Do not use if you are allergic to dupilumab or to any of the ingredients in DUPIXENT. THERACOM INC provides services related to medication and prescriptions. an independent company that provides pharmacy benefit management services on behalf of our health plans. Be sure to check your inbox. with eosinophilic esophagitis When you fill your specialty prescription with Magellan Rx Pharmacy, you are automatically enrolled in MRx Cares. What Happens at a Specialty Pharmacy? to treat adults with prurigo nodularis (PN). Risk Associated with Abrupt Reduction of Corticosteroid Dosage: Do not discontinue systemic, topical, or inhaled corticosteroids abruptly upon initiation of DUPIXENT. Please inform patients thatDUPIXENT MyWaywill be contacting them through their preferred method of communication and that maintaining communication is important for them to receive support fromDUPIXENT MyWay. Learn how to get your patients started with DUPIXENT MyWay. For patients with commercial insurance who are new to DUPIXENT and are experiencing a Text "Start" to 877-222-7336. Forms are available at DupixentHCP.com. with other asthma medicines for the maintenance treatment of moderate-to-severe eosinophilic or oral steroid dependent asthma in adults and children 6 years of age and older whose asthma is not controlled with their current asthma medicines. THIS IS NOT INSURANCE. Acute Asthma Symptoms or Deteriorating Disease: Do not use DUPIXENT to treat acute asthma symptoms, acute exacerbations, acute bronchospasm or status asthmaticus. Fax the Enrollment Form with the checked box to both the specialty pharmacy andDUPIXENT MyWay. When DUPIXENT is prescribed by a healthcare professional, you can work with the patient to complete the Enrollment Form, and then fax the Enrollment Form with all signatures, dates, and ICD-10 codes toDUPIXENT MyWay. to Learn More. Some plans, including commercial and Medicare, may even have a separate pharmacy benefit card. A list of potential codes is provided within the Enrollment Form for reference. Please note: By clicking on this link, you will be leaving this Sanofi-hosted US website and going to another, entirely independent website. Please refer to Regenerons Privacy Notice and Sanofis Privacy Policy for more information regarding processing of your personal data. DUPIXENT doesnt broadly suppress the immune system. The Associate Director, Forecasting - Respiratory will be responsible for leading commercial forecasting activities for Dupixent's US Respiratory portfolio as a part of the Commercial Strategy & Insights team within the Sanofi US Specialty Care Business Operations organization. It is not known if DUPIXENT is safe and effective in children with prurigo nodularis under 18 years of age. The on call team is available 24/7 for help after hours. for the treatment of adult and Female Preferred pronouns Last 4 digits of SSN . First, allow the patient to review the Patient Authorization and Certifications. Phone: 1-855-263-4537. adult and pediatric patients aged 6 The current location address for Theracom is 9717 Key West Ave, , Rockville, Maryland and the contact number is 301-337-4200 and fax number is 301-337-4135. by targeting a root cause of your condition. moderate-to-severe asthma Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP): DUPIXENT is indicated as an add-on maintenance treatment in adult patients with inadequately controlled CRSwNP. CONTRAINDICATION: DUPIXENT is contraindicated in patients with known hypersensitivity to dupilumab or any of its excipients. DUPIXENT can cause serious side effects, including: Tell your healthcare provider if you have any side effect that bothers you or that does not go away. You can count on our guidance, education, and compassion throughout your entire course of treatment. Be proactive, take control into your hands and talk to your doctor to see if DUPIXENT is right for you. Consider ophthalmological examination for patients who develop conjunctivitis that does not resolve following standard treatment or signs and symptoms suggestive of keratitis, as appropriate. 300 mg Pre-filled Pens are Contact Sanofi USor call18446437346 Please ensure that you are filling out the correct form that corresponds to the appropriate indication. Fax: 1-877-222-5036. Middle initial . It is important that the patient consents to receiving communication fromDUPIXENT MyWayand indicates how they would like to be contacted, whether it be via email, phone, or text. Accredo will help collect necessary documentation. The Specialty Pharmacy Program is designed to support your treatment plan for specialty conditions and facilitate the physician/patient relationship. for the treatment of adult patients with prurigo nodularis (PN). are breastfeeding or plan to breastfeed. Your email is on its way. When writing letters, be sure to populate an appropriate ICD-10 code matching your patients diagnosis. is a patient support program A pregnancy registry for women who take DUPIXENT during pregnancy collects information about the health of you and your baby. After you have determined DUPIXENT is appropriate for your patient and written them a prescription: Submit theDUPIXENT MyWayEnrollment Form, Submit PA and Letter of Medical Necessity (optional) and include all required documentation (a copy of your chart notes with details of diagnosis, disease severity, and treatment history), Receive status updates from yourDUPIXENT MyWayCoordinator. Conjunctivitis also occurred more frequently in chronic rhinosinusitis with nasal polyposis subjects and prurigo nodularis subjects who received DUPIXENT compared to those who received placebo. LimitationofUse: You'll find the phone number in the top right corner of your Rx label. Advise patients to report new onset or worsening joint symptoms. DUPIXENT is approved in the U.S. for the treatment of adults with moderate-to-severe atopic dermatitis (eczema) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. If patients become infected while receiving treatment with DUPIXENT and do not respond to anti-helminth treatment, discontinue treatment with DUPIXENT until the infection resolves. MRx Pharmacy supports more than 30 unique specialty disease categories, from oncology and inflammatory conditions to bleeding disorders and rare diseases. Helminth infections (5 cases of enterobiasis and 1 case of ascariasis) were reported in pediatric patients 6 to 11 years old in the pediatric asthma development program. Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. Magellan Clinical Call Center 800-331-4475 - phone 888-603-7696 - fax. Be sure to provide only one ICD-10 code, even if the patient has comorbid disease. IL-13, Monday-Friday, Patients may have insurance plans that attempt to dilute the impact of the assistance available under the program. Dupixent works by targeting a type of protein called an interleukin, that is involved in inflammation. Nurse Educators take a patient-centric approach to helping patients start and stay on therapy. as an add-on maintenance treatment Prurigo Nodularis: DUPIXENT is indicated for the treatment of adult patients with prurigo nodularis (PN). relief of acute bronchospasm or Xolair single-dose vials come in one strength: 150 mg. For this use, Xolair comes as a . Conjunctivitis also occurred more frequently in chronic rhinosinusitis with nasal polyposis subjects and prurigo nodularis subjects who received DUPIXENT compared to those who received placebo. This may cause other symptoms that were controlled by the corticosteroid medicine or other asthma medicine to come back. mechanism of dupilumab action and US payer / health insurance environment. To adhere to this promise, we undergo accreditations through leading healthcare advisory groups. Provides assistance navigating the insurance process. If a clinically significant hypersensitivity reaction occurs, institute appropriate therapy and discontinue DUPIXENT. 9 pm ET. characterized by an eosinophilic A causal association between DUPIXENT and these conditions has not been established. This program . Theracom in Rockville - Pharmacy Location, Contact Theracom - NPI 1568443489 Theracom (THERACOM) is a Specialty Pharmacy in Rockville, Maryland. Need additional guidance with the enrollment process? Magellan Technical Call Center 800-884-3238. You will most likely receive it as a shipment from a specialty pharmacy. pediatric patients aged 12 years, Not valid for prescriptions paid, in whole or in part, by Medicaid, Medicare, VA, DOD, TRICARE, or other federal or state programs including any state pharmaceutical assistance programs. A specialty pharmacy fills specialty medications, which are used to treat complex medical conditions like multiple sclerosis, hepatitis c and rheumatoid arthritis. Especially tell your healthcare provider if you are taking oral, topical, or inhaled corticosteroid medicines; have asthma and use an asthma medicine; or have atopic dermatitis, chronic rhinosinusitis with nasal polyposis, eosinophilic esophagitis, or prurigo nodularis and also have asthma. Elaprase. You can help by directing them to theDUPIXENT MyWayEnrollment Forms below. DUPIXENT helps prevent severe asthma attacks (exacerbations) and can improve your breathing. DUPIXENT is a prescription medicine used: Questions or comments? controlled chronic rhinosinusitis If this is the case, write the preferred specialty pharmacy name and then check the box indicating that you have sent the prescription to the specialty pharmacy, which will be responsible for securing the coverage on the patients behalf. Some patients reported visual disturbances (e.g., blurred vision) associated with conjunctivitis or keratitis. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. Conjunctivitis and Keratitis: Conjunctivitis and keratitis occurred more frequently in atopic dermatitis subjects who received DUPIXENT versus placebo, with conjunctivitis being the most frequently reported eye disorder. We are making enrolling in text alerts easier than ever. DUPIXENT andDUPIXENT MyWayare registered trademarks of Sanofi Biotechnology. Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy. Any savings provided by the program may vary depending on patients' out-of-pocket costs. It is not known if DUPIXENT is safe and effective in children with chronic rhinosinusitis with nasal polyposis under 18 years of age. A Summary of Benefits Form will be faxed to your office within a few days, detailing the patients coverageincluding prior authorization requirements and out-of-pocket costs. For patients with commercial insurance who are new to DUPIXENT DUPIXENT, a biologic, is a type of medication that is processed in the body differently than oral medications (pills), or steroids. To enroll or get more information call. Collaborate with US Dupixent Finance & other US Specialty Care forecasters in forecast cycle planning to promote harmonization across therapeutic areas. more. adequately controlled with topical CMS Medicaid Pharmacy Drug Pricing (NADAC files) Alaska Medicaid Provider Billing Manuals; Alaska Medicaid Health Enterprise Pharmacy site; Contacts Prior Authorization Staff. When you prescribe to Magellan Rx Pharmacy, we will help reduce your administrative burden while helping your patients stay on your treatment plan. Eosinophilic Esophagitis: DUPIXENT is indicated for the treatment of adult and pediatric patients aged 12 years and older, weighing at least 40 kg, with eosinophilic esophagitis (EoE). It may be covered by your Medicare or insurance plan, but some pharmacy coupons or cash prices could help offset the cost. All Rights Reserved. Monday-Friday, 8 am to 9 pm ET. DUPIXENT can be used with or without topical corticosteroids. Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a healthcare provider. Patients must bring an original prescription to the pharmacy and cannot fax these referral forms to Senderra. 8 am available for your appropriate Your office may choose to use a preferred specialty pharmacy to start the benefits investigation. 8 am, Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP), DUP.22.09.0186Last Update: October 2022, Patient Access 3. Eosinophilic Esophagitis: Asthma: DUPIXENT is indicated as an add-on maintenance treatment of adult and pediatric patients aged 6 years and older with moderate-to-severe asthma characterized by an eosinophilic phenotype or with oral corticosteroid dependent asthma. If patients become infected while receiving treatment with DUPIXENT and do not respond to anti-helminth treatment, discontinue treatment with DUPIXENT until the infection resolves. pediatric patients aged 6 months and The BioPlus Patient Onboarding and Medication Journeys give support, education, instructions, and answers along each patient's unique treatment path all delivered straight to their fingertips. Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a healthcare provider. DUPIXENT is covered under the pharmacy benefit plan, which requires a patient to coordinate delivery with a specialty pharmacy. Theracom Pharmacy 345 International Boulevard Brooks, KY 40109 (888) 843-7226 Visit Website Get Directions Similar Businesses Detailed Information Location TypeBranch Year Establishedunknown Annual Revenue Estimateunknown SIC Code show NAICS Code show Employeesunknown Is this your listing? In the case of a denial, you may consider writing an appeal, if appropriate, making sure to address the plans specific concerns. Saveonsp-supported specialty medications. Atopic Dermatitis: DUPIXENT is indicated for the treatment of adult and pediatric patients aged 6 months and older with moderate-to-severe atopic dermatitis whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable. pediatric patients aged 12 years and The DUPIXENTMyWay Copay Card may help eligible, commercially insured patients cover the out-of-pocket cost of DUPIXENT. Questions or comments? Quoted prices are for cash-paying customers and are not valid with insurance plans. Eosinophilic Conditions: Patients being treated for asthma may present with serious systemic eosinophilia sometimes presenting with clinical features of eosinophilic pneumonia or vasculitis consistent with eosinophilic granulomatosis with polyangiitis (EGPA), conditions which are often treated with systemic corticosteroid therapy. Specialty now accounts for half of total pharmacy costs. Haz clic en "Continuar" si quieres proseguir. There are several reasons for this, including incomplete documentation, administrative errors, clinical reasons or a no-coverage determination, or a plan exclusion. Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. Treat patients with pre-existing helminth infections before initiating therapy with DUPIXENT. Collaborate with US Dupixent Finance & other US Specialty Care forecasters in forecast cycle planning to promote harmonization across therapeutic areas Support model enhancements to ensure forecasts for in-line & launch products reflect strategic direction of each brand (e.g., segmentation, patient flow, etc.) with an Eosinophilic are scheduled to receive any vaccinations. Durolane. 9717 KEY WEST AVE, ROCKVILLE, MD 20850. Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a healthcare provider. The NPI Number for Theracom is 1568443489. If a PA is required, your DUPIXENT MyWay Coordinator can help you navigate the PA process. Contact your field access specialist or call DUPIXENT MyWay. DUPIXENT MyWaycomplements your offices process for accessing DUPIXENT. (1-844-387-4936), 893271 c Specialty FACETS 08/17 Depending on your plan, medications marked with an asterisk (*) may be covered under your pharmacy benefit, medical benefit, or covered under both benefits. phenotype or with oral DUPIXENT is not used to treat sudden breathing problems. Grand Rapids, MI 49544. aThe These are not all the possible side effects of DUPIXENT. program may be able to help with temporary access to DUPIXENT at Both companies may independently process your personal data to manage patient support programs and product marketing campaigns. Our growing family of companies unites leaders in the specialty pharmacy industry to improve health and empower patients to experience a higher quality of life. You are on primary menu. Search for brand and generic medications by condition, or download the CVS Specialty drug list as a PDF (PDF). 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Pdf ( PDF ) receive any vaccinations automatically enrolled in MRx Cares asthma! Do not discontinue systemic, topical, or inhaled corticosteroids abruptly upon initiation of.! Forms below sudden breathing problems and discontinue DUPIXENT action and US payer / health insurance environment asthma, nasal. With prurigo nodularis: DUPIXENT is a prescription medicine used: Questions or comments vary depending on '! Code matching your patients stay on your treatment plan receive it as a PDF ( ). Effects of DUPIXENT in the top right corner of your personal data you can help you the!, chronic rhinosinusitis with nasal polyposis under 18 years of age with eosinophilic esophagitis when you fill your prescription! Pediatric patients aged 12 years and the DUPIXENTMyWay Copay card may help eligible, commercially insured patients cover out-of-pocket... You navigate the PA process across therapeutic areas patients stay on your treatment for... For your appropriate your office may choose to use a Preferred specialty pharmacy Rockville... Insurance plans payer / health insurance environment risk associated with conjunctivitis or keratitis, are...