PRICING AND INSURANCE
DUPIXENT PRICING
AND INSURANCE
Many patients have questions when it comes to the cost and insurance coverage of DUPIXENT. Use the cost and coverage tool to see whether DUPIXENT may be covered by your insurance plan.
INFORMATION ABOUT THE COST OF 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.
Use the DUPIXENT Cost and Coverage Tool below for more information.
For the most accurate information regarding your cost and dispensing of DUPIXENT, speak with your insurance provider who knows the details of your plan.
Select your current prescription insurance to
see
possible cost and coverage
Commercial/Employer-Provided Insurance
How much can I expect to pay?
Approximately 69% of commercially insured patients pay between $0-$100 per month for DUPIXENT, and approximately 31%* pay $100+2,† per month for DUPIXENT.
What cost assistance is available?
With the DUPIXENT MyWay® Copay Card, an eligible patient may pay as little as $0 per fill of DUPIXENT.‡
See Copay Card Details*% of claims based on unprojected data.
†Out-of-pocket costs were standardized to a 30-day supply period.
‡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.
Program has an annual maximum of $13,000. Additional terms and conditions apply.
Medicaid Insurance
How much can I expect to pay?
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:
Visit Medicaid SiteWhat cost assistance is available?
You can speak with a DUPIXENT MyWay® representative for more information on cost assistance at 1-844-DUPIXENT (1-844-387-4936), option 1.
†Maximum allowable copayments determined by eligible population’s household income.
Medicare Insurance
How much can I expect to pay?
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.†
What cost assistance is available?
Some people with Part D coverage are eligible for the Medicare Extra Help4 program (also known as the Low-Income Subsidy or "LIS"), and they typically pay $3-$9 for their prescriptions.5
See Program DetailsIf 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 4 phases: 1) deductible, 2) initial coverage, 3) coverage gap, and 4) catastrophic. Each of these phases has different cost-sharing amounts.
I don't have insurance or DUPIXENT is not covered by my insurance plan
How much can I expect to pay?
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 below the tool plus any additional pharmacy charges. The price you pay varies from pharmacy to pharmacy.
What cost assistance is available?
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.
Commercial/Employer-Provided Insurance
of commercial patients' insurance covers* DUPIXENT
For more information on insurance coverage, dial 1-844-DUPIXENT (1‑844‑387‑4936), option 1
Monday-Friday, 8 am - 9 pm EST
*Coverage varies by type and plan.
Medicaid Insurance
of Medicaid patients' insurance covers* DUPIXENT
For more information on insurance coverage, dial 1-844-DUPIXENT (1‑844‑387‑4936), option 1
Monday-Friday, 8 am - 9 pm EST
*Coverage varies by type and plan.
Medicare Insurance
of Medicare patients' insurance covers* DUPIXENT
For more information on insurance coverage, dial 1-844-DUPIXENT (1‑844‑387‑4936), option 1
Monday-Friday, 8 am - 9 pm EST
*Coverage varies by type and plan.
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 $3,110.09 per carton, but most people will not pay the list price.
*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 2 injections per month. List price as of 5/21/2020.
WORKING WITH SPECIALTY PHARMACIES TO GET DUPIXENT
Once DUPIXENT is approved, a specialty pharmacy may work with you to schedule shipments of DUPIXENT to your home or preferred location.
- Be sure to answer calls from your specialty pharmacy! You cannot receive DUPIXENT until you speak with your specialty pharmacy to schedule your DUPIXENT shipments.
- Store your specialty pharmacy’s name and phone number in your phone’s contacts.
See how DUPIXENT goes from being prescribed
to being delivered
to your doorstep.
Transcript
DUPIXENT® (dupilumab)—a medicine with special storage requirements—is what’s known as a specialty medicine.
That means it may be delivered to you by a specialty pharmacy instead of your local pharmacy.
That also means you can expect the process for getting your prescription filled to be different from other medicines you may pick up from your local pharmacy.
