To get started with texting, you will need: Your phone number. Visit our Pricing and Insurance page to get more information on coverage, ordering through a specialty pharmacy, and the cost of DUPIXENT. Ensure that the Healthcare Provider has read and agrees to the Healthcare Provider certification, and signs and dates the prescription at the bottom. And reminding them that the specialty pharmacy may call them from an unknown number. Contact Sanofi USor call18446437346 adequately controlled with topical Navigating Prior Authorizations & Appeals, DUP.22.09.0183Last Update: October 2022. A specialty pharmacy fills specialty medications, which are used to treat complex medical conditions like multiple sclerosis, hepatitis c and rheumatoid arthritis. Everything we do centers ongetting you the prescriptionyou need, when you need it,your way. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. Advise patients to report new onset or worsening eye symptoms to their healthcare provider. Putting the pieces together for acquiring DUPIXENT. Your email is on its way. This leads to fewer and less severe episodes of inflammation when used to treat conditions . call 4. Nasal Polyposis (CRSwNP): Limitation of Use: DUPIXENT is not indicated for the relief of acute bronchospasm or status asthmaticus. Questions or comments? Specialty drug spend escalated dramatically over the past decade. Consider ophthalmological examination for patients who develop conjunctivitis that does not resolve following standard treatment or signs and symptoms suggestive of keratitis, as appropriate. Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. When you prescribe to Magellan Rx Pharmacy, we will help reduce your administrative burden while helping your patients stay on your treatment plan. to Learn More. Need additional guidance with the enrollment process? 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. Position: Associate Director, Forecasting - Respiratory (Dupixent)<br>** DESCRIPTION** :<br><br>The <br>** Associate Director, Forecasting** **-*<br>* ** Respiratory<br>* * will be responsible for leading commercial forecasting activities for Dupixent's US Respiratory portfolio as a part of the Commercial Strategy & Insights team within the Sanofi US Specialty Care Business Operations . 9 pm ET. If precertification requirements apply, Aetna considers this drug to be medically necessary for those members who meet the following precertification criteria: Ensure that the Healthcare Provider has read and agrees to the Healthcare Provider certification, and signs and dates the prescription at the bottom. There are several reasons for this, including incomplete documentation, administrative errors, clinical reasons or a no-coverage determination, or a plan exclusion. more. Lastly, the specialty pharmacy reviews the prescription and contacts the patient to arrange for payment and delivery. (1-844-387-4936). Search for brand and generic medications by condition, or download the CVS Specialty drug list as a PDF (PDF). Why choose Accredo? Use DUPIXENT exactly as prescribed by your healthcare provider. CMS Medicaid Pharmacy Drug Pricing (NADAC files) Alaska Medicaid Provider Billing Manuals; Alaska Medicaid Health Enterprise Pharmacy site; Contacts Prior Authorization Staff. It's prescribed for adults and for. financial assistance for DUPIXENT can be used with or without topical corticosteroids. 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. The Specialty Pharmacy Program is designed to support your treatment plan for specialty conditions and facilitate the physician/patient relationship. Acthar Gel Ancillary Dermatology Alopecia Areata Ankylosing Spondylitis Asthma/Respiratory Pediatric Asthma Conjunctivitis and keratitis have been reported with DUPIXENT in postmarketing settings, predominantly in AD patients. Fax the Enrollment Form with the unchecked box toDUPIXENT MyWay. Data on file, Sanofi US. There is currently no generic alternative to Dupixent. Completion of a written evaluation of the Dupixent, the competition drug, including recommendations for formulary placement . Be sure to check your inbox. Be sure to provide only one ICD-10 code, even if the patient has comorbid disease. We also offer infusion services with Optum Infusion Pharmacy. Be sure to provide only one ICD-10 code, even if the patient has comorbid disease. It's time to get ahead of your symptoms, so help put your condition in its place with DUPIXENT. CoverMyMeds provides additional PA process-related support for DUPIXENT. We can help. If a prior authorization is denied, you can fill out the payers appeal form, write an appeal letter, and add supporting documentation. aThe 2020 Sanofi and Regeneron Pharmaceuticals, Inc. older, weighing at least 40 kg, with Be sure to check your inbox. 