COPAY CARD
DUPIXENT MyWay® COPAY CARD
The DUPIXENT MyWay Copay Card may help eligible patients cover the out-of-pocket cost of DUPIXENT.
As Little As $0* Copay May Be Available
With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. Eligible patients will receive their cards by email. Program has an annual maximum of $13,000.†
You may be eligible for the DUPIXENT MyWay Copay Card if you:
- Have commercial insurance, including health insurance exchanges, federal employee plans, or state employee plans
- Are a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI
- Are prescribed DUPIXENT for an indication approved by the US Food and Drug Administration
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Choose a condition to be directed to the correct form
Uncontrolled moderate-to-severe
eczema
Uncontrolled moderate-to-severe eosinophilic
or oral steroid dependent asthma
Inadequately controlled chronic obstructive
pulmonary disease (COPD) with high
blood eosinophils
Uncontrolled chronic rhinosinusitis
with nasal polyps (CRSwNP)
*Approval is not guaranteed. Program has an annual maximum of $13,000.† THIS IS NOT INSURANCE. 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. This program is not valid where prohibited by law, taxed, or restricted. DUPIXENT MyWay reserves the right to rescind, revoke, terminate, or amend this offer, eligibility, and terms of use at any time without notice. Any savings provided by the program may vary depending on patients’ out-of-pocket costs. The program is intended to help patients afford DUPIXENT. Patients may have insurance plans that attempt to dilute the impact of the assistance available under the program. In those situations, the program may change its terms. Additional terms and conditions apply.
†Annual maximum subject to change.
FREQUENTLY ASKED QUESTIONS
The DUPIXENT MyWay Patient Assistance Program can also help if you are uninsured or your insurance doesn't cover DUPIXENT. Patients will need to meet the eligibility criteria, including household income, to qualify. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. For more information, call 1‑844‑DUPIXENT (1-844-387-4936), option 1.
Once approved for the copay card, provide the card number to the specialty pharmacy when they call you to set up the delivery of DUPIXENT. The pharmacy will apply the card to help lower your out-of-pocket costs and will note the card number in your record for future refills.
If your health plan did not accept the copay card or if you paid the copay because you were not enrolled in this program, we may be able to reimburse you for certain out-of-pocket costs in accordance with program terms.
Submit your request for reimbursement.
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