How Much Should I Expect to Pay for DUPIXENT?

The amount you pay for DUPIXENT will largely depend on a number of factors, including:

  • Whether you have prescription drug insurance
  • The type of insurance you have
  • Whether your insurance provider considers the medication to be preferred or not preferred,
  • Whether you’ve met your deductible

Considering these factors, 2 people could pay very different prices for exactly the same prescription medication.

DUPIXENT is likely dispensed differently than your other medications. DUPIXENT is an injectable medication and requires special shipping and handling. For this reason, insurance providers often require the use of a specialty pharmacy instead of your local retail pharmacy.

For the most accurate information regarding your cost and dispensing of DUPIXENT, speak with your insurance provider who knows the details of your plan.

What is the list price of DUPIXENT?

All prescription medications have a list price.1 Very few patients pay the list price, which is a price set by the manufacturer. The list price* of DUPIXENT is $3019.50 per month, but most people will not pay the list price.

The amount you pay for DUPIXENT will largely depend on whether you have insurance, the type of insurance you have, whether your insurance provider considers the medication to be preferred or not preferred, and whether you’ve met your deductible.


* List price is also referred to as wholesale acquisition cost or WAC. WAC is the price at which Sanofi sells its products to wholesalers. A monthly supply of DUPIXENT (300 mg or 200 mg) is defined as two injections per month. List price as of 2/20/19.

Which option below best describes your insurance situation?

I have prescription drug insurance through my employer or I have private insurance

Approximately 69% of commercially insured patients pay between $0-$100 per month for DUPIXENT, and approximately 31%* pay $100+2,† per month for DUPIXENT.

With the DUPIXENT MyWay® Copay Card, a 1-month supply of DUPIXENT can cost as little as $0.

Learn more about the DUPIXENT MyWay Copay Card


* % of claims based on unprojected data.

Out-of-pocket costs were standardized to a 30-day supply period.


Approximately 71% of Medicare Part D patients can expect to pay between $0-$100 per month for DUPIXENT, and 29% of Medicare Part D patients can expect to pay $100+3,* per month for DUPIXENT.

How much you pay for your prescription drugs may change throughout the year for some people with Part D insurance. You may pay more in the beginning of the year or more later in the year depending on which phase of the Part D benefit you are in.

Some people with Part D coverage are eligible for the Extra Help4 program (also known as the Low-Income Subsidy or "LIS"), and they typically pay $3-$9 for their prescriptions.5 If you would like to check whether you qualify for this program and apply, please go to www.ssa.gov/benefits/medicare/prescriptionhelp.

If you do not qualify for the Extra Help program, you can speak with a representative at DUPIXENT MyWay to determine if financial assistance is available. Please call DUPIXENT MyWay at 1-844-DUPIXENT (1-844-387-4936).


* Payments are averaged across all phases of Medicare coverage, and include coverage gap and catastrophic phase payments. Out-of-pocket costs were standardized to a 30-day supply period.

Drug coverage under Medicare Part D is divided into four phases: 1) deductible, 2) initial coverage, 3) coverage gap, and 4) catastrophic. Each of these phases has different cost sharing amounts.


For most people on Medicaid, prescription drugs like DUPIXENT range from $4-$9 per month.6,* To find out if you qualify for Medicaid, or for more information about copays under Medicaid in your state, please go to www.medicaid.gov/state-overviews.


* Maximum allowable copayments determined by eligible population's household income.


If you do not have insurance that covers your prescription medications, or if your insurance does not cover DUPIXENT, you can typically expect to pay the list price shown above plus any additional pharmacy charges. The price you pay varies from pharmacy to pharmacy.

If you need more help paying for your prescription, the DUPIXENT MyWay Patient Assistance Program may be able to help. Patients will need to meet the eligibility criteria, including household income, to qualify. The DUPIXENT MyWay team can research each patient's situation and determine eligibility.

If you have any additional questions about this pricing information, please call DUPIXENT MyWay at 1-844-DUPIXENT (1-844-387-4936).

References:
  1. Analy$ource
  2. IQVIA FIA data; January 2018-December 2018
  3. IQVIA FIA data; January 2018-December 2018
  4. Extra Help with Medicare Prescription Drug Plan Costs. https://www.ssa.gov/benefits/medicare/prescriptionhelp. Accessed on February 20, 2019.
  5. Announcement of Calendar Year (CY) 2019 Medicare Advantage capitation rates and Medicare Advantage and Part D payment policies and final call letter. Centers for Medicare and Medicare website. https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Downloads/Announcement2019.pdf. Accessed on February 20, 2019.
  6. Medicaid and CHIP overview for assisters. https://marketplace.cms.gov/technical-assistance-resources/fast-facts-medicaid-chip.pdf. Accessed on March 6, 2019