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Quick Start Knowledge Check

Total questions: 9

Worksheet time: 5mins

Name
Class
Date
1.

Both new and existing patient, with all types of insurance, are eligible for the Quickstart Program

a)

False

b)

True

2.

An eligible "new" patient is one who.....

a)

Have never had a commercial fill of Dupixent before

b)

Has only taken samples

c)

Is moving from PAP to Quickstart

d)

Stopped Dupixent then started again

3.

There is no guideline for how long patients can receive product at no cost through the Quickstart Program

a)

True

b)

False

4.

Patients with an approved PA on file are eligible for Quickstart

a)

False

b)

True

5.

Patients must make less than 100,000 annually to be eligible for Quickstart

a)

True

b)

False

6.

A full benefit verification is ALWAYS required for Quickstart Referrals

a)

True

b)

False

7.

The SP box is checked and the Quickstart Rx is NOT filled out. Should DMW complete the BV?

a)

Yes, DMW should complete the BV

b)

NO, it should be treated like any other box-checked record

8.

Other than no longer meeting eligibility, what are some other reasons a patient may be discontinued from the Quickstart Program

4 lines
9.

A patient can restart or renew in the Quickstart Program

a)

True

b)

False