Does Christiana Care Health System Cover Dupixent

Learn why Christiana Care may deny Dupixent, how to secure coverage, the cost without insurance, and get answers to common Dupixent questions.
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“Curex is changing the landscape of allergies in 2024”
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Dupixent Coverage by Christiana Care Health System

 

  • Christiana Care Health System may cover Dupixent depending on individual insurance plans and medical necessity. Coverage policies can vary, and it’s crucial to verify specific plan details.
  •  

  • Typically, Dupixent is covered for conditions like moderate-to-severe atopic dermatitis, asthma, or chronic rhinosinusitis with nasal polyposis when traditional therapies fail or are not suitable.
  •  

  • To gain coverage, prior authorization is often required, demonstrating the medical necessity of Dupixent. This process might involve documentation from healthcare providers regarding the severity of the condition and previous treatments tried.
  •  

  • Patients should consult with their healthcare provider and insurance representative to confirm coverage specifics and ensure compliance with any required pre-approval processes.

 

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Our team is here to help!

Dr. Neeta Ogden, MD

Curex is poised to revolutionize the way allergies are treated in America, expanding access to clinical care and treatments that can meaningfully improve patients quality of life.

Dr. Ravi Patel, VP Telemedicine

At Curex, our mission is to help people improve their health and quality of life by understanding their allergies and treating them at their source.We provide more than individualized prescription treatments; we provide individualized care.

Jill Hamburg, PA - C

Immunotherapy made simple.  We enable patients to receive personalized allergy care on their own time. No more waiting rooms.

Dr. Chet Tharpe, Medical Director

Curex has set the standard for the virtual allergy experience. From the comfort of their home, patients nationwide are able to receive a personalized treatment plan from an experienced clinician, aimed at treating the source of their allergies, not just the symptoms.

Kayla Mardaga, NP

Curex offers convenient at-home allergy testing options. Our goal is to determine if a patient would benefit from immunotherapy and then customize a treatment plan that can reduce both the symptoms and the reliance on allergy medications.

How to Get Dupixent Coverage with Christiana Care Health System

 

Initial Consultation with Your Physician

 

  • Book an appointment with your primary care physician or a specialist affiliated with Christiana Care Health System to discuss your medical condition and the need for Dupixent.
  •  

  • Ensure you have a comprehensive medical history prepared, including any prior treatments and current medications.
  •  

  • Obtain a professional recommendation or prescription for Dupixent from your healthcare provider, supported by your medical necessity.

 

Verify Insurance Coverage

 

  • Contact Christiana Care Health System's patient financial services to verify if Dupixent is covered under your current insurance plan.
  •  

  • Provide your insurance information and inquire about any specific requirements or criteria needed to secure coverage for Dupixent.
  •  

  • Be aware of any copayments, deductibles, or out-of-pocket expenses that might be associated with your coverage plan for Dupixent.

 

Prior Authorization Process

 

  • Work with your healthcare provider to submit a prior authorization form to your insurance carrier, detailing the medical necessity for Dupixent.
  •  

  • Ensure that all required medical documentation, such as test results and physician notes, are included to support the prior authorization request.
  •  

  • Follow up regularly with your insurance provider to check the status of the prior authorization application.

 

Financial Assistance and Resources

 

  • Explore potential financial assistance programs offered by the manufacturer of Dupixent, which can help alleviate the cost of the medication if it's not fully covered by insurance.
  •  

  • Contact Christiana Care Health System for guidance on additional support services and resources for managing drug costs.
  •  

  • Enroll in patient assistance programs if eligible, which may provide additional coverage or rebates on Dupixent.

 

Pharmacy Coordination

 

  • Once coverage is confirmed, coordinate with your healthcare provider to send the Dupixent prescription to a pharmacy recognized by Christiana Care Health System's network.
  •  

  • Arrange for delivery or pick-up of Dupixent, ensuring you receive all instructions on its administration from the pharmacist.
  •  

  • Schedule follow-up appointments with your healthcare provider to monitor your response to Dupixent and adjust treatment if necessary.