It will go something like this:
First, your doctor writes a prescription for DUPIXENT. Be sure to ask your doctor about enrolling in DUPIXENT MyWay®, which can provide additional support for you. You or your doctor can download the enrollment form on DUPIXENT.com or call 1-844-DUPIXENT, option 1 to enroll.
Next, your prescription may have to be authorized by insurance. This is called prior authorization and is common for specialty medicines.
Your insurance company will work with your doctor to get any additional medical information they need.
It might feel like this part takes a while, but hang in there.
If you have enrolled in DUPIXENT MyWay, you will receive a welcome call from a Nurse Educator while your insurance benefits are being confirmed. Once DUPIXENT is approved by your insurer, a specialty pharmacy works with you to schedule the shipments of DUPIXENT to your home or other preferred location, so be sure to answer their calls to prevent delays.
They will not ship your medicine without first confirming delivery details with you.
And while everyone’s working through the details, look to DUPIXENT MyWay for additional support.
You can connect with DUPIXENT MyWay Nurse Educators by phone to receive supplemental injection training, help scheduling deliveries and prescription refills, or help navigating financial support options, such as copay assistance.
As a reminder, with all of these folks helping to get you off to good start with DUPIXENT, you may receive phone calls from your doctor’s office, specialty pharmacy, and a DUPIXENT MyWay Nurse Educator.
Remember to quickly respond to these calls to avoid delays in receiving DUPIXENT. So, now you know what to expect from prescription to delivery.
For more information on how to properly store DUPIXENT after delivery, please review the DUPIXENT Instructions for Use at DUPIXENT.com.
THE DUPIXENT MyWay COPAY CARD
The DUPIXENT MyWay Copay Card may help eligible patients cover the out-of-pocket cost of DUPIXENT. If you’re eligible, you can enroll and download your copay card on the site. Terms & Restrictions Apply.
check copay eligibilityFREQUENTLY ASKED QUESTIONS
Notify your pharmacy. In fact, when you take medications that require refills regularly over time, it’s always good to periodically check that your pharmacy has your most up-to-date insurance information on file. This can help you avoid potential delays in getting your prescription.
Contact 1-844-DUPIXENT (1-844-387-4936) to speak to a DUPIXENT MyWay® Nurse Educator if you have additional questions.
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, or Puerto Rico
- Are prescribed DUPIXENT for an indication approved by the US Food and Drug Administration
Program has an annual maximum of $13,000. *THIS IS NOT INSURANCE. Not valid for prescriptions paid, in whole or in part, by Medicaid, Medicare, VA, DOD, TRICARE, or other federal or state programs including any state pharmaceutical assistance programs. This program is not valid where prohibited by law, taxed or restricted. DUPIXENT MyWay reserves the right to rescind, revoke, terminate, or amend this offer, eligibility, and terms of use at any time without notice. Additional terms and conditions apply.
If you do not have insurance that covers your prescription medications, or if your insurance does not cover DUPIXENT, you can typically expect to pay the list price shown above plus any additional pharmacy charges. The price you pay varies from pharmacy to pharmacy.
If you need help paying for your prescription, the DUPIXENT MyWay Patient Assistance Program may be able to help. Patients will need to meet the eligibility criteria, including household income, to qualify. The DUPIXENT MyWay team can research each patient’s situation and determine eligibility.
If you have any additional questions about this pricing information, please call DUPIXENT MyWay at 1-844-DUPIXENT (1-844-387-4936).
1‑844‑DUPIXENT (1-844-387-4936), option 1
Monday-Friday, 8 am - 9 pm EST
- [Analy$ource]
- [IQVIA FIA data; [Jan 2019-Dec 2019]]
- [IQVIA FIA data; [Jan 2019-Dec 2019]]
- [Extra Help with Medicare Prescription Drug Plan Costs. https://www.ssa.gov/benefits/medicare/prescriptionhelp. Accessed on [February 20, 2019].]
- [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].]
- [Medicaid and CHIP overview for assisters. https://marketplace.cms.gov/technical-assistance-resources/fast-facts-medicaid-chip.pdf. Accessed on [March 6, 2019].]