For free samples, call 1-866-318-6977

For free samples, call 1-866-318-6977

OFFICE RESOURCES TO HELP YOU GET
PATIENTS STARTED ON COSENTYX®

Enrollment and Prescription Form

Enrollment and
Prescription Form

Start patients on COSENTYX and simultaneously enroll them in the COSENTYX® Connect Personal Support Program. Includes a prepopulated sample form on the last page.

Enrollment and Prescription Form (en espaņol)

Enrollment and
Prescription Form
(en espaņol)

Start patients on COSENTYX and simultaneously enroll them in the COSENTYX® Connect Personal Support Program. Includes a prepopulated sample form on the last page.

PA & Appeals Kits and Insurance Resources

These kits provide you with information and sample letters that guide you through communications with health plans to make sure the prior authorization or appeals process is as complete as possible. The insurance materials will help answer any questions you may have regarding medical exceptions and formulary changes.

COSENTYX Moderate to Severe Plaque Psoriasis (PsO) Indication

Moderate to Severe Plaque Psoriasis (PsO) Indication

COSENTYX Moderate to Severe Plaque Psoriasis (PsO) + Psoriatic Arthritis (PsA) Indications

Moderate to Severe Plaque Psoriasis (PsO) + Psoriatic Arthritis (PsA) Indications (Combined)

COSENTYX Psoriatic Arthritis (PsA) Indication

Psoriatic Arthritis (PsA) Indication

COSENTYX Ankylosing Spondylitis (AS) Indication

Ankylosing Spondylitis (AS) Indication

COSENTYX Non-radiographic Axial Spondyloarthritis (nr-axSpA) Indication

Non-radiographic Axial Spondyloarthritis (nr-axSpA) Indication

COSENTYX Formulary Change Navigation Card

Formulary Change Navigation Flashcard

COSENTYX Medical Exception Request Letter

Medical Exception Request Letter

Getting Started Resources

This comprehensive list of resources gives you the information you need to help patients get access as quickly and smoothly as possible.

COSENTYX Getting Started

Getting Started

A comprehensive resource for finding relevant ICD-10 codes, dosing information and prescribing approaches, and coverage and support programs.
Please note: The dose for pediatric plaque psoriasis (PsO) is 75 mg.

COSENTYX Onboarding Brochure

Details services and processes of three main onboarding channels: COSENTYX® Connect, Specialty Pharmacies and CoveryMyMeds; provides information about savings options

COSENTYX HIPAA Consent

HIPAA Consent

Direction on how patients can sign their Enrollment and Prescription Form electronically and provide authorization to have it processed.

The COSENTYX Injection

The COSENTYX Injection

Information that will help you prepare patients to use the Sensoready® pen.

Medisafe App

Medisafe App

An overview of the offerings available through the COSENTYX® Connect Personal Support Program and the medication refill and tracking resources via the Medisafe app.

COSENTYX PSS

Personal Support Specialist (PSS) Brochure

An overview of the comprehensive patient services provided by COSENTYX® Connect Personal Support Specialists

Field Reimbursement Manager (FRM) Role Flashcard

Field Reimbursement Manager (FRM) Role Flashcard

Medisafe app was developed by Medisafe Project Ltd.

HIPAA=Health Insurance Portability and Accountability Act; ICD-10=International Classification of Diseases, Tenth Revision; PA=prior authorization.

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INDICATIONS

IMPORTANT SAFETY INFORMATION

CONTRAINDICATIONS

COSENTYX® (secukinumab) is indicated for the treatment of moderate to severe plaque psoriasis in adult patients who are candidates for systemic therapy or phototherapy.

WARNINGS AND PRECAUTIONS

Infections

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INDICATIONS

COSENTYX® (secukinumab) is indicated for the treatment of moderate to severe plaque psoriasis in patients 6 years and older who are candidates for systemic therapy or phototherapy.

COSENTYX is indicated for the treatment of active psoriatic arthritis (PsA) in patients 2 years of age and older.

