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CoverMyMeds®

Complete Prior Authorization (PA) request via CoverMyMeds (CMM) account
NO PAPER. NO FAX. NO DUPLICATE SERVICES.
If PA approved
If PA denied
Transfer prescription to payer-preferred Specialty Pharmacy for delivery

Eligible† commercially insured patients can activate via 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 a few hours
- Electronic patient signatures

- Automatic handoff to Covered Until You’re Covered Program‡ for eligible patients and enrollment into COSENTYX® Connect to be paired with a COSENTYX® Connect Team Member

- Case support from CMM agents keep you up to date
While coverage is being pursued, submit a Start Form to the Covered Until You’re Covered Program through your CMM account to enroll patients in

FREE COSENTYX for up to 2 years for eligible† commercially insured patients while coverage is pursued‡
Check all appropriate boxes on the form for access to COSENTYX® Connect offerings
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 a few hours
- Electronic patient signatures

- Automatic handoff to Covered Until You’re Covered Program‡ for eligible patients and enrollment into COSENTYX® Connect to be paired with a COSENTYX® Connect Team Member

- Case support from CMM agents keep you up to date
Specialty Pharmacies
Regardless of Specialty Pharmacy, ALL patients may self-enroll into the COSENTYX® Connect Personal Support Program
Send COSENTYX prescription to the Specialty Pharmacy of choice
If PA approved
If PA denied
Specialty Pharmacy dispenses COSENTYX to the patient

Eligible† commercially insured patients can activate via 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 for enrollment into

FREE COSENTYX for up to 2 years for eligible† commercially insured patients while coverage is pursued‡
Novartis does not recommend the use of any particular Specialty Pharmacy.
COSENTYX® Connect
Ensure ALL consent boxes are checked on the form to get full COSENTYX® Connect services

Access & Reimbursement Manager (ARM) Support

COSENTYX® Connect Team Member

Auto-enroll in COSENTYX® Connect Personal Support Program & $0 co-pay, if eligible
Send completed Start Form via fax (with patient and provider signatures and dates)
Support provided during benefits investigation, PA, and up to 2 levels of appeal. Fax communications keep the office informed every step of the way.
If PA approved
If PA denied
Rx transferred to payer-preferred Specialty Pharmacy for delivery

Check the box on the Start Form to ensure $0 co-pay for eligible† commercially insured patients is activated
While coverage is being pursued, eligible† patients are auto-enrolled in

FREE COSENTYX for up to 2 years for eligible† commercially insured patients while coverage is pursued‡
*Limitations apply. Up to a $16,000 annual limit. 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. Limitations may apply in MA and CA. For complete Terms & Conditions details, call 1-844-267-3689.
†Certain payers have carve-outs that restrict utilization of manufacturer support programs.
‡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 two 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 two 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; PA, prior authorization; Rx, prescription.
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