GETTING YOUR COSENTYX® (secukinumab) PRESCRIPTION
COSENTYX will be delivered to you as quickly as possible from a specialty pharmacy. Watch this video to learn more.
3 steps to get your COSENTYX and have it shipped to you:
Want more help getting started? Download the checklist to learn more about getting COSENTYX covered, and how Novartis Patient Support can help.
Questions about getting COSENTYX covered by your insurance company?
We will do everything we can to help make your medication accessible and affordable. If you have private insurance, here’s some information to help you understand the approval process.
What is prior authorization?
Your doctor may need prior authorization to prescribe COSENTYX. That means your insurance company has to approve your prescription before it can be filled. If prior authorization is required, it could take a few more weeks to get your COSENTYX prescription approved.
If for some reason prior authorization is denied, it could be because of incomplete or inaccurate insurance information, diagnosis coding errors and omissions, filing time limits, insufficient medical need, not being on the drug formulary, or high co-pay/deductible/patient portion amounts. No matter what the reason, we are here to help. We will do everything we can to help make COSENTYX affordable and accessible for you.
What if my insurance does not cover COSENTYX?
If for any reason your private insurance coverage is denied, we'll do everything we can to help. The Covered Until You’re Covered Program‡ offers up to 2 years of COSENTYX for free if your private insurance coverage isn't initially approved. This program has no income limitation. Call 1-844-COSENTYX (1-844-267-3689) to see if you're eligible and to learn more.
In the meantime, here’s what you can do:
- Talk to your doctor about submitting an appeal to the insurance company to reverse their decision.
- Call your insurance company directly to understand the reason(s) why your prior authorization was denied and discuss an appeal.
- If your plan was purchased through your state’s health insurance marketplace, you can find help on HealthCare.gov .
- Call your state’s insurance commissioner's office and ask for steps on how to file an appeal for your prescription coverage. You can find your state’s insurance commissioner at the National Association of Insurance Commissioners .
- If you've lost your insurance, learn more about your options here.
Novartis Patient Assistance Foundation
The Novartis Patient Assistance Foundation, Inc. (NPAF)§ is an independent, 501(c)(3) non-profit entity that provides certain medications at no cost to eligible patients who cannot afford the cost of Novartis medications supported by NPAF.
Patients may be eligible for NPAF support if they:
- Are a resident of the U.S. or its territories.
- Are prescribed a product on the NPAF formulary.
- Meet NPAF income eligibility requirements.
- Are uninsured or are a qualifying patient with government insurance who cannot afford their out-of-pockets costs and, in the case of Medicare patients, do not qualify for Medicare’s Extra Help Program (Low Income Subsidy).
Please visit www.PAP.Novartis.com for more information.
§NPAF does not provide product to individuals having insurance associated with any type of alternative funding program that conditions, restricts, or adjusts coverage based on application to NPAF or to any other free goods program. To receive support through NPAF, applicants must submit all required documentation, including proof of income and evidence of Extra Help denial as deemed necessary. Only the patient or their legal guardian or caregiver may enroll the patient in the program. Health plans, specialty pharmacies, pharmacy benefit managers, and their agents and representatives are prohibited from enrolling patients in the program. Novartis Patient Assistance Foundation, Inc., at its sole and absolute discretion, reserves the right to modify or discontinue the program at any time and to verify the accuracy of enrollment information submitted.