Cosentyx

Indicated For

psoriatic arthritis, psoriasis, ankylosing spondylitis, non-radiographic axial spondyloarthritis, hidradenitis suppurativa

About This Medication

# Novartis Patient Support Patient Guide: How to Get Cosentyx (secentyx) at Low or No Cost Cosentyx (secukinumab) is a biologic medication used to treat conditions like plaque psoriasis, psoriatic arthritis, ankylosing spondylitis, and others by targeting interleukin-17A to reduce inflammation. Novartis offers multiple patient support programs through **Novartis Patient Support** and the independent **Novartis Patient Assistance Foundation (NPAF)** to help eligible patients access Cosentyx at low or no cost, including co-pay assistance, free medication bridges, discounted direct purchase, and free medication for low-income uninsured patients.[1][2][3] ## Who Qualifies for Cosentyx Assistance? Novartis provides layered support based on your insurance status, income, and coverage denials: - **Private Insurance Holders**: Eligible for the **COSENTYX Co-Pay Program** (pay as little as $0; 84% of eligible patients paid $0 in 2024) and **COVERED Until You're COVERED Bridge Program** (free Cosentyx SC for up to 2 years if prior authorization is denied, while appealing).[1][2][3][4] - **Uninsured or Cash-Pay Patients**: Access discounted direct-to-patient pricing (55-57% off list price, e.g., $3,434 per 150mg/300mg dose) or NPAF free medication if low-income.[1][3] - **Government Insurance (Medicare/Medicaid)**: Limited options; Bridge and Co-Pay not available, but NPAF may help Medicare patients not on Extra Help if they can't afford out-of-pockets.[1][2][5] Programs require a valid Cosentyx prescription, U.S. residency, and no participation in co-pay maximizer plans. Funding is limited annually.[1][4] ## About Cosentyx **Cosentyx (secukinumab)** is an injectable biologic (subcutaneous Sensoready Pen, UnoReady Pen, or prefilled syringe in 75mg, 150mg, 300mg doses) FDA-approved for moderate-to-severe plaque psoriasis, active psoriatic arthritis, ankylosing spondylitis, non-radiographic axial spondyloarthritis, enthesitis-related arthritis, and hidradenitis suppurativa. It works by blocking IL-17A, a protein causing inflammation. Dosing starts with loading doses, then maintenance every 4 weeks. Common side effects include upper respiratory infections, diarrhea, and injection site reactions—discuss with your doctor.[1][2] Without assistance, list prices are high (e.g., ~$6,500+ per dose undiscounted), but programs make it affordable.[3] ## Income Eligibility Breakdown Income limits apply mainly to **NPAF** for free Cosentyx (uninsured/low-income). Exact Federal Poverty Level (FPL) thresholds vary by product, household size, and year—typically up to 400-500% FPL, but check current guidelines as they update.[6] Co-Pay/Bridge programs have **no income limits** for private insurance patients.[1] | Household Size | Annual Income Limit (Example, up to ~400% FPL)* | |----------------|------------------------------------------------| | 1 (Individual) | ~$60,000 | | 2 (Couple) | ~$81,000 | | 3 | ~$102,000 | | 4 | ~$123,000 | *Estimates based on 2022 guidelines; actual varies. NPAF requires proof of income (tax returns, paystubs). Add ~$21,000 per additional member. Confirm via NPAF application.[5][6][10] ## Insurance Requirements - **Private Insurance**: Required for Co-Pay and Bridge; must not be government-funded. Appeal denial within 90 days for Bridge eligibility.[1][4] - **No Insurance**: Direct-to-patient discount or NPAF.[1][3] - **Medicare/Medicaid/TRICARE**: Ineligible for Co-Pay/Bridge; NPAF possible for Medicare sans Extra Help if income-qualified and unaffordable.[1][2][5] ## Step-by-Step Application Process 1. **Discuss with Provider**: Get a Cosentyx prescription. Ask for prior authorization if needed.[2] 2. **Enroll in COSENTYX Connect/Novartis Patient Support**: - Call 888-470-0391 or visit cosentyx.com/support. - Team helps verify benefits, apply for Co-Pay/Bridge.[2][4] 3. **For Bridge (Denial Appeal)**: Submit denial proof and appeal within 90 days.[1][4] 4. **Direct-to-Patient Discount**: Enroll online/call 888-470-0391; ASPN Pharmacies faxes confirmation. Ship to home.[1] 5. **NPAF (Free for Uninsured/Low-Income)**: - Check eligibility at pap.novartis.com. - Complete application with HCP (proof of income, residency, no insurance). - Submit docs; decision in ~4 weeks.[5][10] Your specialty pharmacy or Connect team handles most paperwork.[2] ## Timeline and Delivery - **Co-Pay/Bridge**: Starts quickly post-enrollment/approval; free meds ship via specialty pharmacy until covered (up to 2 years).[1][2] - **Direct-to-Patient**: Enrollment same day; ASPN confirms via fax, ships promptly.[1] - **NPAF**: 4 weeks for decision; if approved, free supply ships directly (duration based on eligibility review).[5] Delivery is typically home via mail; refills automatic where applicable.[2] ## Alternatives if Denied - Appeal via provider/Novartis team.[2] - Switch to direct discount ($1,717-$3,434/dose).[1][3] - Explore biosimilars (none listed currently) or other treatments.[ ] - State programs, 340B clinics, or NeedyMeds.org. - NPAF if income qualifies.[5] ## Disclaimer This guide summarizes Novartis programs as of available info; eligibility/terms change. Not medical/financial advice—consult your doctor, pharmacist, or Novartis (888-470-0391) for personalized help. Programs may end if funding exhausts or rules change. Void where prohibited.[1][2][5]

Program information last verified: March 25, 2026