Dupixent Removed from FEP Blue Formulary for 2026
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Anonymous
| Ugh, this medication has been life changing and it’s been removed from the BCBD formulary for 2026. Anyone else dealing with this? Is there an easy way to search FEHB plan formularies? |
Anonymous
I’m also on this medication  this sucks. I need it both for my eczema and my sinuses.
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Anonymous
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So I did some digging and it looks like they are switching to a cheaper competitors. Neither competitor approved for other conditions however, only eczema.
It’s page 83 on the formulary. https://www.caremark.com/content/dam/enterprise/headless/caremark/cmk/en/assets/clinical/drug-lists-client/drug-lists-fep/z6500_drug_list807_OE.pdf Ebglyss: https://ebglyss.lilly.com/ Adbry: https://www.adbry.com/adbry-resources?gad_source=1&gad_campaignid=15560508360&gbraid=0AAAAABciTL0Vec8DyStPsxZk2_tWH_mOZ&gclid=CjwKCAjw6vHHBhBwEiwAq4zvA_nk-hMxivF9sC7XKgl6qXAOsS0lrSF0_OzIruooIXuLUDBUtQlOXBoCa5sQAvD_BwE |
Anonymous
| OP here. Yes, I’m hopeful one of the other meds will work. It’s just difficult to give up one that has been so effective. |
Anonymous
| Blame the drug company. There’s no reason this drug should cost $25k per year. |
Anonymous
| Bleh yes. Except it’s for my 2 year old and there’s no other option as there’s no other injection that’s approved for under 12 right now. |
Anonymous
| The problem I see is that NONE of the alternatives treat asthma and nasal polyps…. I am so screwed…. |
Anonymous
If they can charge whatever they want for drugs, they will. Refusing to coverage a drug at a ridiculous price is the only way. |
Anonymous
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We use dupixient for EOE and it does not look like any of the other drugs are actually approved for that use. I don’t know how they can do this. (Well I do know) but I think patients should raise heck.
It seems like the height of hubris to say “use this other stuff off label” instead of what was approved. Anyone successfully get a formulary exception? |
Anonymous
| Wow. Was just about to ask for this for my 7 year old. How much was it with BCBC FEP? |
Anonymous
| My derm plans to file an appeal. Hope it works. |
Anonymous
| You can get the special card for our of network no cost to you |
Anonymous
| The card off the dupixent site brings your cost to $0. Even if you have private insurance it takes your cost to $0. |
Anonymous
| Check out the manufacturer savings coupons. You can also ask BCBS for an exception. We’ve had to do that with a different medication for my DD (different insurer too). |
Anonymous
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Federal employee open enrollment is now through Dec 8. Other available plans cover Dupixent.
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