Patient Assistance Program for Cosentyx

You have been prescribed the medication COSENTYX by your dermatologist, Dr. Beasley. A prior authorization was requested from your insurance by Vital Dermatology.

It is recommended that you consider applying to the Cosentyx Patient Assistance program for one of the following reasons:

(a) Your insurance approved the Cosentyx but with a high-copay cost
(b) Your insurance denied the Cosentyx and there is not a reasonable alternative medication covered by your insurance

*You may be eligible for free or low-cost Cosentyx through the medication company's Patient Assistance Program (Novartis).

To complete the application process, please complete the following checklist:

Patient Assistance Checklist

(1) CHECK YOUR ELIGIBILITY: Click here to check your eligibility based on household income.
(2) SCHEDULE A NURSING VISIT AT VITAL DERMATOLOGY: If you are eligible, please call or text our office to schedule a visit to complete the Application process.
(3) BRING APPLICATION DOCUMENTS to your Nursing Visit:

COMPLETED APPLICATION (PAGE 1 only)
MOST RECENT TAX RETURN, such as W2 or 1040 Form (PAGES 1&2 only) **REQUIRED

Your application will be submitted together with Dr. Beasley’s application and supportive documents at the time of your Nursing Visit to the Patient Assistance Program.

*If you have not been notified of an update within 2 weeks of your nursing visit, please call Novartis at 1-844-COSENTYX for an update on your application status.