If you suffer from eczema or asthma, you may have heard about a medication called Dupixent. Dupixent is a prescription medication that has been approved by the FDA to treat both eczema and asthma. However, many people may wonder if their insurance covers Dupixent. In this article, we will discuss whether or not insurance covers Dupixent, how much it costs, and what options are available if your insurance does not cover it.
What is Dupixent?
Dupixent, also known by its generic name, dupilumab, is a medication that is used to treat eczema and asthma. It is an injectable medication that is given every two weeks. Dupixent works by blocking proteins in the body that cause inflammation. This can help to reduce the symptoms of eczema and asthma.
Does Insurance Cover Dupixent?
The short answer is, it depends. Dupixent is a relatively new medication, and it can be expensive. Therefore, insurance companies may have different policies regarding coverage for Dupixent.
In general, most insurance companies will cover Dupixent for patients who meet certain criteria. For example, your insurance company may require that you have tried and failed other medications before they will cover Dupixent. Additionally, they may require that you have a certain level of disease severity before they will cover Dupixent.
How Much Does Dupixent Cost?
The cost of Dupixent can vary depending on your insurance coverage and the pharmacy you use. Without insurance, Dupixent can cost up to $37,000 per year. However, most people will not pay this amount out of pocket. With insurance, the cost of Dupixent can range from a few hundred dollars to several thousand dollars per year, depending on your insurance coverage.
What Options are Available if Insurance Does Not Cover Dupixent?
If your insurance does not cover Dupixent, there are several options that may be available to you. First, you can talk to your doctor about alternative medications that may be covered by your insurance. Additionally, you may be able to apply for financial assistance programs that can help to cover the cost of Dupixent.
There are also patient assistance programs available that can help to cover the cost of Dupixent for eligible patients. These programs are offered by the drug manufacturer and can provide financial assistance or free medication to eligible patients.
Conclusion
Dupixent is a medication that can be highly effective in treating eczema and asthma. However, it can be expensive, and insurance coverage may vary. If you are considering Dupixent as a treatment option, it is important to check with your insurance company to see if it is covered. If it is not covered, there are options available that can help to reduce the cost.
FAQs
- What is Dupixent? Dupixent is a medication used to treat eczema and asthma.
- How does Dupixent work? Dupixent works by blocking proteins in the body that cause inflammation.
- How much does Dupixent cost? The cost of Dupixent can vary depending on insurance coverage and pharmacy. Without insurance, it can cost up to $37,000 per year.
- What do I do if my insurance doesn’t cover Dupixent? Talk to your doctor about alternative medications, apply for financial assistance programs, or look into patient assistance programs offered by the drug manufacturer.
- Is Dupixent covered by Medicare? Dupixent is covered by Medicare Part D, but coverage may vary depending on your plan.