COSENTYX is indicated for the treatment of adult patients with active ankylosing spondylitis (AS).

COSENTYX is indicated for the treatment of adult patients with active non-radiographic axial spondyloarthritis (nr-axSpA) with objective signs of inflammation.

COSENTYX is indicated for the treatment of active enthesitis-related arthritis (ERA) in patients 4 years of age and older.

IMPORTANT SAFETY INFORMATION

CONTRAINDICATIONS

COSENTYX is contraindicated in patients with a previous serious hypersensitivity reaction to secukinumab or to any of the excipients in COSENTYX. Cases of anaphylaxis have been reported during treatment with COSENTYX.

WARNINGS AND PRECAUTIONS

Infections

COSENTYX may increase the risk of infections. In clinical trials, a higher rate of infections was observed in COSENTYX treated subjects compared to placebo-treated subjects. In placebo-controlled clinical trials in subjects with moderate to severe plaque psoriasis, higher rates of common infections, such as nasopharyngitis (11.4% versus 8.6%), upper respiratory tract infection (2.5% versus 0.7%) and mucocutaneous infections with candida (1.2% versus 0.3%) were observed with COSENTYX compared with placebo. A similar increase in risk of infection was seen in placebo-controlled trials in subjects with psoriatic arthritis, ankylosing spondylitis and non-radiographic axial spondyloarthritis. The incidence of some types of infections appeared to be dose-dependent in clinical studies. In the postmarketing setting, serious and some fatal infections have been reported in patients receiving COSENTYX.

Exercise caution when considering the use of COSENTYX in patients with a chronic infection or a history of recurrent infection.

Instruct patients to seek medical advice if signs or symptoms suggestive of an infection occur. If a patient develops a serious infection, monitor the patient closely and discontinue COSENTYX until the infection resolves.

Pre-treatment Evaluation for Tuberculosis

Evaluate patients for tuberculosis (TB) infection prior to initiating treatment with COSENTYX. Avoid administration of COSENTYX to patients with active TB infection. Initiate treatment of latent TB prior to administering COSENTYX. Consider anti-TB therapy prior to initiation of COSENTYX in patients with a past history of latent or active TB in whom an adequate course of treatment cannot be confirmed. Monitor patients closely for signs and symptoms of active TB during and after treatment.

Inflammatory Bowel Disease

Caution should be used when prescribing COSENTYX to patients with inflammatory bowel disease. Exacerbations, in some cases serious, occurred in COSENTYX treated subjects during clinical trials in plaque psoriasis, psoriatic arthritis, ankylosing spondylitis and non-radiographic axial spondyloarthritis. In addition, new onset inflammatory bowel disease cases occurred in clinical trials with COSENTYX. In an exploratory trial in 59 subjects with active Crohn’s disease, there were trends toward greater disease activity and increased adverse events in the secukinumab group as compared to the placebo group. Patients who are treated with COSENTYX should be monitored for signs and symptoms of inflammatory bowel disease.

Hypersensitivity Reactions

Anaphylaxis and cases of urticaria occurred in COSENTYX treated subjects in clinical trials. If an anaphylactic or other serious allergic reaction occurs, administration of COSENTYX should be discontinued immediately and appropriate therapy initiated.

The removable caps of the COSENTYX Sensoready® pen and the COSENTYX 1 mL and 0.5 mL prefilled syringes contain natural rubber latex, which may cause an allergic reaction in latex-sensitive individuals. The safe use of the COSENTYX Sensoready pen or prefilled syringe in latex-sensitive individuals has not been studied.

Immunizations

Prior to initiating therapy with COSENTYX, consider completion of all age appropriate immunizations according to current immunization guidelines. COSENTYX may alter a patient’s immune response to live vaccines. Avoid use of live vaccines in patients treated with COSENTYX.

MOST COMMON ADVERSE REACTIONS

Most common adverse reactions (>1%) are nasopharyngitis, diarrhea, and upper respiratory tract infection.

Please see full Prescribing Information, including Medication Guide.