Cosentyx

Indicated For

psoriasis, PsA, AS, nr-axSpA

About This Medication

# Novartis Patient Support (formerly COSENTYX Connect) / COVERED Until You're COVERED Bridge Program Patient Guide: How to Get Cosentyx (secukinumab) at Low or No Cost Cosentyx (secukinumab) is a biologic medication used to treat inflammatory conditions like plaque psoriasis, psoriatic arthritis, ankylosing spondylitis, and non-radiographic axial spondyloarthritis. The **Novartis Patient Support (formerly COSENTYX Connect) / COVERED Until You're COVERED Bridge Program** provides **Cosentyx for free** to eligible patients with private insurance who face coverage denials, offering up to 2 years of support or until insurance approval—whichever comes first.[1][4][5] ## Who Qualifies for This Program? This program is a **bridge** to help you while appealing insurance denials—it's not for uninsured patients or those on government insurance. You qualify if you meet **all** these criteria: - Have **private/commercial insurance** (not Medicare, Medicaid, TRICARE, or other federal/state programs).[4][5] - Have a **valid prescription** for subcutaneous (SC) Cosentyx from your doctor.[4][5] - Your insurance has **denied** prior authorization (PA), predetermination, or medical exception.[1][4] - You **submit an appeal** of the denial within **90 days** of enrolling.[4][5] **No income requirements** apply, making it accessible regardless of earnings.[1][4] It's designed for patients stuck in insurance battles, providing free medication via specialty pharmacy while your doctor appeals.[1][5] ## About Cosentyx (secukinumab) **Cosentyx** is an injectable biologic that targets interleukin-17A (IL-17A), a protein driving inflammation in autoimmune diseases. Administered subcutaneously (under the skin) via pre-filled syringe, auto-injector, or vial, typical dosing starts with loading doses (e.g., weekly for 4-5 weeks), then monthly maintenance.[1][5] Common uses include moderate-to-severe plaque psoriasis, psoriatic arthritis, and axial spondyloarthritis. Without insurance coverage, costs can exceed $3,600 per dose—making programs like this vital.[3] Always follow your doctor's instructions; side effects may include infections, injection site reactions, or upper respiratory issues. Discuss risks/benefits with your healthcare provider (HCP).[1] ## Income Eligibility Breakdown This program has **no income thresholds**—eligibility hinges on insurance denial and appeal, not finances. Here's a clear overview: | Household Size | Income Limit | Notes | |---------------|--------------|-------| | Individual | None | No FPL or dollar limits; focus on insurance denial[1][4] | | Couple | None | Private insurance required[5] | | Family of 3 | None | Appeal submission mandatory within 90 days[4] | | Family of 4+ | None | Up to 2 years free or until coverage[1] | Unlike the separate Novartis Patient Assistance Foundation (NPAF), which has income guidelines for uninsured patients, this bridge program prioritizes coverage gaps.[2][5] ## Insurance Requirements **Private/commercial insurance only**—government programs disqualify you.[4][5] Key steps: 1. Submit PA/predetermination/medical exception to your insurer. 2. Receive **written denial**. 3. Enroll and **appeal within 90 days** to stay eligible.[4] Novartis/Cosentyx Connect helps navigate this; 84% of eligible co-pay users paid $0 in 2024.[1] If coverage changes, notify them immediately.[4] ## Step-by-Step Application Process 1. **Get Prescribed**: Ask your HCP for Cosentyx SC and submit PA to insurance.[5] 2. **Receive Denial**: Obtain proof (denial letter).[1][4] 3. **Contact Program**: Call **(844) 267-3689** or visit cosentyx.com to start. Multiple methods available (phone, online form via HCP/specialty pharmacy).[1][4] 4. **Gather Documents**: - Valid Cosentyx prescription. - Proof of denial (PA/predetermination/medical exception). - Insurance cards (front/back). - Appeal submission proof (file within 90 days).[4][5] 5. **Submit**: Your HCP/specialty pharmacy often handles via start form.[10] 6. **Approval**: Processed quickly; medication ships free.[1] **Reauthorization**: Yes, required periodically—your team will guide refills (up to 12).[10] ## Timeline and Delivery - **Processing**: Varies; Novartis aims for speed—expect contact soon after submission.[1][2] - **Duration**: Up to **2 years free** or until insurance approves.[1][4][5] - **Delivery**: Shipped to **you or your doctor's office** via specialty pharmacy. Direct-to-patient option available at reduced cash price (~$1,800-$3,600/dose) if ineligible.[3] Track via Cosentyx Connect team; they assist with benefits verification.[1] ## Alternatives If Denied or Ineligible - **Co-Pay Program**: If insured but high co-pays, pay $0 (up to $16,000/year limits).[1][10] - **NPAF**: For uninsured/underinsured meeting income rules (separate application).[2][5] - **Other Foundations**: Check NeedyMeds/PAN Foundation for Cosentyx. - **Biosimilars**: None listed currently.[program data] - **Cash Pay**: $1,837-$3,674/dose direct.[3] If denied bridge, appeal or explore co-pay/NPAF.[1] ## Important Disclaimer This guide summarizes publicly available info as of 2026; programs change. **Not medical/financial advice**—consult your HCP/insurer. Eligibility/terms per Novartis; void where prohibited. Novartis may end support if funding exhausted or co-pay maximizer detected.[4] Report insurance changes promptly. For latest, call (844) 267-3689 or visit cosentyx.com.[1][5] (Word count: 942)

Program information last verified: March 30, 2026