Recently, I went through my medical history, and suddenly I found that it cost me over 70000 dollars per year. The maximum proportion of this cost was due to one single injection- Dupixent.

Dupixent is a medical prescription certainly used to control allergic diseases such as Dermatitis, asthma, nasal polyps, and many more. Eventually, it got me thinking about how much money I could have saved if I had some insurance coverage related to Dupixent.

As I am still suffering from nasal polyps and asthma, there is a possibility I might have to go through this Dupixent injection one more time. Therefore, is Dupixent covered by insurance? It’s time for me to find out!

More About Insurance Policy.

Dupixent- About Its Medication Process

As we have already said, Dupixent is a branded medical prescription genetically manufactured to cure allergic diseases such as Dermatitis, nasal polyps, asthma, chronic rhinosinusitis, prurigo nodularis, and eosinophilic esophagitis.

How does the Dupixent work in the human body? After the patient has been injected with Dupixent, it attacks mainly two types of protein, interleukin-4 and 13, which take action in the inflammation resulting in such allergic diseases.

There are certain parameters upon which the medication of Dupixent relies on. For example, the dosage amount will depend on the patient’s age and other medical conditions. AS Dupixent contains some side effects, doctors do not recommend them to people with different medical disorders.

Dupixent normally comes in a pack of syringes, and the dosing interval normally falls between two to four weeks. As a matter of fact, Dupixent is an extremely expensive injection, and it will be wise to have some insurance coverage for such medications.

Is Dupixent covered by insurance? Let us do some cost analysis first, and then we will see the detailed process for cost-cutting solutions.

Dupixent- Its Cost Without Any Insurance

Dupixent is the only injection medicine approved by Food and Drug Administration (FDA). Additionally, no other medications are more efficient and powerful enough to treat deadly allergic diseases such as asthma or Dermatitis.

Furthermore, you will find many alternatives to Dupixent, but they are equally expensive and less available in your local pharmacies. Therefore, the cost that is assigned to each dose of Dupixent is not worthless at all.

One single 2 ml syringe contains 300 mg of Dupixent antioxidants, which raises the cost to about 4900 dollars. As diseases like asthma, Dermatitis is not totally curable; you need to take Dupixent doses on a regular basis. Therefore, the total annual cost behind Dupixent for an allergic disease patient is about 59000 dollars.

Yes! That is how I got my annual medical bills that high! But fear not; there are always some methods for reducing the expenses related to Dupixent. First of all, you can always switch to alternatives that will produce less cost annually.

As we said earlier, other medicines might not work as efficiently as Dupixent. Therefore, the second way is to enroll for some insurance coverage to reduce the medical cost of Dupixent drugs.

The table below will show some of the alternatives and their respective cost per dosage:

Name of the Drug	Amount per syringe	Price per syringe
Dupixent	300 mg	4910 dollars
Clobex	118 mg	1075 dollars
Vanos	120 gm	3710 dollars
Protopic	30 gm	359 dollars
Elidel	30 gm	398 dollars
Eucrisa	60 gm	900 dollars
Lucia	100 mg	4305 dollars
Fasenra	30 mg	6458 dollars
Xolair	150 mg	3791 dollars

Note that the greater amount per syringe does not necessarily mean the curing process will be much faster. As the manufacturing ingredients for each medicine are different, the doses are made according to the human level tolerances.

Dupixent- About Its Insurance Coverages

As Dupixent is a very expensive drug, insurance coverage for this medicine requires a deep level of authorization from the medication experts. If you wish to have Dupixent insurance coverage, you need to be certain about the following requirements:

• Make sure to have a prescription for the drug that you enrolled in for insurance coverage.
• Ensure your specific type of insurance covers Dupixent.
• Ensure that your insurance provider is well aware of your drug prescription.
• Make sure to cover every deductible fee before wishing for insurance coverage.

Is Dupixent covered by insurance? Yes! These are the following insurance prescription methods to cover your Dupixent costs:

• Enrolling in a Commercial/Employer-Provided Insurance.
• Enrolling in a Medicaid plan.
• Enrolling in a Medicare plan.

Enrolling in a Commercial/Employer-Provided Insurance

This particular insurance plan shows that about 60 percent of commercial//employer provided insurance users pay from 0 to 100 dollars for each dose of Dupixent.

