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 WeightInitial and Subsequent Dosage
5 to less than 15 kg200 mg (one 200 mg injection) every 4 weeks (Q4W)
15 to less than 30 kg300 mg (one 300 mg injection) every 4 weeks (Q4W)

Dosage in Pediatric Patients 6 Years to 17 Years of Age :

Body WeightInitial Loading DoseSubsequent Dosage *

15 to less than 30 kg600 mg (two 300 mg injections)300 mg Q4W
30 to less than 60 kg400 mg (two 200 mg injections)200 mg Q2W
60 kg or more600 mg (two 300 mg injections)300 mg Q2W

Asthma

Dosage in Adult and Pediatric Patients 12 Years and Older :

Initial Loading DoseSubsequent 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 WeightInitial Dose and Subsequent Dosage
15 to less than 30 kg100 mg every other week (Q2W)
or
300 mg every four weeks (Q4W)
≥30 kg200 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 Payer
Updated: 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

OTHER
Coverage Authorization Request

PDF
Dupixent MyWay Enrollment Forms - All Indications

OTHER
Coverage Authorization Appeal

PDF
Medical Exception Letter

PDF
PA Checklist: Atopic Dermatitis

PDF
PA Checklist: Asthma

PDF
PA Checklist: Eosinophilic Esophagitis

PDF
PA Checklist: Prurigo Nodularis

PDF
PA Checklist: Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP)
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Benefits investigation

PDF
Dupixent MyWay Enrollment Forms - All Indications
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financial assistance

Dupixent financial assistance options

Co-pay savings program

commercial only

PDF
Dupixent MyWay Enrollment Forms - All Indications
Enroll in Patient Savings Program
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Bridge program

commercial only

PDF
Dupixent MyWay Enrollment Forms - All Indications

OTHER
Bridge Program
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Foundation programs

under insured
no insurance
goverment insurance
65+

PDF
Dupixent MyWay Enrollment Forms - All Indications

OTHER
Dupixent Patient Assitance Program Eligibility (Through Dupixent MyWay Program )
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patient education

Dupixent patient education

Getting started on Dupixent

BRAND PAGE
Instructions For Use: Atopic Dermatitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Asthma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Eosinophilic Esophagitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Prurigo Nodularis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Pre-filled Syringe 100mg
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Pre-filled Syringe 100mg (Spanish)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Pre-filled Syringe 200mg
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Pre-filled Syringe 200mg (Spanish)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Pre-filled Syringe 300mg
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Pre-filled Syringe 300mg (Spanish)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Pre-filled Pen 200 mg
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Pre-filled Pen 200 mg
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Pre-filled Pen 200 mg (Spanish)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Pre-filled Pen 300 mg
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Pre-filled Pen 300 mg (Spanish)
ASK PATIENT TO:
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 PAGE
About Dupixent: Atopic Dermatitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

VIDEO
Patient Stories: Atopic Dermatitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Doctor Discussion Guide: Atopic Dermatitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
View How to Take Dupixent: Atopic Dermatitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Dupixent: Asthma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

VIDEO
Patient Stories: Asthma
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link