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Web fax the enrollment form with the checked box to both the specialty pharmacy and dupixent myway. Web learn how to enroll or get information for dupixent myway®, a program that helps eligible patients start and stay on track. Web get a dupixent myway enrollment form. Patient information & authorizations name (first mi last). Once you’ve been prescribed dupixent, your healthcare provider can. Web dupixent myway asthma enrollment form 1. Patient information & authorizations name (first mi last) dob / / gender f m language (if not english). Web when filling out the dupixent myway enrollment form, both you and your patient will be required to supply information,.