 

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Does Christiana Care Health System Cover Dupixent

Learn why Christiana Care may deny Dupixent, how to secure coverage, the cost without insurance, and get answers to common Dupixent questions.
Curex allergy drops unboxing

Is Dupixent Covered by Christiana Care Health System

 

Dupixent Coverage by Christiana Care Health System

 

  • Christiana Care Health System may cover Dupixent depending on individual insurance plans and medical necessity. Coverage policies can vary, and it’s crucial to verify specific plan details.
  •  

  • Typically, Dupixent is covered for conditions like moderate-to-severe atopic dermatitis, asthma, or chronic rhinosinusitis with nasal polyposis when traditional therapies fail or are not suitable.
  •  

  • To gain coverage, prior authorization is often required, demonstrating the medical necessity of Dupixent. This process might involve documentation from healthcare providers regarding the severity of the condition and previous treatments tried.
  •  

  • Patients should consult with their healthcare provider and insurance representative to confirm coverage specifics and ensure compliance with any required pre-approval processes.

 

A weight management program tailored to you

Start with Curex

Christiana Care Health System's Approved Criteria for Dupixent Coverage

 

Criteria for Dupixent Coverage

 

  • Diagnosis of a qualifying condition such as moderate-to-severe atopic dermatitis or eosinophilic asthma, confirmed by a healthcare provider.
  •  

  • Patient must have tried and failed or have contraindications to standard therapies such as topical corticosteroids or oral corticosteroids.
  •  

  • Treatment must be prescribed by or in consultation with a board-certified specialist, such as a dermatologist, allergist, or pulmonologist, depending on the condition being treated.
  •  

  • For atopic dermatitis, documentation of the severity and extent of the disease, including body surface area affected and impact on quality of life, is required.
  •  

  • For asthma, spirometry or other pulmonary function test results should demonstrate a high eosinophil count or other markers of type 2 inflammation.
  •  

  • Patients must adhere to scheduled medical follow-ups and evaluations to monitor effectiveness and safety of the treatment.
  •  

  • Duplicate therapy with other biologics is not considered; Dupixent should be used as monotherapy unless explicitly documented and approved otherwise by a healthcare provider.
  •  

  • A coverage determination will consider any applicable clinical guidelines or pathways established by the Christiana Care Health System.

 

Why Christiana Care Health System Might Deny Dupixent Coverage

 

Reasons for Denial of Dupixent Coverage

 

  • Failure to meet the clinical criteria outlined by Christiana Care Health System, such as documented evidence of disease severity or prior treatment attempts.
  •  

  • Submission of incomplete medical documentation required for pre-authorization or prior approval of Dupixent.
  •  

  • Dupixent being prescribed for an off-label use that is not recognized or approved by Christiana Care Health System's policy guidelines.
  •  

  • Requests exceeding the FDA-approved dosage or frequency not supported by appropriate clinical justification.
  •  

  • Lack of proof of previous conventional therapies being ineffective, as the system may require evidence that other treatments have been attempted without success.
  •  

  • Dupixent prescribed for a condition that is not covered under the patient's current insurance plan or benefit design through Christiana Care Health System.

 

Together with our partners we have changed the lives of over 300,000 patients.

How Much Does Dupixent Cost without Insurance?

 

Approximate Cost of Dupixent Without Insurance

 

  • The cost of Dupixent without insurance can be quite high, usually ranging between $3,200 to $3,500 per month. This cost is for the standard dose, which consists of two pre-filled syringes or injection pens, each containing 300 mg of medication.
  •  

  • Prices can vary depending on the pharmacy, location, and any potential deals or discounts offered by specific pharmacies or third-party services.
  •  

  • Patients are encouraged to explore manufacturer copay cards, patient assistance programs, or discount cards which might be available to help reduce out-of-pocket expenses.
  •  

  • For those requiring treatment for conditions like eczema, asthma, or other approved uses, Dupixent is often administered bi-weekly after an initial loading dose, which should be taken into consideration when calculating monthly or annual expenses.
  •  

Our team is here to help!