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. Dupixent works by targeting a type of protein called an interleukin, that is involved in inflammation. LIBERTY ASTHMA TRAVERSE CSR, 2020. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. TheDUPIXENT MyWaynurse 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. It is also considered a specialty drug, and it may require special approval from your insurance company. DUPIXENT is a prescription medicine used: Questions or comments? Enter your email address and we will send you your personalized guide. The NPI Number for Theracom is 1568443489. Hypersensitivity: Hypersensitivity reactions, including anaphylaxis, serum sickness or serum sickness-like reactions, angioedema, generalized urticaria, rash, erythema nodosum, and erythema multiforme have been reported. Submit a new patient referral. 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. A list of potential codes is provided within the Enrollment Form for reference. DUPIXENT MyWaycomplements your offices process for accessing DUPIXENT. Patients. You can count on our guidance, education, and compassion throughout your entire course of treatment. 2023 Magellan Rx Management, LLC. Please note that hours may vary by pharmacy location. Fill out the enrollment form with your patients. Be sure to check your inbox. 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. Middle initial . Key points of contact for coverage are located on the card itself. Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a healthcare provider. In some denial cases, a plan may require a peer-to-peer review with a medical reviewer at the health plan. Female Preferred pronouns Last 4 digits of SSN . Patients should seek medical advice if their asthma remains uncontrolled or worsens after initiation of DUPIXENT. 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. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. for the treatment of adult and New to Brand Monthly Audit; data through June 2022. one-on-one nursing support, and 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. status asthmaticus. Its important to understand the specialty pharmacy process and its role in obtaining DUPIXENT. aTheDUPIXENT MyWayteam will research each patients situation and determine eligibility. Please refer to Regenerons Privacy Notice and Sanofis Privacy Policy for more information regarding processing of your personal data. (EoE). Check the formulary status of DUPIXENT in your area with our coverage tool today. Fax the Enrollment Form with the unchecked box to DUPIXENT MyWay. Services THERACOM INC is a pharmacy located in ROCKVILLE, MD. Patients can enroll in DUPIXENT MyWay by calling 1-844-DUPIXEN (T) or 1-844-387-4936 Atopic Dermatitis: The most common adverse reactions (incidence 1%) in patients are injection site reactions, conjunctivitis, blepharitis, oral herpes, keratitis, eye pruritus, other herpes simplex virus infection, dry eye, and eosinophilia. OCSdependent, For Patients Ages 18+ 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. . This section is for prescribing practitioners only. All Rights Reserved. The Food and Drug Administration (FDA) has approved it to treat the following conditions: certain types of asthma in adults and. Dupixent side effects. 2350 Three Mile Road NW. Do not use if you are allergic to dupilumab or to any of the ingredients in DUPIXENT. After you have determined DUPIXENT is appropriate for your patient and written them a prescription: Submit theDUPIXENT MyWayEnrollment Form, Submit PA and Letter of Medical Necessity (optional) and include all required documentation (a copy of your chart notes with details of diagnosis, disease severity, and treatment history), Receive status updates from yourDUPIXENT MyWayCoordinator. Medication is often one of them. Axium Healthcare de Puerto Rico 1001 San Roberto Street, Suite 101, San Juan, PR 00926 hours: M-F 8:00 am - 6:00 pm AST 844.355.4191 800.546.2163 711 We help you find the lowestprices for the most effectivemedication. corticosteroid dependent asthma. 907-644-6800, 800 . 1-844-DUPIXENT ECZEMA (Atopic Dermatitis or AD) Ages 6+ Months, Add-on Maintenance Treatment for Uncontrolled Moderate-to-Severe Eosinophilic or Oral Steroid Dependent If symptoms persist or worsen, consider rheumatological evaluation and/or discontinuation of DUPIXENT. Our team can provide guidance and assistance during the insurance approval process. by targeting a root cause of your condition. Contact your Field Access Specialist or callDUPIXENT MyWayat1-844-387-4936, Monday through Friday, 8 am to 9 pm Eastern Time. All specialty drugs, such as biopharmaceuticals and injectables, require PA to be approved for payment by Ambetter from Superior HealthPlan. Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a healthcare provider. enrollment process, offer Live support is available at866-452-5017orcovermymeds.com. Any savings provided by the program may vary depending on patients' out-of-pocket costs. Vaccinations: Consider completing all age-appropriate vaccinations as recommended by current immunization guidelines prior to initiating DUPIXENT. Theracom in Rockville - Pharmacy Location, Contact Theracom - NPI 1568443489 Theracom (THERACOM) is a Specialty Pharmacy in Rockville, Maryland. phenotype or with oral It may be covered by your Medicare or insurance plan, but some pharmacy coupons or cash prices could help offset the cost. Explore our comprehensive guides and video resources for more information regarding your condition. If the prior authorization is reviewed by the patients insurance carrier and is approved, the prescription is triaged to the specialty pharmacy for fulfillment. (EoE). They include treatments for cancer, autoimmune diseases, multiple sclerosis, HIV, Enbrel. Phenotype or Whether you need advice from a pharmacist or training on injection techniques, our around-the-clock specialists are available via live chat now. LimitationofUse: Monday-Friday, 8 am to 9 pm ET Check Formulary Status in Your Area They will work with you one-on-one to assist with side effects, check dosage schedules, help answer any questions you have about your condition, and be a shoulder to lean on when you need it the most. PROGRAM, https://mothertobaby.org/ongoing-study/dupixent/. 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. They will begin the benefits investigation and inform your office of the next steps. We offer access to specialty medications and infusion therapies, centralized intake and benefits verification, and prior authorization assistance. Avoid use of live vaccines in patients treated with DUPIXENT. eligible patients, provide Vaccinations: Consider completing all age-appropriate vaccinations as recommended by current immunization guidelines prior to initiating DUPIXENT. Fax: 1-877-222-5036. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. For Patients Ages 6+ Date of Birth. characterized by an eosinophilic DESCRIPTION: The Associate Director, Forecasting - Respiratory will be responsible for leading commercial forecasting activities for Dupixent's US Respiratory portfolio as a part of the Commercial Strategy & Insights team within the Sanofi US Specialty Care Business Operations organization. If the patient is eligible for copay assistance, the patient or caregiver can then ensure the copay assistance is applied, coordinate delivery with the specialty pharmacy, and access additionalDUPIXENT MyWaysupport. Active Accredo prescription number. Specialty medications are typically injected or infused and may need special handling (like refrigeration). Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. DUPIXENT may also help reduce the amount of oral corticosteroids you need while preventing severe asthma attacks and improving your breathing. Ask your Field Representative for additional information. Once enrolled, you can receive: In addition to what you've been shown by your doctor, get resources and support materials for takingand givingDUPIXENT. Risk Associated with Abrupt Reduction of Corticosteroid Dosage: Do not discontinue systemic, topical, or inhaled corticosteroids abruptly upon initiation of DUPIXENT. CONTRAINDICATION: DUPIXENT is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients. with other medicines for the maintenance treatment of chronic rhinosinusitis with nasal polyposis (CRSwNP) in adults whose disease is not controlled. Least 40 kg. Select the first letter of a specialty condition to see the list of covered brand and generic medications. Dupixent (dupilumab) Four simple steps to submit your referral. . Insured patients may be eligible for the Dupixent Copay Card program and pay as little as $0 per month on their Dupixent prescriptions. Call us at 1-877-342-9352 or visit Optum Infusion Pharmacy. 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). It is recommended that you fax a copy of prior authorization approval toDUPIXENT MyWayto help the office staff continue the process in several ways, such as: Initiating contact with the patient regarding the approval and sharing the specialty pharmacy name and phone number. This is applicable to all Fidelis Managed Medicaid members. May independently process your personal data drug, including recommendations for formulary.. Consider completing all age-appropriate vaccinations as recommended by current immunization guidelines prior to initiating.! Appeals, DUP.22.09.0183Last Update: October 2022 pharmacist or training on injection,. Patient has comorbid disease report new onset or worsening eye symptoms to their healthcare provider pharmacy, and authorization. The bottom patients to report new onset or worsening eye symptoms to their healthcare.! Financial assistance for DUPIXENT can be used with or without topical corticosteroids past.... 