Committed to Helping Enable
Patient Access

DUPIXENT MyWay is a patient support program established in 2017 to help enable patient access and minimize barriers to DUPIXENT. With DUPIXENT MyWay, staff and patients will have access to:


1‑844‑DUPIXEN(T)

To enroll in DUPIXENT MyWay, your patients can call 1‑844‑DUPIXEN(T) or you can use the following links to download the forms.

Coverage and Access Support for Eligible Patients

Coverage Support

Provides guidance and assistance navigating through the insurance process.

Download the following documents regarding coverage for DUPIXENT:

1.2MbNavigating PAs and Appeals for
DUPIXENT

  • Includes sample letters regarding coverage

54KbICD-10 Code Resource Guide


Benefits Investigation, prior authorizations (PAs), and appeals support
DUPIXENT MyWay® verifies your patient’s specific health plan coverage for DUPIXENT, as well as copay information. If a PA is required, your DUPIXENT MyWay Coordinator can help you navigate the PA process. They will also help you and your patients understand the appeal process if coverage is denied and provide education about the process.

Patient Access Support

Copay card helps eligible patients optimize access to DUPIXENT treatment.




With the DUPIXENT MyWay® Copay Card, eligible patients may pay as little as $0a for every month of their DUPIXENT prescription (maximum of $13,000 per patient per calendar year).


Eligibility Requirements:
  • Commercially insured
  • Patient resides in the 50 United States, the District of Columbia, or Puerto Rico
  • Patient has a valid prescription for DUPIXENT for an approved indication

Eligible patients can sign up for a DUPIXENT MyWay Copay Card that may help cover the out-of-pocket cost of DUPIXENT. Send them the following link to register.

Check their eligibility

  • aTHIS IS NOT INSURANCE. Not valid for prescriptions paid, in whole or in part, by Medicaid, Medicare, Veterans Affairs, Department of Defense, TRICARE, or similar federal or state programs. Eligible patients subject to program restrictions. Program has an annual maximum of $13,000.

Nursing Support

A patient-centric approach to educating patients to use
and stay on DUPIXENT as prescribed.


Every enrolled patient is assigned a dedicated phone‑based DUPIXENT MyWay Nurse Educator. Within one business day after receiving a completed and signed enrollment form, the Nurse Educator will contact your patient to introduce the program.


The Nurse Educator will provide benefit information as soon as the benefits investigation is complete and will help the patient through the process of getting started on DUPIXENT.


Ongoing follow‑up and education about DUPIXENT are provided by the Nurse Educator to help patients stay on track with DUPIXENT.


Supplemental injection training helps patients get comfortable injecting themselves without leaving home. There are 2 options available:

  • Virtual with a Nurse Educator
  • By phone with a Nurse Educator

For further information, you or your patients can contact DUPIXENT MyWay at 1-844-DUPIXENT (1-844-387-4936).

Benefits Investigations and Appeals

Our team will provide guidance and assistance during the insurance approval process. If your patients need further support, DUPIXENT MyWay Nursing Support is available. Nurse Educators take a patient-centric approach to providing tools, resources, and education that supports patients with starting and staying on DUPIXENT.

Conducts a benefits investigation

  • Verifies patients’ health plan coverage
  • Determines a plan’s utilization management criteria
  • Identifies patients’ out‑of‑pocket responsibilities

Provides PA support

  • Educates HCPs and staff to ensure appropriate information and forms are submitted

Educates about the appeals process

  • Educates staff about appropriate actions needed to appeal any coverage denialb

99% of adult commercial patients nationally are covered with 76% of those lives having to fail only
1 or 2 prescription topical treatments1,c

  • bApproval is not guaranteed. Appealing the health plan’s denial does not always result in approval of DUPIXENT.
  • cData as of May 2020.
1

Prescribe DUPIXENT.

3

DUPIXENT MyWay completes a benefits investigation, and determines if there are any requirements for PA, for DUPIXENT. Submit a Letter of Medical Necessity and include all required documentation (eg, a copy of your chart notes with details of diagnosis, disease severity, and treatment history).

4

Receive a status update from your DUPIXENT MyWay coordinator.

Approval

DUPIXENT MyWay representative arranges shipment via specialty pharmacy (in network) or patient arranges shipment with specialty pharmacy (out of network).

Appeals

If a PA is denied, you can fill out an appeal form, write an appeal letter, and add supporting documentation.

Sample Lettersd:

dThe letters provide examples of information that may be provided when responding to an insurance company; it is not intended to substitute for or to influence the independent medical judgment of physicians.

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Reference:
  1. Data on file, Regeneron Pharmaceuticals, Inc.