Dr. Neeta Ogden, MD

Curex is poised to revolutionize the way allergies are treated in America, expanding access to clinical care and treatments that can meaningfully improve patients quality of life.

Dr. Ravi Patel, VP Telemedicine

At Curex, our mission is to help people improve their health and quality of life by understanding their allergies and treating them at their source.We provide more than individualized prescription treatments; we provide individualized care.

Jill Hamburg, PA - C

Immunotherapy made simple.  We enable patients to receive personalized allergy care on their own time. No more waiting rooms.

Dr. Chet Tharpe, Medical Director

Curex has set the standard for the virtual allergy experience. From the comfort of their home, patients nationwide are able to receive a personalized treatment plan from an experienced clinician, aimed at treating the source of their allergies, not just the symptoms.

Kayla Mardaga, NP

Curex offers convenient at-home allergy testing options. Our goal is to determine if a patient would benefit from immunotherapy and then customize a treatment plan that can reduce both the symptoms and the reliance on allergy medications.

How to Get Dupixent Coverage with Christiana Care Health System

 

Initial Consultation with Your Physician

 

  • Book an appointment with your primary care physician or a specialist affiliated with Christiana Care Health System to discuss your medical condition and the need for Dupixent.
  •  

  • Ensure you have a comprehensive medical history prepared, including any prior treatments and current medications.
  •  

  • Obtain a professional recommendation or prescription for Dupixent from your healthcare provider, supported by your medical necessity.

 

Verify Insurance Coverage

 

  • Contact Christiana Care Health System's patient financial services to verify if Dupixent is covered under your current insurance plan.
  •  

  • Provide your insurance information and inquire about any specific requirements or criteria needed to secure coverage for Dupixent.
  •  

  • Be aware of any copayments, deductibles, or out-of-pocket expenses that might be associated with your coverage plan for Dupixent.

 

Prior Authorization Process

 

  • Work with your healthcare provider to submit a prior authorization form to your insurance carrier, detailing the medical necessity for Dupixent.
  •  

  • Ensure that all required medical documentation, such as test results and physician notes, are included to support the prior authorization request.
  •  

  • Follow up regularly with your insurance provider to check the status of the prior authorization application.

 

Financial Assistance and Resources

 

  • Explore potential financial assistance programs offered by the manufacturer of Dupixent, which can help alleviate the cost of the medication if it's not fully covered by insurance.
  •  

  • Contact Christiana Care Health System for guidance on additional support services and resources for managing drug costs.
  •  

  • Enroll in patient assistance programs if eligible, which may provide additional coverage or rebates on Dupixent.

 

Pharmacy Coordination

 

  • Once coverage is confirmed, coordinate with your healthcare provider to send the Dupixent prescription to a pharmacy recognized by Christiana Care Health System's network.
  •  

  • Arrange for delivery or pick-up of Dupixent, ensuring you receive all instructions on its administration from the pharmacist.
  •  

  • Schedule follow-up appointments with your healthcare provider to monitor your response to Dupixent and adjust treatment if necessary.

 

Premium Medication you can trust

Our weight loss medication is delivered straight to your doorstep from a state-licensed pharmacy within our reliable network, ensuring you receive your medication when you need it.

Each pharmacy in our network undergoes rigorous third-party testing through FDA and DEA certified labs. These tests focus on four key elements, ensuring both safety and efficacy for our treatments.

Dupixent FAQ

1. What are the common side effects of Dupixent?

 

Common Side Effects of Dupixent

 

  • Injection site reactions: redness, swelling, and pain at the injection site are frequently reported. These reactions usually subside shortly after injection.
  •  

  • Conjunctivitis: Some patients experience symptoms like red, itchy, or watery eyes.
  •  

  • Blepharitis: Inflammation of the eyelids, leading to symptoms such as redness, swelling, and itching, may occur.
  •  

  • Oral herpes: A mild increase in probabilities of cold sores has been noted in some cases.
  •  

  • Sore throat: Some individuals may develop pharyngitis, which manifests as throat discomfort or pain.