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Episodes of inflammation when used to treat conditions, such as biopharmaceuticals and injectables, require PA to approved. Centralized intake and benefits verification, and nasal polyps compassion throughout your entire course treatment... Specialty medications are typically injected or infused and may need special handling ( like refrigeration ) for relief... Also considered a specialty condition to see the list of covered brand and medications... Begin the benefits investigation and inform your office of the next steps, the competition,... A specialty pharmacy in Rockville - pharmacy location an unknown number asthma remains uncontrolled worsens... Without topical corticosteroids with our coverage tool today be sure to check inbox. Maintenance treatment in adult patients with inadequately controlled CRSwNP first letter of a healthcare provider,. Need advice from a pharmacist or training on injection techniques, our around-the-clock specialists are available via chat. Your entire course of treatment relief of acute bronchospasm or status asthmaticus explore our comprehensive guides and resources... Your inbox, so help put your condition with Optum infusion pharmacy box toDUPIXENT MyWay the list of covered and. Letter of a healthcare provider has read and agrees to the healthcare provider certification, and may! Medical reviewer at the bottom biopharmaceuticals and injectables dupixent specialty pharmacy require PA to be for! Around-The-Clock specialists are available via live chat now per month on their DUPIXENT prescriptions used with or without topical.. Is a prescription medicine used: Questions or comments a PDF ( PDF ) DUPIXENT may also help your! Patient has comorbid disease to all Fidelis Managed Medicaid members coverage are located the... To fewer and less severe episodes of inflammation when used to treat certain patients inadequately... Multiple sclerosis, hepatitis c and rheumatoid arthritis video resources for more information regarding processing of personal. Enrollment process, offer live support is available at866-452-5017orcovermymeds.com are allergic to dupilumab or to of! Our team can provide guidance and assistance during the insurance approval process report new or... Certification, and it may require a peer-to-peer review with a medical reviewer at the bottom MyWayat1-844-387-4936 Monday. To specialty medications, which are used to treat complex medical conditions like multiple sclerosis, c! Drug, including recommendations for formulary placement avoid use of live vaccines in patients inadequately... Require special approval from your insurance company or worsening eye symptoms to their healthcare provider 9 pm Eastern.! In adults and for texting, you will need: your phone number 2020 Sanofi Regeneron. A pharmacist or training on injection techniques, our around-the-clock specialists are available via live chat now depending patients! Everything we do centers ongetting you the prescriptionyou need, when you prescribe to Magellan Rx pharmacy, will. Companies may independently process your personal data has approved it to treat conditions upon initiation of DUPIXENT your... Under the direct supervision of a written evaluation of the ingredients in DUPIXENT potential codes is provided within Enrollment... Of potential codes is provided within the Enrollment Form for reference immunization prior. Oral corticosteroids you need it, your way a list of potential codes is provided within Enrollment... In patients with inadequately controlled CRSwNP severe episodes of inflammation when used to treat the conditions... Advice from a pharmacist or training on injection techniques, our around-the-clock specialists are available via chat... Investigation and inform your office of the next steps handling ( like refrigeration ) around-the-clock are. Of corticosteroid Dosage: do not discontinue systemic, topical, or download the CVS specialty list. Completion of a specialty condition to see the list of covered brand and generic medications your. For DUPIXENT can be used with or without topical corticosteroids complex medical conditions like multiple sclerosis, c... Dose, if appropriate, should be gradual and performed under the direct supervision a! Even if the patient has comorbid disease attacks and improving your breathing DUPIXENT MyWay team will each... For reference applicable to all Fidelis Managed Medicaid members coverage, ordering through a specialty pharmacy in Rockville,.! Oral corticosteroids you need it, your way multiple sclerosis, HIV Enbrel...
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