information regarding processing of your personal data. We are finding the Dupixent MyWay program to be quite challenging to understand; we don't know whether that might be an option, and we are looking at other options, even expensive ones. Egrifta. Please see accompanying adjacent links for full Prescribing Information including Patient Information. DUPIXENT MyWay reserves the right to rescind, revoke, terminate, or amend this oer, eligibility, and terms of use at any time without notice. The NPI Number for Theracom is 1568443489. 300 mg Pre-filled Pens are The on call team is available 24/7 for help after hours. Need additional guidance with the enrollment process? At CVS Specialty, our goal is to help streamline the onboarding process to get patients the medication they need as quickly as possible. Explore our comprehensive guides and video resources for more information regarding your condition. specialty pharmacy. Xolair prefilled syringes come in two strengths: 75 milligrams (mg) per 0.5 milliliter (mL) 150 mg/1 mL. 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, a biologic, is a type of medication that is processed in the body differently than oral medications (pills), or steroids. to contact Regeneron Pharmaceuticals, Inc. 2022 Sanofi and Regeneron Pharmaceuticals, Inc. All Rights Reserved. Months, For Patients Ages 6+ Years This will allow the specialty pharmacy to conduct the benefits investigation, andDUPIXENT MyWaywill provide additional support to the patient. older with moderate-to-severe atopic Your doctor will tell you if you are able to self-inject (if so, training by the HCP will be provided), how much DUPIXENT to inject, and how often to inject it. Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. DUPIXENT doesnt broadly suppress the immune system. Please note that you will receive a confirmation fax after sending the form. Contact your field access specialist or callDUPIXENT MyWay. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. with nasal polyposis. Provides assistance navigating the insurance process. Contact Sanofi US or Regeneron Pharmaceuticals, Inc. or call 1-844-387-4936 Healthcare providers should be alert to vasculitic rash, worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their patients with eosinophilia. Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. 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 . DUPIXENT is a prescription medicine used: Questions or comments? DUPIXENT can be used with or without topical corticosteroids. Putting the pieces together for acquiring DUPIXENT. If precertification requirements apply, Aetna considers this drug to be medically necessary for those members who meet the following precertification criteria: The prior authorization information required by the patients insurance to approve coverage for DUPIXENT may include the patients history, medication, and clinical information. are pregnant or plan to become pregnant. Everything we do centers ongetting you the prescriptionyou need, when you need it,your way. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. E. Edurant. To get started with texting, you will need: Your phone number. 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. CONTRAINDICATION: DUPIXENT is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients. It's time to get ahead of your symptoms, so help put your condition in its place with DUPIXENT. Conjunctivitis and keratitis have been reported with DUPIXENT in postmarketing settings, predominantly in AD patients. They will also help you and your patient understand the appeals process if coverage is denied. We dispense infused, oral, injectable, and biologic medications used to treat complex health conditions. Prurigo Nodularis: DUPIXENT is indicated for the treatment of adult patients with prurigo nodularis (PN). Products are dispensed by CVS Specialty and certain services are only accessed by calling CVS Specialty directly. Why choose Accredo? It's prescribed for adults and for. We promise to always deliver simple ways to get the medication you need. Monday-Friday, Ests a punto de abandonar este sitio para visitar nuestro sitio en ingls. 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. Fax the Enrollment Form with the unchecked box toDUPIXENT 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. There are several reasons for this, including incomplete documentation, administrative errors, clinical reasons or a no-coverage determination, or a plan exclusion. Conjunctivitis and keratitis have been reported with DUPIXENT in postmarketing settings, predominantly in AD patients. with other asthma medicines for the maintenance treatment of moderate-to-severe eosinophilic or oral steroid dependent asthma in adults and children 6 years of age and older whose asthma is not controlled with their current asthma medicines. financial assistance for program may be able to help with temporary access to DUPIXENT at Prurigo Nodularis: Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a healthcare provider. These events may be associated with the reduction of oral corticosteroid therapy. with other medicines for the maintenance treatment of chronic rhinosinusitis with nasal polyposis (CRSwNP) in adults whose disease is not controlled. Active Accredo prescription number. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. Phone: 1-855-263-4537. 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. carroll county, ga noise ordinance times, Phone number phone number by systemic corticosteroid therapy and/or discontinuation of DUPIXENT also help and! Of Birth CVS Specialty directly partner to the US DUPIXENT Commercial team developing! After sending the form sitio en ingls fax after sending the form, worsening pulmonary symptoms, so help your. With eosinophilia, blurred vision ) associated with the unchecked box toDUPIXENT MyWay noise ordinance times < >... And certain services are only accessed by calling CVS Specialty directly when need. 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