2. How does Dupixent work for eczema?

 

How Dupixent Works for Eczema

 

  • Dupixent is a monoclonal antibody that targets interleukin-4 receptor alpha (IL-4Rα).
  •  

  • By blocking IL-4Rα, it inhibits the signaling pathways of IL-4 and IL-13, key cytokines involved in the inflammatory response in eczema.
  •  

  • This leads to a reduction in the overactive immune response, which is characterized by inflammation and itchiness in atopic dermatitis.
  •  

  • As a result, Dupixent helps alleviate symptoms like redness, itch, and skin thickening by modulating the immune response.

3. Is Dupixent used for asthma treatment?

 

Dupixent for Asthma

 

  • Dupixent (dupilumab) is approved for use in the treatment of moderate-to-severe asthma in adults and adolescents (12 years and older).
  •  

  • It is particularly beneficial for patients with eosinophilic asthma or those dependent on oral corticosteroids.
  •  

  • Dupixent acts by targeting and inhibiting the signaling of interleukins IL-4 and IL-13, which play central roles in the inflammatory response involved in asthma.
  •  

  • The medication is administered via subcutaneous injection, typically every two weeks after an initial loading dose.
  •  

  • Clinical trials have shown Dupixent to reduce asthma exacerbations and improve lung function, thereby potentially reducing the need for oral corticosteroids.

 

Have questions left?

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Curex is one of America’s largest telehealth providers

Together with our partners we have changed the lives of over 300,000 patients. Here’s what some of them have to say:

“Curex has performed beyond my expectations. I am feeling tremendously better and look forward to continuing the treatment.”
Becky D.
"If I could give 6 stars, I would. BEST... BEST… BEST… service.”
Ferdian K.
“The Curex staff has been professional, efficient, and really focused on my individual needs.”
Ana C.

Start your
journey now

Everything you need is included:

Online consultation

Your prescription

Premium medication

Overnight shipping

Ongoing support

A weight management program tailored to you

Initial Dosage

Your initial medication and dosage are carefully determined by doctors, taking into account your unique health profile. This ensures a personalized and safe treatment plan tailored to your specific needs.

Titration

We gradually adjust your dosage to reach the optimal therapeutic level, ensuring maximum effectiveness while minimizing potential side effects.

Additional Treatments

Our providers may also recommend medications such as metformin or supplements such as vitamin B12. We recognize the importance of managing side effects, so your care plan may include medication to alleviate them.

Got questions? We have answers.

Do your plans include prescriptions and medications?

Curex plans cover everything from reviewing your medical intake to providing prescription medications, with free shipping included. There are no extra or hidden charges. Prescriptions are issued only after a medical provider reviews your information to confirm that the medication is suitable for you. Our service includes continuous support and regular follow-ups to ensure your treatment stays on track.

Our clinicians may order labs and additional medications for you, which would not be covered by the plan but for which you can use your insurance.

Please note: Compounded medications are tailored to individual needs or used in case of shortages, but they are not FDA-approved for safety or effectiveness. A prescription is required. Results may vary from person to person.

What medications do your providers prescribe?

We prioritize a personalized approach to your health. If your medical provider prescribes medication, options may include GLP-1 treatments such as compounded semaglutide. Our providers prescribe only combination treatments not available at your local pharmacy that may include vitamin B12, etc. to help you achieve your goals faster.

Depending on your treatment goals, other medications such as metformin may also be considered. We recognize the importance of managing side effects, so your care plan might include medication to ease symptoms like nausea. Your well-being is always our top priority!

Please note that compounded medications are customized to meet individual patient needs and are not FDA-approved for safety or effectiveness. A prescription is necessary. Results may vary from person to person.

Curex and its pharmacy partners do not have any association with Novo Nordisk.

Will I be prescribed semaglutide?

Your health journey is unique, and we tailor our care to match. Any prescriptions, including semaglutide, will be based on the expert assessment of the medical provider matched with you through our platform. You can trust that your treatment plan will be personalized to fit your specific needs. And if semaglutide is not prescribed, we will provide a full refund.

What is compounded medication?

Compounding involves creating customized medications to meet the specific needs of individual patients. For instance, a patient may require a liquid version of a medication that is only available in tablet form. Pharmacies can also compound medications using FDA-approved drugs that are on the FDA’s shortage list.

