When filling out the DUPIXENT MyWay Enrollment Form, both you and your patient will be required to supply information, such as the patient’s insurance, diagnosis, and prescription. You can email or print the enrollment forms below.

The DUPIXENT MyWay Enrollment Form is an important way to help your patients start and stay on track with DUPIXENT. By completing it right away, you can help your patients get started with DUPIXENT without delay.