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enroll your patients

Your patients’ path to support begins with enrollment

Enroll patients in DUPIXENT MyWay® your way—ePrescribe DUPIXENT or submit an enrollment form.

Option 1
ePrescribe to DUPIXENT MyWay
Pharmacy*

Send the prescription and connect your patients to support—all within your existing workflow. No enrollment form needed.

ePrescribe with ease

Send the prescription to:

  • Pharmacy: DUPIXENT MyWay Pharmacy
  • NPI: 1902780729
  • NCPDP: 5945879
  • Address: 2730 S Edmonds Ln #400C, Lewisville, TX 75067 

Be sure to include the appropriate ICD-10-CM code based on your patient's
primary diagnosis and need for DUPIXENT.

What happens next?

Once the prescription is submitted, DUPIXENT MyWay will provide a summary of benefits to your office and send the prescription to the payer-preferred specialty pharmacy.

We will contact your patient with a request to provide their consent to enroll in the program. The specialty pharmacy will follow up with them directly to coordinate delivery of their medication.

*DUPIXENT MyWay Pharmacy is a non-commercial, non-dispensing pharmacy

When you e-prescribe DUPIXENT via the DUPIXENT MyWay Pharmacy, you certify that (1) DUPIXENT is medically necessary to treat the patient for an FDA-approved indication; (2) the patient has been informed of the DUPIXENT MyWay program and the role of the DUPIXENT MyWay Pharmacy; (3) the patient would like to apply for and enroll in DUPIXENT MyWay; and (4) the patient understands that, by sending the e-prescription, DUPIXENT MyWay will use the personal information contained therein for purposes of benefit verification, prescription triage and fulfillment, and if the patient provides consent to enroll in DUPIXENT MyWay, assessing eligibility for patient assistance and other support programs, and administering DUPIXENT MyWay.

The DUPIXENT MyWay Pharmacy is administered by a covered entity pharmacy and information shared via e-prescription is processed and shared in accordance with its Notice of Privacy Practices found at https://m.snx.cardinalhealth.com/​shpsprivacy. After the patient provides consent to enroll in DUPIXENT MyWay, such information may be processed in accordance with that consent.

Option 2
Complete a DUPIXENT MyWay enrollment form

Select the indication-specific enrollment form
for your patient

View enrollment form (PDF format): English 

View enrollment form (PDF format): English Español 

View enrollment form (PDF format): EnglishEspañol

View enrollment form (PDF format): English Español

View enrollment form (PDF format): EnglishEspañol

View enrollment form (PDF format): EnglishEspañol

View enrollment form (PDF format): EnglishEspañol

View enrollment form (PDF format):English Español

View enrollment form (PDF format): EnglishEspañol

Please see full indications below.

How to submit

Send the full enrollment form (pages 1-5) and insurance information via:

Looking for more tips to help you complete an Enrollment Form?

What happens next?

With the enrollment form, you can choose how DUPIXENT MyWay supports you and your patient with benefits investigation and prescription triage.

If consent has not already been provided, DUPIXENT MyWay will contact your patient with a request to provide their consent to enroll in the program. Once consent is received, we will welcome them and share more details about the available support services.

DUPIXENT MyWay® Logo
Have questions?

Contact your Field Reimbursement Manager or call 1-844-DUPIXENT
(1-844-387-4936) Option 1, Monday-Friday, 8 am-9 pm ET to speak with a
DUPIXENT MyWay Case Manager.