Select the onboarding process you use to help
patients get started:
CoverMyMeds®
Complete prior authorization (PA) request via CoverMyMeds (CMM) account
NO PAPER. NO FAX. NO DUPLICATE SERVICES.
If PA approved
If PA denied
Prescription is transferred to the patient’s health plan–preferred specialty pharmacy for delivery.
All patients can conveniently enroll in COSENTYX® Connect, and eligible* privately insured patients can sign up for the Co-Pay offer† by visiting Connect.COSENTYX.com or by calling 1-844-COSENTYX (1-844-267-3689).
If the PA request was initiated by the specialty pharmacy, CMM will notify them of the approval so the pharmacy can schedule delivery with the patient.
To sign in or create an account, visit covermymeds.com
To sign in or create an account, visit covermymeds.com
Services provided by CoverMyMeds:
- Complete PA requests in minutes and get a response as quickly as in a few hours
- Electronic patient signatures
- Upon submission of the electronic Start Form, automatic hand-off to Covered Until You’re Covered Program‡ for eligible* privately insured patients and enrollment in COSENTYX® Connect
- CMM agents monitor case progress and alert the office if the patient’s health plan requests additional information
While coverage is being pursued, submit an electronic Start Form to COSENTYX® Connect via your CMM account to enroll patients in Covered Until You’re Covered.
Up to 2 years of FREE COSENTYX is available for eligible* privately insured patients during the appeals process.‡
See our Navigating SC Access Top Challenges resource for next steps to get patients started with Covered Until You’re Covered.
To sign in or create an account, visit covermymeds.com
To sign in or create an account, visit covermymeds.com
Services provided by CoverMyMeds:
- Complete PA requests in minutes and get a response as quickly as in a few hours
- Electronic patient signatures
- Upon submission of the electronic Start Form, automatic hand-off to Covered Until You’re Covered Program‡ for eligible* privately insured patients and enrollment in COSENTYX® Connect
- CMM agents monitor case progress and alert the office if the patient’s health plan requests additional information
Specialty Pharmacies
All specialty pharmacies can fill a
prescription for COSENTYX.
Pharmacists often coordinate the PA and appeals process, work
with the office to gain approval, and can transfer the
prescription to the patient’s health plan–preferred pharmacy, if required.
Send the COSENTYX prescription
directly to your preferred specialty
pharmacy.
If PA approved
If PA denied
Specialty pharmacy dispenses COSENTYX to the patient.
All patients can conveniently enroll in COSENTYX® Connect, and eligible* privately insured patients can sign up for the Co-Pay offer† by visiting Connect.COSENTYX.com or by calling 1-844-COSENTYX (1-844-267-3689).
Novartis does not recommend the use of any particular specialty pharmacy.
While coverage is being pursued, submit a Start Form to COSENTYX® Connect to enroll patients in Covered Until You’re Covered.
Up to 2 years of FREE COSENTYX is available for eligible* privately insured patients during the appeals process.‡
See our Navigating SC Access Top Challenges resource for next steps to get patients started with Covered Until You’re Covered.
Novartis does not recommend the use of any particular specialty pharmacy.
COSENTYX® Connect
Submit a completed Start Form to COSENTYX® Connect (patient must sign and date the Start Form).
Once the completed Start Form has been received, the COSENTYX® Connect team will conduct a benefits verification and provide support throughout the PA and appeals process.
If PA approved
If PA denied
Prescription is transferred to the patient’s health plan–preferred specialty pharmacy for delivery.
Eligible* privately insured patients will receive a call to collect information and explain the Co-Pay offer.† The co-pay card is emailed to the patient.
While coverage is being pursued, eligible* patients are auto-enrolled in Covered Until You’re Covered.
Up to 2 years of FREE COSENTYX is available for eligible* privately insured patients during the appeals process.‡
See our Navigating SC Access Top Challenges resource for next steps to get patients started with Covered Until You’re Covered.
COSENTYX® Connect is available to
patients across all 3 processes.
*Certain payers have carve-outs that restrict utilization of manufacturer support programs.
†Limitations apply. Valid only for those with private insurance. Program provides up to $16,000 annually for the cost of COSENTYX and up to $150 per infusion (up to $1,950 annually) for the cost of administration. Co-pay support for infusion administration cost not available in Rhode Island or Massachusetts. Offer not valid under Medicare, Medicaid, or any other federal or state program. Novartis reserves the right to rescind, revoke, or amend this program without notice. See complete Terms & Conditions for details.
‡The Covered Until You’re Covered Program is available for COSENTYX subcutaneous injection only. Eligible patients must have commercial insurance, a valid prescription for COSENTYX, and a denial of insurance coverage based on a prior authorization request. Program requires the submission of an appeal of the coverage denial within the first 90 days of enrollment in order to remain eligible. Program provides COSENTYX for free to eligible patients for up to 2 years, or until they receive insurance coverage approval, whichever occurs earlier. A valid prescription consistent with FDA-approved labeling is required. Program is not available to patients whose medications are reimbursed in whole or in part by Medicare, Medicaid, TRICARE, or any other federal or state program. Patients may be asked to reverify insurance coverage status during the course of the program. No purchase necessary. Program is not health insurance, nor is participation a guarantee of insurance coverage. Limitations may apply. Enrolled patients awaiting coverage for COSENTYX after 2 years may be eligible for a limited Program extension. Novartis Pharmaceuticals Corporation reserves the right to rescind, revoke, or amend this Program without notice.
CoverMyMeds is a registered trademark of CoverMyMeds LLC. All rights reserved.
FDA, US Food and Drug Administration; HIPAA, Health Insurance Portability and Accountability Act; ICD-10, International Classification of Diseases, Tenth Revision; PA, prior authorization.
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