Dupixent Removed from FEP Blue Formulary for 2026

[Anonymous]

Anonymous wrote: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

Dupixent blocks a second IP pathway IL-4, while these only work on 13.

These folks will help you navigate this situation. (if the link doesn't work search Dupixent My Way insurance)
https://www.dupixent.com/support-savings/cost-insurance?&utm_source=google&utm_medium=cpc&utm_campaign=Agnostic+DTC_GGL_BRND_Tier+2+-+Support_AWA_SEA_ALLM_U_EN+KW+-+EN+BR_ALL_P30H8M9&utm_term=dupixent+assistance+program&gclid=CjwKCAiA_dDIBhB6EiwAvzc1cNm5xOQjqZj51ybaJ6NcsS4R1nitzZDRhvC_Lr-6Ix_joSOFFS1iRRoCDCcQAvD_BwE&gclsrc=aw.ds&gad_source=1&gad_campaignid=22229204088&gbraid=0AAAAAC7CNrEIeSbZNjh_wVJOySwchGPCJ

[Anonymous]

Anonymous wrote:Blame the drug company. There’s no reason this drug should cost $25k per year.

125K

[Anonymous]

Anonymous wrote:The problem I see is that NONE of the alternatives treat asthma and nasal polyps…. I am so screwed….

no, you are not. Your doctor can do the thing where they ask for it to be covered anyway.

Pre authorization.

If you get taken off it, and I'm serious here, keep a diary of your symptoms returning. There's something called "clinical remission'' and if you have it with Dupxient and loose it with whatever else, your doc maybe able to get you back on it and an affordable cost.

[Anonymous]

Does anyone have any experience with Carefirst? I also have both eczema and nasal polyps so I need to keep it, it is still approved on Carefirst for next year. My sinus and eczema problems are my only health issues and I already checked that my doctors are all covered. I have really liked BCBS but I really need this medication.

[Anonymous]

Does anyone know what insurances cover Dupixent?

[Anonymous]

If you can wait 6 years, Dupixent will go generic and be much more affordable. There are probably generics you can take now that can help you out until you get generic Dupixent.

[Anonymous]

Anonymous wrote:Does anyone know what insurances cover Dupixent?

Who do you bank with?

This is what happens when you vote for the bad guys.

[Anonymous]

Anonymous wrote:If you can wait 6 years, Dupixent will go generic and be much more affordable. There are probably generics you can take now that can help you out until you get generic Dupixent.

Dupixent is a biologic drug. Biologics don't have generic versions.

https://www.igliving.com/magazine/articles/IGL_2025-02_AR_Biologics-and-Biosimilars-Whats-the-Difference.pdf