Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  
 

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Dupixent MyWay Program

This program provides brand name medications at no or low cost

Provided by: Sanofi and Regeneron Pharmaceuticals, Inc.


TEL: 844-387-4936


FAX: 844-387-9370
Languages Spoken:

English, Spanish, Others By Translation Service

Program Website

 

Program Applications and Forms

Dupixent MyWay Program Enrollment Form for Allergists

Dupixent MyWay Program Enrollment Form for Allergists (Spanish)

Dupixent MyWay Program Enrollment Form for Dermatologists

Dupixent MyWay Program Enrollment Form for Dermatologists (Spanish)

Dupixent MyWay Program Enrollment Form for Ent Specialists/Pulmonologists

Dupixent MyWay Program Enrollment Form for Ent Specialists/Pulmonologists (Spanish)

 

Medications

  • Dupixent injection; subcutaneous (dupilumab)
 

Eligibility Requirements   

Insurance Status Determined case by case
Those with Part D Eligible? Contact program for details.
Income Not disclosed
Diagnosis/Medical Criteria FDA-approved diagnosis
US Residency Required? Must be residing in the US or Puerto Rico
   

Application

Obtaining Call or download
Receiving Faxed or downloaded from website
Returning Fax
Doctor's Action Complete section, sign, attach required documents
Applicant's Action Complete section, sign, attach required documents
Decision Communicated Not specified
Decision Timeframe Not specified
   

Medication

Amount/Supply Varies
Sent To Patient's home
Delivery Time Not specified
Refill Process Contact program for details.
Limit Contact the program for details
Re-application New application yearly
   

Additional Information

Co-payment assistance, and patient assistance programs are available for eligible patients.

Updated September 16, 2022