Dupixent
Example Question Scenarios
Summary: This logic checks the patient's record for an active diagnosis of atopic dermatitis.
Parameters:
- Searches for the following ICD-10 diagnosis code(s): L20.89, L20.9
- Searches for the following SNOMED code(s): 24079001
ICD-10:
Code | Description |
|---|---|
L20.89 | Other atopic dermatitis |
L20.9 | Atopic dermatitis, unspecified |
SNOMED CT:
Code | Description |
|---|---|
24079001 | Atopic dermatitis (disorder) |
Summary: This logic checks the patient's record for active prescriptions in the monoclonal antibody or JAK inhibitor drug class.
Parameters:
- Searches for the appropriate RxNorm code(s).
- Filters for medications with the following status: active
Summary: This logic checks the patient's record for an active prescription for Dupixent (dupilumab). It verifies that the medication was active on the patient's medication list for at least 14 days prior to the PA Initiation Request. This assumes that the current request is for a continuation of existing therapy rather than a new start.
Parameters:
- Searches for the appropriate RxNorm code(s).
- Filters for medications with the following status: active
- Excludes searching for records within the following number of days prior to the PA Initiation Request: 14
Summary: This logic verifies the prescriber is a dermatologist, allergist, or immunologist.
Parameters:
- Verifies the following prescriber specialty taxonomy code(s) according to the Surescripts Directory or the NPPES data: 207N00000X, 207K00000X, 207KA0200X.
Taxonomy:
Code | Description |
|---|---|
207N00000X | Allopathic & Osteopathic Physicians/Dermatology |
207K00000X | Allopathic & Osteopathic Physicians/Allergy and Immunology |
207KA0200X | Allopathic & Osteopathic Physicians/Allergy and Immunology/Allergy |
Summary:
This logic checks the patient's record for a history of at least one medium to super-high-potency topical corticosteroid.
Parameters:
- Filters for medications with the following status: completed, stopped, active.
- Searches for the appropriate RxNorm code(s).
- Filters for medications with the following status: completed, stopped, active.
Refer to the DUPIXENT® Prescribing Information for complete product details, including indications, dosing, contraindications, warnings, and adverse reactions.