Cost of Dupixent: Discount options and additional information
News Article: Understanding the Cost of Dupixent
Dupixent, a medication used to treat various conditions including moderate-to-severe asthma, atopic dermatitis (eczema), and eosinophilic esophagitis, among others, comes with a price tag that can vary significantly for different patients.
The average cost of a Dupixent injection, which is given every two weeks, ranges from £3,000 to £3,500, resulting in an annual cost of around £39,000 to £45,000. However, the out-of-pocket cost for patients can vary based on factors such as insurance coverage, treatment plan, pharmacy used, and eligibility for manufacturer assistance programs.
One key factor affecting the price is the specific condition being treated. Usage and dosing may differ slightly for each condition, impacting the overall cost.
For commercial insurance holders, the cost of Dupixent can be significantly reduced through the Dupixent MyWay copay card. This program provides a manufacturer coupon that can cap out-of-pocket expenses at £13,000 per year, potentially making the medication free for some patients. However, patients covered by federal programs like Medicaid or Medicare are ineligible for these copay cards, which may increase out-of-pocket expenses.
The high drug acquisition cost of Dupixent can limit its cost-effectiveness. Cost-effectiveness analyses show that Dupixent's economic value is better when used in high-risk populations or those with more severe disease.
Additionally, the cost can vary based on insurance formularies and pharmacy coverage tiers. Some insurance plans apply coinsurance or differing copays based on drug tiers, which can influence what patients ultimately pay.
To determine the exact cost of Dupixent under a specific insurance plan, it's best to speak with your insurance provider. Your doctor or pharmacist can also provide information on the cost.
It's worth noting that Dupixent is only available as a brand-name drug and does not have a biosimilar version.
Other resources like Medicine Assistance Tool and NeedyMeds offer details about drug assistance programs and ways to make the most of insurance coverage. For those who are uninsured, these resources can provide valuable information on how to access the medication.
In conclusion, the cost of Dupixent can vary widely depending on insurance type, eligibility for copay programs, and the exact indication. The high acquisition price is a significant factor impacting cost-effectiveness and access in the U.S. It's always recommended to speak with your healthcare provider and insurance company to understand the specific costs associated with your treatment plan.
[1] Medicine Assistance Tool. (n.d.). Dupixent. Retrieved from https://www.mat.org/medications/dupixent
[2] NeedyMeds. (n.d.). Dupixent. Retrieved from https://needymeds.org/drug-assistance-programs/dupixent
[3] National Alliance of State Pharmacy Associations. (n.d.). Formulary Management. Retrieved from https://www.naspa-rx.org/formulary-management
[4] National Jewish Health. (2021). Dupixent. Retrieved from https://www.nationaljewish.org/conditions/dupixent
- While the financial burden of Dupixent, a medication used for health conditions like asthma and eczema, can significantly vary among patients, resources such as Medicine Assistance Tool and NeedyMeds offer details about drug assistance programs and ways to manage insurance coverage for the uninsured.
- For those covered by commercial insurance, financial assistance programs like the Dupixent MyWay copay card can reduce out-of-pocket expenses, potentially making the medication free for eligible patients. However, federal program beneficiaries, like those under Medicaid or Medicare, are not eligible for such programs.
- Science plays a crucial role in the pricing of Dupixent as the cost can alter depending on the specific health condition being treated due to usage and dosing variants, impacting its cost-effectiveness.
