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Prescription & Enrollment Form2 PRESCRIBER INFORMATIONDupixent (dupilumab) Four simple steps to submit your referral. 1 PATIENT INFORMATION New patient CurrentPatients name Date of birth Male Females
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How to fill out dupixent dupilumab - regeneron
How to fill out dupixent dupilumab - regeneron
01
To fill out dupixent dupilumab - regeneron, follow these steps:
02
Start by reviewing the medication guide provided by your doctor or pharmacist.
03
Wash your hands thoroughly before handling the medication.
04
Remove the prefilled syringe or auto-injector from the packaging.
05
Choose a clean injection site, such as the upper thigh or lower abdomen.
06
Clean the injection site with an alcohol wipe and let it dry.
07
Hold the syringe or auto-injector firmly and insert the needle into the skin at a 90-degree angle.
08
Inject the medication by pushing the plunger or pressing the auto-injector button.
09
Hold the injection site for a few seconds before removing the needle.
10
Dispose of the used syringe or auto-injector in a properly labeled sharps container.
11
If you have any questions or concerns, consult your healthcare provider.
Who needs dupixent dupilumab - regeneron?
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Dupixent dupilumab - regeneron is typically prescribed to individuals who have moderate-to-severe eczema (atopic dermatitis) that is not well controlled with topical creams or ointments.
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It may also be prescribed for individuals with moderate-to-severe asthma that is not well controlled with other medications.
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Only a healthcare professional can determine if Dupixent is appropriate for an individual's specific condition.
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It is important to consult with a healthcare provider to discuss if Dupixent is right for you.
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