Dupixent
(dupilumab)0.67 ML dupilumab 150 MG/ML Prefilled Syringe [Dupixent]1.14 ML dupilumab 175 MG/ML Auto-Injector [Dupixent]
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NO BLACK BOX WARNING
Dosage & administration
Atopic Dermatitis
Dosage in Adults :
Dosage in Pediatric Patients 6 Months to 5 Years of Age :
Body Weight | Initial and Subsequent Dosage |
---|---|
5 to less than 15 kg | 200 mg (one 200 mg injection) every 4 weeks (Q4W) |
15 to less than 30 kg | 300 mg (one 300 mg injection) every 4 weeks (Q4W) |
Dosage in Pediatric Patients 6 Years to 17 Years of Age :
Body Weight | Initial Loading Dose | Subsequent Dosage * |
---|---|---|
15 to less than 30 kg | 600 mg (two 300 mg injections) | 300 mg Q4W |
30 to less than 60 kg | 400 mg (two 200 mg injections) | 200 mg Q2W |
60 kg or more | 600 mg (two 300 mg injections) | 300 mg Q2W |
Asthma
Dosage in Adult and Pediatric Patients 12 Years and Older :
Initial Loading Dose | Subsequent Dosage |
---|---|
400 mg (two 200 mg injections) | 200 mg every 2 weeks (Q2W) |
or | |
600 mg (two 300 mg injections) | 300 mg every 2 weeks (Q2W) |
Dosage for patients with oral corticosteroid-dependent asthma or with co-morbid moderate-to-severe atopic dermatitis or adults with co-morbid chronic rhinosinusitis with nasal polyposis | |
600 mg (two 300 mg injections) | 300 mg every 2 weeks (Q2W) |
Dosage in Pediatric Patients 6 to 11 Years of Age :
Body Weight | Initial Dose and Subsequent Dosage |
---|---|
15 to less than 30 kg | 100 mg every other week (Q2W) or 300 mg every four weeks (Q4W) |
≥30 kg | 200 mg every other week (Q2W) |
For pediatric patients 6 to 11 years old with asthma and co-morbid moderate-to-severe atopic dermatitis, follow the recommended dosage as per Table 2 which includes an initial loading dose.
Chronic Rhinosinusitis with Nasal Polyposis :
Eosinophilic Esophagitis :
Prurigo Nodularis :
drug label
Dupixent prescribing information
prior authorization
Dupixent prior authorization resources
Most recent Dupixent prior authorization forms
View By PayerUpdated: Jun 06, 2023Highmark BCBS Northeastern NY - Dupixent Prior Authorization Form
Updated: Jun 06, 2023Highmark BCBS Western NY - Dupixent Prior Authorization Form
Updated: Jun 05, 2023Highmark BCBS West Virginia - Dupixent Prior Authorization Form
Updated: Jun 05, 2023Highmark BCBS Delaware - Dupixent Prior Authorization Form
Updated: Jun 05, 2023Highmark BCBS Central PA - Dupixent Prior Authorization Form
Updated: Jun 04, 2023Highmark BCBS Western PA - Dupixent Prior Authorization Form
Updated: May 30, 2023Cigna - Dupixent Prior Authorization Form
Learn More
If available, these templates are provided by the brand to help you navigate insurance, especially with newer drugs.
Benefits investigation
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Benefits investigations are conducted to determine whether a therapy is covered under a patient's insurance, if a prior authorization is required, and which specialty pharmacies are preferred.
financial assistance
Dupixent financial assistance options
Co-pay savings program
commercial only
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Overview
- Reduce patient OOP costs for drug (and occasionally for drug administration/infusion costs or drug-related test costs)
Patient benefit
- A portion (or all) of patient OOP (deductible, copay), typically up to monthly and/or annual max
Patient eligibility
- Patient must enroll or activate (may permit HCPs to enroll on patient’s behalf for HCP-administered drugs)
- Generally, must have commercial insurance (rarely, may permit uninsured patients to use)
- May never be used with government insurance
How to sign up
- Cards may be downloadable digital cards or hard copies
- Some pharmacos offer debit cards with pre-loaded copay benefit
- Typically, available through multiple channels (e.g., rep to HCP to patient; pharmacy to patient; patient via website, Hub live agent, or copay vendor (live agent or IVR); patient and HCP via Hub enrollment form)
- Some HCP-administered product programs permit HCPs to enroll on a patient’s behalf through via Hub form
Bridge program
commercial only
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Overview
- Provide patient immediate access to therapy during an insurance delay (typically new starts; some may cover change in insurance)
- Limited time/ fill (typically 7-30 days; some may offer additional fill for continued delay up to certain limit)
Patient benefit
- 100% free (outside of insurance)
Patient eligibility
- HCP must enroll patient
- May be limited to commercially insured patients (i.e., no government beneficiaries); some programs may allow government beneficiaries
How to sign up
- Typically HCP assisted enrollment (via form)
Foundation programs
under insured
no insurance
goverment insurance
65+
Learn More
Overview
- Charitable 501(c)(3) organizations provide direct cost-sharing and other support (e.g., travel, counseling) through disease-state funds to indigent patients on first-come first-served basis
- These organizations may receive financial contributions from drug manaufacturers for particular disease-state funds that cannot provide funds directly to patients - the foundation must be independent/unaligned
Patient benefit
- Patients apply for grants that cover a portion (or all) of their out-of-pocket costs (deductibles and co-pays) until the grant is exhausted
Patient eligibility
- Patients must apply and meet eligibility criteria including income level (typically a multiple of federal poverty line), specific diagnosis, insurance status, etc.
How to sign up
- Patients submit proof of out-of-pocket drug costs to charities for reimbursement
patient education
Dupixent patient education
Getting started on Dupixent
BRAND PAGEInstructions For Use: Atopic Dermatitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGEInstructions For Use: Eosinophilic Esophagitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGEInstructions For Use: Prurigo Nodularis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGEInstructions For Use: Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGEInstructions For Use: Pre-filled Syringe 100mg
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGEInstructions For Use: Pre-filled Syringe 100mg (Spanish)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGEInstructions For Use: Pre-filled Syringe 200mg
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGEInstructions For Use: Pre-filled Syringe 200mg (Spanish)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGEInstructions For Use: Pre-filled Syringe 300mg
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGEInstructions For Use: Pre-filled Syringe 300mg (Spanish)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGEInstructions For Use: Pre-filled Pen 200 mg
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGEInstructions For Use: Pre-filled Pen 200 mg
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGEInstructions For Use: Pre-filled Pen 200 mg (Spanish)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGEInstructions For Use: Pre-filled Pen 300 mg
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
BRAND PAGEInstructions For Use: Pre-filled Pen 300 mg (Spanish)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link
Patient toolkit
BRAND PAGEAbout Dupixent: Atopic Dermatitis
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Open Camera on Phone
Scan QR Code & Tap Link
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OTHERDoctor Discussion Guide: Atopic Dermatitis
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Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link
OTHERView How to Take Dupixent: Atopic Dermatitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Open Camera on Phone
Scan QR Code & Tap Link