*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. Additional terms and conditions apply.

WHAT HAPPENS AFTER I'M APPROVED?

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 in accordance with program terms.

COPAY REIMBURSEMENT FORM
662 KB

Other Options for Support

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.