These compounded medications are made by state-licensed pharmacies that follow both federal and state regulations, including quality standards. However, when compounded in accordance with these laws, these medications are not subject to FDA approval and are not evaluated for safety or effectiveness.

Is compounded medication the same as generic medication?

Compounded medications differ from generic drugs. Generics require FDA approval by demonstrating bio-equivalence to the brand-name drug. In contrast, compounded medications are not FDA-approved. They are made based on a personalized prescription that may not be commercially available elsewhere or when a drug appears on the FDA’s shortage list. Compounding pharmacies must have the proper licensed facilities and comply with state and federal regulations before dispensing these medications.

Is insurance required?

No, Curex doesn’t require insurance. We offer clear and simple pricing, along with affordable medication options, making it easy and accessible to take care of your health.

Can I pay with an FSA or HSA card?

Yes! You can pay with your HSA or FSA card.

Can you prescribe Ozempic®* or Wegovy®*?

Our providers focus on personalized medications and dosages that aren’t commercially available at your local pharmacy. We don’t prescribe Ozempic®* or Wegovy®.* We may prescribe treatments containing compounded semaglutide or tirzepatide. These medications are specially compounded for you by a licensed pharmacy to meet your specific needs.

Are video visits with a provider required?

Our providers will review your information 100% online. Depending on where you live and the specifics of your medical history, our providers may require you to have a video visit or asynchronous visit via text message. If prescribed, you’ll get unlimited online access to message your provider as needed for follow-ups, adjustments, and answers to your questions.

What states do you serve?

Currently, we do not serve Arkansas, Connecticut, and New Mexico. However, we are always working to expand our reach, so stay in touch with us at hi@getcurex.com.

Does Christiana Care Health System Cover Dupixent

Learn why Christiana Care may deny Dupixent, how to secure coverage, the cost without insurance, and get answers to common Dupixent questions.
Curex allergy drops unboxing

Does Christiana Care Health System Cover Dupixent

 

Dupixent Coverage by Christiana Care Health System

 

  • Christiana Care Health System may cover Dupixent depending on individual insurance plans and medical necessity. Coverage policies can vary, and it’s crucial to verify specific plan details.
  •  

  • Typically, Dupixent is covered for conditions like moderate-to-severe atopic dermatitis, asthma, or chronic rhinosinusitis with nasal polyposis when traditional therapies fail or are not suitable.
  •  

  • To gain coverage, prior authorization is often required, demonstrating the medical necessity of Dupixent. This process might involve documentation from healthcare providers regarding the severity of the condition and previous treatments tried.
  •  

  • Patients should consult with their healthcare provider and insurance representative to confirm coverage specifics and ensure compliance with any required pre-approval processes.

 

A weight management program tailored to you

Start with Curex

Why Christiana Care Health System Might Deny Dupixent Coverage

 

Criteria for Dupixent Coverage

 

  • Diagnosis of a qualifying condition such as moderate-to-severe atopic dermatitis or eosinophilic asthma, confirmed by a healthcare provider.
  •  

  • Patient must have tried and failed or have contraindications to standard therapies such as topical corticosteroids or oral corticosteroids.
  •  

  • Treatment must be prescribed by or in consultation with a board-certified specialist, such as a dermatologist, allergist, or pulmonologist, depending on the condition being treated.
  •  

  • For atopic dermatitis, documentation of the severity and extent of the disease, including body surface area affected and impact on quality of life, is required.
  •  

  • For asthma, spirometry or other pulmonary function test results should demonstrate a high eosinophil count or other markers of type 2 inflammation.
  •  

  • Patients must adhere to scheduled medical follow-ups and evaluations to monitor effectiveness and safety of the treatment.
  •  

  • Duplicate therapy with other biologics is not considered; Dupixent should be used as monotherapy unless explicitly documented and approved otherwise by a healthcare provider.
  •  

  • A coverage determination will consider any applicable clinical guidelines or pathways established by the Christiana Care Health System.

