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J3247: Permanent J-code for the IV formulation of COSENTYX®*

Effective July 1, 2024, for all sites of care

*If COSENTYX is administered on or after July 1, 2024, the permanent J-code replaces the miscellaneous J-code J3590.
It is the sole responsibility of the healthcare provider to select the proper codes and ensure the accuracy of all statements used in seeking coverage and reimbursement for an individual patient. Novartis cannot guarantee insurance coverage or reimbursement. 

Reference: CMS, HCPCS Quarterly Update, April 2024.

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Here with you to help address the hallmarks of disease that matter to patients with AS

Early diagnosis of inflammatory back pain with appropriate intervention can dramatically improve the signs and symptoms of ankylosing spondylitis.
More than 2X improvement vs placebo in ankylosing spondylitis (AS)
  • 61% of patients in a mixed population achieved ASAS20 at Week 16 on COSENTYX® (secukinumab)  150 mg (n=72) vs 28% on placebo (n=74) (NRI; P=0.0001) (MEASURE 2 primary end point)1,9

Improvements in the hallmarks of disease that matter to patients at Year 57,8,10
Improvement in Mean Scores for AS with 150-mg Dose

In MEASURE 2, the above measures were prespecified exploratory end points in subgroups of biologic-naive patients taking COSENTYX 150 mg through Year 5. No clinical or statistical conclusions can be drawn.7-9


Consider escalating to a 300 mg dose every 4 weeks for patients who continue to have active AS1
  • Same price for the 150 mg and 300 mg dosages

Hear what matters to patients

A patient’s experience: Feeling relief on COSENTYX

Meet Wendy, an actual patient with AS on COSENTYX who was compensated for her time. Individual results may vary.

Mean baseline morning stiffness score at Year 5: 6.8 (150 mg group). Mean change was -3.5. Morning stiffness was measured by BASDAI questions 5 (mean duration) and 6 (severity), measured on a 0 to 10 numeric response scale.7,9
Mean baseline FACIT-Fatigue score at Year 5: 22.6 (150 mg group). Mean change was 10.6. Fatigue was measured by FACIT-Fatigue, a 13-item questionnaire that assesses self-reported fatigue and its impact on daily activities and function.7,9
Mean baseline spinal pain score at Year 5: 66.9 (150 mg group). Mean change was -36.8. Spinal pain was measured using a 100-mm VAS as a component of ASAS.7,9
Mean baseline nocturnal back pain score at Year 5: 66.8 (150 mg group). Mean change was -38.9. Nocturnal pain was measured using a 100-mm VAS as a component of ASAS.8,9

See the inflammation results in AS, an active disease correlateg,j
*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 and Conditions details, call 1-844-267-3689.

Definitions

AS, ankylosing spondylitis; ASAS, Assessment of SpondyloArthritis international Society criteria; BASDAI, Bath Ankylosing Spondylitis Disease Activity Index; FACIT, Functional Assessment of Chronic Illness Therapy; IL, interleukin; IV, intravenous; nr-axSpA, non-radiographic axial spondyloarthritis; NRI, nonresponder imputation; PsA, psoriatic arthritis; SC, subcutaneous; VAS, visual analog scale.

References

  1. Cosentyx. Prescribing information. Novartis Pharmaceuticals Corp.

  2. Remicade. Prescribing information. Janssen Biotech Inc. 

  3. Simponi Aria. Prescribing information. Janssen Biotech Inc.

  4. Orencia. Prescribing information. Bristol-Myers Squibb Co. 

  5. Taltz. Prescribing information. Eli Lilly & Co. 

  6. Siliq. Prescribing information. Bausch Health US LLC.

  7. Data on file. CAIN457F2310 Data Analysis Report. Novartis Pharmaceuticals Corp; June 2019.

  8. Data on file. CAIN457F2310 (MEASURE 2): Nocturnal Back Pain. Novartis Pharmaceuticals Corp; February 2021.

  9. Data on file. CAIN457F2310 Clinical Study Report. Novartis Pharmaceuticals Corp; November 2014.

  10. Data on file. Conversion data tables for ankylosing spondylitis. Novartis Pharmaceuticals Corp; June 2019.
     

    a. Baraliakos X, Gossec L, Pournara E, et al. Secukinumab in patients with psoriatic arthritis and axial manifestations: results from the double-blind, randomised, phase 3 MAXIMISE trial. Ann Rheum Dis. 2021;80(5):582-590.

    b. Data on file. CAIN457F2342 (FUTURE 5): 2-Year Interim Report. Novartis Pharmaceuticals Corp; May 2019.

    c. Data on file. CAIN457F2342 (FUTURE 5): 2-Year Interim Report PASI 90 and ACR Components data. Novartis Pharmaceuticals Corp; January 2020.

    d. Data on file. CAIN457F2342 (FUTURE 5): 2-Year Interim Report mNAPSI and PASI 100 data. Novartis Pharmaceuticals Corp; October 2019.

    e. Data on file. CAIN457H2315 Data Analysis Report. Novartis Pharmaceuticals Corp; April 2020.

    f. Data on file. CAIN457H2315 Clinical Study Report. Novartis Pharmaceuticals Corp; November 2019.

    g. Data on file. CAIN457F2310 Data Analysis Report. Novartis Pharmaceuticals Corp; June 2019.

    h. Data on file. CAIN457F2310 (MEASURE 2): Nocturnal Back Pain. Novartis Pharmaceuticals Corp; February 2021.

    i. Data on file. CAIN457F2342 (FUTURE 5): Interim Data Analysis Report FACIT-Fatigue data through Week 52. Novartis Pharmaceuticals Corp; April 2019.

    j. Poddubnyy DA, Rudwaleit M, Listing J, Braun J, Sieper J. Comparison of a high sensitivity and standard C reactive protein measurement in patients with ankylosing spondylitis and non-radiographic axial spondyloarthritis. Ann Rheum Dis. 2010;69(7):1338-1341.

    k. Data on file. CAIN457F2342 Clinical Study Report Interim Analysis-Week 24. Novartis Pharmaceuticals Corp; November 2017.

    l. Data on file. CAIN457F2342 (FUTURE 5): 2-Year HAQ-DI biologic-naive data. Novartis Pharmaceuticals Corp; February 2021.

    m. Cosentyx. Prescribing information. Novartis Pharmaceuticals Corp.

    n. Data on file. Selected EAIRs MEASURE 2 Year 5. Novartis Pharmaceuticals Corp; January 2020.

    o. Nash P, Mease PJ, McInnes IB, et al; on behalf of the FUTURE 3 study group. Efficacy and safety of secukinumab administration by autoinjector in patients with psoriatic arthritis: results from a randomized, placebo-controlled trial (FUTURE 3). Arthritis Res Ther. 2018;20(1):47.

    p. Data on file. LTD Cosentyx Prescriber and Patient Counts. Novartis Pharmaceuticals Corp; July 2021.

    q. Boonen A, Sieper J, van der Heijde D, et al. The burden of non-radiographic axial spondyloarthritis. Semin Arthritis Rheum. 2015;44(5):556-562.