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Patient Assistance Information

 
1 Program for Cosentyx injection
 
 
Cosentyx Connect Personal Support Program


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Phone : (844)267-3689
Fax: (844)666-1366
Eligibility
> This program provides brand name medications at no or low cost. Insurance status will be covered on a case by case basis. Medicare Part D recipients will be considered on an exception basis. Income requirements for this program have not been disclosed. Patients must have an FDA-approved diagnosis and be a US resident.
Who Can Apply
> Doctors or Patients can obtain an application by calling and having one faxed to them.
Required
> Doctors must complete and sign a section of the application. Patients must complete, sign and attach required documents. The application can then be faxed or mailed.
Supply
> Varies
Ship To
> Not specified
Note
> Eligibility determined on a case-by-case basis. Contact program for more details on copay assistance, the sharps container mail-back program and injection training.
 
Includes Support for This Drug
NOTE: Linked drugs are available for Prescribers to Apply Online now.
Click drug logo or drug name to start online application.
 
Cosentyx injection
 
Printable Application Forms
Applications that patients can fill out and bring to their doctor.
 
Download printable Form
(Requires Acrobat Reader