On the other hand, 40 percent pay more than 100 dollars for each Dupixent syringe. The payment system varies on the enrollment period and the eligibility for this insurance plan. In both cases, the deductible fee is 13000 dollars annually.

Enrolling in a Medicaid Plan

With the Medicaid insurance plan, your Dupixent cost will drastically decrease to 4 to 9 dollars per month. Also, the deductible payments are excluded. Obviously, you need to certify yourself as eligible before enrolling for such a plan.

The insurance provider in Medicaid will see the additional criteria such as household income, patient’s medical history, etc.

Enrolling for a Medicare Plan

With the Medicare part D insurance plan, 79 percent of Dupixent patients pay between 0 to 100 dollars for their doses. On the other hand, the rest of the proportion pays more than 100 dollars depending on the eligibility.

This insurance payment is variable and may change during the year. You may need to pay more than 100 dollars bills at the end of the year, depending on your specific Medicare part D benefits.

Other coverage and benefits provided by the Medicare Part D plan are as follows:

• Treatment drugs for HIV/AIDS.
• Antidepressant drugs.
• Antipsychotic drugs.
• Drugs for Involuntary disorders.
• Cancer treatment drugs.

The Dupixent injection drug falls in the category of “Drugs for Involuntary disorders.” Are you thinking about enrolling in this insurance plan? Then you should know how to include yourself in Medicare part D. Here goes:

You can easily fill out the application form online on their Medicare official page. After you submit the application, they will notify you about the enrollment statement, and you need to pay some additional charges to finalize the deal.

All the above payments are made using a Copay Card. Note that you will only get a Copay Card after enrolling in one of the above insurance plans.

To check for the Copay Card eligibility, you need to:

• Be a part of commercial insurance or health insurance. In simpler terms, you need to enroll in one of the insurances mentioned above first.
• Be a resident of at least 50 states of the United States.
• Have a prescription for Dupixent medication as a sign of approval by the Food and Drug Administration Additionally, Copay Cards are mainly used for Dupixent payments.

Dupixent- About Its Side Effects

Though Dupixent is an excellent drug for treating allergic diseases, the immune system may vary from person to person. Hence, there had been a record of some unwanted allergic, considered side effects after taking a significant dose of Dupixent.

Therefore, it will be our suggestion that if you have any of the below-mentioned side effects after using Dupixent, contact your personal doctor immediately and take the necessary medications.

Side effects of Dupixent include:

Allergic Reactions: Regular usage of Dupixent can lead to sudden allergic reactions. Some of these include breathing problems, snoring, face swelling, additional swelling of the lips, tongue, and throat, sudden fainting, frequent drowsiness, and many more.

If you ever experience any of these above allergic reactions, consult with a doctor immediately and stop taking any more Dupixent. An overdose might lead to catastrophic situations.

Vision Problems: There have also been records of sudden rashes around the eye, which create tremendous itching leading to infection. Furthermore, using Dupixent also leads to blurred vision, which can happen due to a damaged retina.

Immediately consult with an ophthalmologist and take some advice about continuing the Dupixent doses or not because more doses might worsen the vision.

Blood Vessel Inflammation: Inflammation in blood vessels makes the walls of the arteries and veins grow and thicken gradually. This restricts the blood flow, which might lead to increased blood pressure.

If you experience other symptoms such as chest pain, or breathing problems, you can be certain that you have an inflammation. This particular side effect is most common for patients with asthma. Consult your doctor to prescribe you other medicines to stop the inflammation.

Joint Pains: Many people might have regular joint or ache pains that might need regular medication. But, with additional Dupixent, these pains get triggered to an enormous amount, and the patient might find it hard to walk smoothly.

If you have previous joint pains, we suggest looking for other medications to cure your allergic diseases other than Dupixent. The treatment period might be long, but it’s way better than going through severe joint pains.

Frequently Asked Questions

Conclusion

Therefore, is Dupixent covered by insurance? Yes! Not that Dupixent is only covered by insurance, the medicine cost has been decreased drastically with the insurance coverages.

Among 3 insurance coverages, we find the Medicare part D plan to be the most economical and beneficial for an allergic disease patient because it includes additional medical benefits and discounts.

So, the bottom line is, do not try to inject Dupixent without any insurance coverage. It will cost you a buck load of money! Also, if one of your friends ever dares to take such a step, mention our article. It will help them gladly.