 

Together with our partners we have changed the lives of over 300,000 patients.

Dupixent FAQ

 

Reasons for Denial of Dupixent Coverage

 

  • Failure to meet the clinical criteria outlined by Christiana Care Health System, such as documented evidence of disease severity or prior treatment attempts.
  •  

  • Submission of incomplete medical documentation required for pre-authorization or prior approval of Dupixent.
  •  

  • Dupixent being prescribed for an off-label use that is not recognized or approved by Christiana Care Health System's policy guidelines.
  •  

  • Requests exceeding the FDA-approved dosage or frequency not supported by appropriate clinical justification.
  •  

  • Lack of proof of previous conventional therapies being ineffective, as the system may require evidence that other treatments have been attempted without success.
  •  

  • Dupixent prescribed for a condition that is not covered under the patient's current insurance plan or benefit design through Christiana Care Health System.

 

Our team is here to help!

Dr. Neeta Ogden, MD

Curex is poised to revolutionize the way allergies are treated in America, expanding access to clinical care and treatments that can meaningfully improve patients quality of life.

Dr. Ravi Patel, VP Telemedicine

At Curex, our mission is to help people improve their health and quality of life by understanding their allergies and treating them at their source.We provide more than individualized prescription treatments; we provide individualized care.

Jill Hamburg, PA - C

Immunotherapy made simple.  We enable patients to receive personalized allergy care on their own time. No more waiting rooms.

Dr. Chet Tharpe, Medical Director

Curex has set the standard for the virtual allergy experience. From the comfort of their home, patients nationwide are able to receive a personalized treatment plan from an experienced clinician, aimed at treating the source of their allergies, not just the symptoms.

Kayla Mardaga, NP

Curex offers convenient at-home allergy testing options. Our goal is to determine if a patient would benefit from immunotherapy and then customize a treatment plan that can reduce both the symptoms and the reliance on allergy medications.

How Much Does Dupixent Cost without Insurance?

 

Approximate Cost of Dupixent Without Insurance

 

  • The cost of Dupixent without insurance can be quite high, usually ranging between $3,200 to $3,500 per month. This cost is for the standard dose, which consists of two pre-filled syringes or injection pens, each containing 300 mg of medication.
  •  

  • Prices can vary depending on the pharmacy, location, and any potential deals or discounts offered by specific pharmacies or third-party services.
  •  

  • Patients are encouraged to explore manufacturer copay cards, patient assistance programs, or discount cards which might be available to help reduce out-of-pocket expenses.
  •  

  • For those requiring treatment for conditions like eczema, asthma, or other approved uses, Dupixent is often administered bi-weekly after an initial loading dose, which should be taken into consideration when calculating monthly or annual expenses.
  •  

Premium Medication you can trust

Our weight loss medication is delivered straight to your doorstep from a state-licensed pharmacy within our reliable network, ensuring you receive your medication when you need it.

Each pharmacy in our network undergoes rigorous third-party testing through FDA and DEA certified labs. These tests focus on four key elements, ensuring both safety and efficacy for our treatments.

Curex is one of America’s largest telehealth providers

Together with our partners we have changed the lives of over 300,000 patients. Here’s what some of them have to say:

“Curex has performed beyond my expectations. I am feeling tremendously better and look forward to continuing the treatment.”
Becky D.
"If I could give 6 stars, I would. BEST... BEST… BEST… service.”
Ferdian K.
“The Curex staff has been professional, efficient, and really focused on my individual needs.”
Ana C.

Start your
journey now

Everything you need is included:

Online consultation

Your prescription

Premium medication

Overnight shipping

Ongoing support

A weight management program tailored to you

Initial Dosage

Your initial medication and dosage are carefully determined by doctors, taking into account your unique health profile. This ensures a personalized and safe treatment plan tailored to your specific needs.

Titration

We gradually adjust your dosage to reach the optimal therapeutic level, ensuring maximum effectiveness while minimizing potential side effects.

Additional Treatments

Our providers may also recommend medications such as metformin or supplements such as vitamin B12. We recognize the importance of managing side effects, so your care plan may include medication to alleviate them.