How Insurance Coverage Works for Dupixent

Dupixent (dupilumab) is a prescription medication used to treat various conditions like eczema, asthma, and nasal polyps. The cost of Dupixent after insurance varies based on a few different factors:

Your Insurance Plan

Whether you have commercial insurance through an employer or a public plan like Medicare/Medicaid, your coverage for Dupixent will depend on the specifics of your insurance plan. Things like your deductible, co-pay, and coverage tiers will impact your out-of-pocket costs. Generally, plans with better coverage will have lower costs for patients.

Manufacturer Coupons and Copay Assistance

The manufacturer of Dupixent, Sanofi, offers copay assistance programs that can help lower your costs significantly. For eligible commercially insured patients, out-of-pocket costs may be as low as $25 per month. There are also programs available for uninsured or underinsured patients. Check Sanofi's website for the latest assistance offerings.

Pharmacy Benefits

Dupixent is classified as a specialty medication, which usually means higher costs. Your pharmacy benefits, like which "tier" the drug is covered under, will dictate your co-pay or co-insurance amount. Forms like pens or syringes also impact the price. Most plans keep costs lower when obtaining Dupixent via mail order or specialty pharmacies.

In summary, the true out-of-pocket cost of Dupixent varies widely per individual based on insurance, pharmacy benefits, and available co-pay assistance programs. But with coverage and help, the monthly costs are manageable for most patients.

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