DUPIXENT

Indicated For

Chronic Rhinosinusitis with Nasal Polyps, Asthma, Atopic Dermatitis, Eosinophilic Esophagitis, Prurigo Nodularis, COPD

About This Medication

# DUPIXENT MyWay Patient Assistance Program Patient Guide: How to Get DUPIXENT (dupilumab) at Low or No Cost DUPIXENT (dupilumab) is a prescription injection used to treat conditions like moderate-to-severe **atopic dermatitis** (eczema), asthma, chronic rhinosinusitis with nasal polyps, eosinophilic esophagitis, and prurigo nodularis in eligible patients. The **DUPIXENT MyWay Patient Assistance Program**, offered by Regeneron Pharmaceuticals, Inc. and Sanofi US, provides the medication **at no cost** to qualifying uninsured or underinsured patients who meet income and other criteria.[1][2] ## About DUPIXENT **DUPIXENT** is a biologic medication administered by subcutaneous injection, typically every 2-4 weeks depending on the condition and patient age. It works by targeting specific proteins (IL-4 and IL-13) involved in inflammation, helping to reduce symptoms like itching, skin lesions, breathing difficulties, or nasal inflammation. It's FDA-approved for patients as young as 6 months for certain atopic dermatitis cases, but always follow your doctor's prescription. This program helps remove financial barriers so you can focus on your health.[1] ## Who Qualifies? To qualify for the **DUPIXENT MyWay Patient Assistance Program**, you generally need to: - Be **uninsured** or **underinsured** (no coverage for DUPIXENT under commercial insurance, Medicare Part D with high costs, but excludes government programs like Medicaid for full benefits).[1][2] - Have a **household income** of **$100,000 or less annually** (specific thresholds may vary; program evaluates case-by-case).[1] - Reside in the US (50 states, DC, Puerto Rico, Guam, USVI).[2] - Have a valid prescription for an FDA-approved indication.[1] The program is **not** for patients with active coverage through government-funded insurance like Medicaid, Medicare (except Part D in some cases), VA, or similar. Underinsured patients facing high out-of-pocket costs may qualify after review.[2] ## Income Eligibility Breakdown Income limits are based on total **annual household income** (salary, Social Security, unemployment, disability, etc.). The program caps at **$100,000 for households**, but exact limits depend on household size and are assessed individually. Proof of income is required and may be audited.[1] | Household Size | Maximum Annual Income | |---------------|-----------------------| | 1 (Individual) | $100,000 | | 2 (Couple) | $100,000* | | 3 | $100,000* | | 4 | $100,000* | | 5+ | $100,000* | *Note: Threshold is listed as $100,000 or less overall; program confirms via application and may adjust case-by-case. Provide recent tax returns, pay stubs, or benefit statements.[1] ## Insurance Requirements - **Uninsured**: No health or prescription coverage.[1] - **Underinsured**: Commercial insurance denies coverage, or Medicare Part D creates high copays.[2] - **Exclusions**: Full government coverage (Medicaid, Medicare full, Tricare, VA) typically disqualifies; program checks via insurance details on form.[1] DUPIXENT MyWay verifies coverage automatically. If insured but struggling, they may assist with appeals or copay cards separately (not this free drug program).[2] ## Step-by-Step Application Process 1. **Get Prescribed**: Discuss DUPIXENT with your doctor. They complete the clinical and prescription sections of the enrollment form.[1] 2. **Download or Request Form**: Get the form from [https://www.dupixent.com/dam/jcr:f0d4f463-b9ea-4991-bdf8-23c1331d69db/crswnp-dupixent-myway-enrollment-form.pdf] or call (844) 387-4936.[1] 3. **Fill Out Patient Sections**: Provide name, DOB, address, phone/email, household size, income, insurance details (or confirm none).[1] 4. **Gather Documents**: - **Proof of income** (tax return, W-2, pay stubs, SSI award letter). - **Proof of residency** (utility bill, lease). - **Insurance information** (card or denial letter; Section 6 if uninsured). - **Enrollment form** (all 4 pages, signed).[1] 5. **Doctor Signs**: HCP certifies medical necessity, diagnosis (e.g., ICD-10 L20 for atopic dermatitis), prior therapies tried.[1] 6. **Submit**: Fax all pages to the number on the form (M-F, 8AM-9PM ET) or mail. Call (844) 387-4936 for help.[1][2] 7. **Consent**: Authorize DUPIXENT MyWay to verify insurance, income, and handle your info for program admin.[1] Applications can be submitted via **multiple methods** (phone, fax, online form links).[1] ## Timeline and Delivery - **Processing**: Varies; expect contact from a Case Manager within days. Full approval may take 1-2 weeks, but call for status.[2] - **Delivery**: If approved, DUPIXENT is **shipped free directly to your home** via specialty pharmacy. Nurse educators may assist with injection training.[5][7] - **Refills**: Automatic if eligible; **reauthorization required** annually or upon changes (notify program of income/insurance shifts).[1] ## Alternatives if Denied - **Copay Card**: For commercial insurance, pay as low as $0 copay (separate from assistance program).[2] - **Appeal**: Resubmit with more docs or doctor appeal.[1] - **Other Programs**: DUPIXENT MyWay may refer to foundations or state aid.[1] - **Patient Access Network (PAN) Foundation** or **HealthWell Foundation** for copay help. - **Generic/Biosimilars**: None available currently.[1] - Call (844) 387-4936 for personalized options.[2] ## Important Disclaimer This guide is for informational purposes based on available program details as of latest data. Eligibility, terms, and income thresholds **may change**; always verify with DUPIXENT MyWay at (844) 387-4936 or official sources. Not medical advice—consult your doctor. Program excludes certain insurances; misrepresentation may lead to denial. Regeneron/Sanofi reserve rights to modify/terminate.[1][2]

Program information last verified: March 25, 2026