Resources to help get patients started on the IV formulation of COSENTYX®
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Download | Prior Authorizations, Exceptions & Appeals Kit Sample letters and checklists to help navigate coverage for COSENTYX |
 | Prior Authorization Appeals Kit Checklist Checklist healthcare providers can share with patients to help them write to their health plan about medication coverage |
 | IV Billing & Coding Guide Interactive guide that provides billing and coding information for the IV formulation of COSENTYX |
 | IV Co-Pay Pathway Flashcard Information on how to get eligible IV patients started with the Co-Pay Plus Offer |
 | IV Provider Co-Pay Plus Portal Overview Quick steps for navigating the IV Provider Co-Pay Plus Portal |
 | IV Specialty Pharmacy Co-Pay Plus Claim Form Specialty Pharmacies may use this form when submitting a claim for the IV formulation of COSENTYX |
 | IV Provider Co-Pay Plus Claim Form Providers who buy-and-bill the IV formulation may use this form when submitting a claim |
 | IV Patients Co-Pay Plus Claim Form Patients may use this form when submitting claims for reimbursement |
 | IV Provider Co-Pay Portal Get eligible IV patients started with the Co-Pay Offer† and submit claims for reimbursement |
*Limitations apply. Subject to annual co-pay benefit limit. Offer not valid under Medicare, Medicaid, or any other federal or state programs. Novartis reserves the right to rescind, revoke, or amend this program without notice. Additional limitations may apply. See complete Terms & Conditions at COSENTYXhcp.com/rheumatology/novartis-patient-support for details.
†Certain payers have carve-outs that restrict utilization of manufacturer support programs.
IV, intravenous.
 | IV Dosing Calculator Tool to help calculate the IV dose, provides IV administration steps and an instructional video |
 | IV Distribution and Acquisition Lists product-ordering and contact information of authorized distributors of the IV formulation |
 | IV Hospital Review Guide Provides an overview of COSENTYX to assist hospital formulary decision-makers |
 | IV Comprehensive Onboarding Guide Includes information, tools, and resources for dosing, administering, and billing for the IV formulation of COSENTYX |
 | National Infusion Center Association (NICA) Infusion Center Locator Conveniently locates the infusion centers near you and your patients. Novartis Pharmaceuticals Corporation does not endorse or recommend any specific infusion center |
 | HIPAA Consent Provides patients direction on completing and authorization for processing the start form |
HIPAA, Health Insurance Portability and Accountability Act; IV, intravenous.
 | Electronic Medical Assistant® (EMA) Start Form A preconfigured Start Form for integration within EMA |
 | EMA Start Form Integration Instructions for integrating the EMA Start Form into the EMA system |
 | Epic Patient Support Service Integration Tip Sheet Directions on how to access patient support resources within the Epic system |
 | Epic Favorites List Tip Sheet Provides information and instructions on how to add favorite and custom medications within the Epic system |
 | Cerner Patient Support Service Integration Tip Sheet Steps on how to access patient support resources within the Cerner system |
 | Cerner Favorites List Tip Sheet Information on how to add favorite and custom medications within the Cerner system |
 | Order Sets and Therapy Plans in EHR Systems Instructions on how to order COSENTYX within electronic health record (EHR) systems using SC formulation order sets and therapy plans for the IV formulation |
IV, intravenous; SC, subcutaneous.
IV, intravenous.