Dupixent MyWay Enrollment Forms: Complete Guideline

Dupixent MyWay Enrollment Forms
Source: Dupixent

Hello good people! Welcome to our step-by-step guide to help you navigate the Dupixent MyWay Enrollment process with ease. We understand that medical paperwork can sometimes feel overwhelming, but don’t worry, we’re here to give you the knowledge you need to feel empowered.

Everyone deserves access to the treatment they need without any problem. In this article, we’ll give you all the information you need and assure you that the process is super simple and inclusive. Keep reading to find out just how easy it is to enroll.

The Dupixent MyWay Program is a comprehensive patient support program that is designed to provide assistance to people who are prescribed Dupixent.

It includes resources like co-pay assistance (for eligible patients), a dedicated nurse support team, and help in navigating insurance. Truly, this program underscores our commitment to ensuring everyone has access to the care they need. Remember, you’re not alone in this! We’re here to support you every step of the way.

Eligibility Criteria

Who Can Enroll in Dupixent MyWay Program?

The Dupixent MyWay Program is available for those who have been prescribed Dupixent by their healthcare provider. It covers patients with moderate-to-severe atopic dermatitis (eczema), moderate-to-severe asthma, and adults with chronic rhinosinusitis with nasal polyps.

However, it’s important to note that the eligibility for this program also depends on few other factors:

  1. Insurance status: The support offered by the program varies based on whether the patient has private/commercial insurance, government insurance (like Medicare or Medicaid), or no insurance.
  2. Residency: The patient must be a resident of the United States. This includes all 50 states, the District of Columbia, Puerto Rico, Guam, and the Virgin Islands.

Remember, just being eligible doesn’t automatically enroll you in the program. You need to complete the enrollment form and submit it. But don’t stress, we’ll guide you through that process too.

Step-by-Step Enrollment Process Dupixent MyWay

Step 1: Accessing the Enrollment Form

The first step to enrolling in the Dupixent MyWay Program is accessing the enrollment form. You can find this form directly on the Dupixent MyWay website. Once you’re on the site, look for a section titled “SELECT A CONDITION”. After selecting the condition you then see two more options “English Enrollment Form” or ‘”Spanish Enrollment Form”.

After selecting your preferred language, you’ll find two icons – one for email and one for print. Just choose the one that suits your needs

It’s completely okay if you need help – this form is designed to be user-friendly and accessible, but if you’re feeling overwhelmed, remember that a dedicated nurse support team is just a phone call away. They’re there to support you, so don’t hesitate to reach out.

Step 2: Completing the Enrollment Form

Completing the enrollment form is the next main step toward accessing the benefits of the Dupixent MyWay Program. The form is divided into four sections: Patient Information, Insurance Information, Prescriber Information, and Medication Information.

  • Patient Information: Here, you’ll enter your basic details like your name, date of birth, address, and contact information. This information is important for communication and to ensure that the right person is receiving the support.
  • Insurance Information: This section requires details about your insurance coverage. This could be your policy number, group number, and insurance provider’s contact details. It also asks about the Relationship with the patient, so make sure to provide accurate information. If you’re not insured, don’t worry! Just make sure to indicate this in the appropriate section.
  • Prescriber Information: This part should be filled out by your healthcare provider. It includes their contact details, NPI number, and signature. If you haven’t received a prescription yet, don’t worry! You can still complete the form and we’ll work with your provider to get everything in order.
  • Medication Information: This section requires details about your Dupixent prescription, like diagnosis date, strength, dose frequency, and expected refill date. It’s important to provide accurate information to ensure the support provided is tailored to your specific needs.

Step 3: Submitting the Enrollment Form

Once you’ve filled out the enrollment form, the final step is to submit it. You can do this in one of three ways:

By Mail: Print out the completed form and mail it to Dupixent MyWay, PO Box 219309, Kansas City, MO 64121-9309.

By Fax: Fax the completed form to 1-844-DUPIXEN (1-844-387-4936).

By Email: Scan or take a clear picture of the completed form and email it to

Please ensure all information that you provide is clear and legible to avoid any delays in processing. After submitting the form, you can expect to receive a confirmation from the Dupixent MyWay team within a few business days.

Step 4: Wait for Approval

After you’ve submitted your form, you’re all set, Now you just wait. Approval for the Dupixent MyWay Program usually takes a few business days. During this period, the team will review your form to ensure all necessary information is provided and verify your eligibility.

Rest assured, you will be notified about the status of your application – whether it’s approved, pending, or needs additional information. If you do not hear back within a reasonable time, feel free to contact the Dupixent MyWay team for an update.

Where can I find the DUPIXENT Enrollment Form PDF?

The DUPIXENT Enrollment Form PDF can be found directly on the Dupixent MyWay official website. It’s important to make sure you’re downloading the form from the official source to ensure the information you provide is secure.

Download the DUPIXENT Enrollment Form PDF Here

The site is a valuable source of information for further assistance or any questions you have about the process. With dedicated sections for patient support, enrollment, and medication details, it’s a reliable one-stop platform for all your Dupixent treatment needs.

Benefits of Dupixent MyWay Enrollment Form

Enrolling in the Dupixent MyWay Program not only makes your treatment accessible but also supports you throughout your medical journey. Here are some benefits you can expect by becoming a part of this program:

  • Nurse Support: A dedicated team of experienced nurses will be available to provide you with personalized support. They can help answer your questions related to your condition and the use of Dupixent, helping to empower you in managing your health.
  • Insurance Navigation Assistance: Understanding insurance policies can be challenging. Our team is here to help you understand your coverage, and out-of-pocket costs, and assist in the prior authorization process.
  • Financial Assistance: If you qualify, the program can provide financial assistance to help cover the cost of Dupixent. This can include help for those with commercial insurance, as well as support for uninsured and underinsured patients.
  • Treatment Support Materials: You’ll have access to many valuable resources, including educational materials, useful tips for managing your condition, and tools to track your progress.
  • Community Connection: Enrolling in the program also gives you the opportunity to connect with other people who are also living with similar conditions. Sharing experiences and learning from others can be both comforting and empowering.

Remember, we’re here for you. Our goal is to help you feel confident and supported in your treatment journey and make the process as smooth and stress-free as possible.


In conclusion, the Dupixent MyWay Program is more than just a pathway to access medication. It’s your partner in health, providing dedicated support, understanding, and resources throughout your journey with Dupixent. We understand the challenges you face, and we are here to help you navigate them with ease. We are here for you every step of the way.


I don't have insurance. Can I still enroll in the Dupixent MyWay Program?

Yes, you can still enroll. The Dupixent MyWay Program is designed to support all patients who are prescribed Dupixent. If you’re uninsured or underinsured, indicate this on the enrollment form and their team will work with you to provide the necessary support.

What kind of support does the Dupixent MyWay Program provide?

The program offers a range of support services, like medical advice from trained nurses, assistance understanding and navigating insurance policies, potential financial assistance, access to educational resources and tools, and the opportunity to connect with a community of people managing similar conditions.

Who can I contact if I have questions or need assistance?

You can reach out to the Dupixent MyWay team at any time if you have questions or need assistance. They are available over the phone at 1-844-DUPIXEN (1-844-387-4936) and via email at The team is dedicated to supporting you throughout your journey with Dupixent and is ready to help answer any inquiries you have about the program.

Related medical information


The information provided in this article is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Don’t ignore professional medical advice or put off seeking it just because of something you read here. Although we aim to offer precise and current information, we do not guarantee its completeness, accuracy, reliability, suitability, or availability for any purpose. Using the information in this document is at your own risk. We are not responsible for any losses or damages caused by our content.

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