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Cosentyx (secukinumab subcutaneous injection – Novartis)Cigna

Enthesitis-related arthritis

Initial criteria

  • Patient is age ≥ 4 years
  • Medication is prescribed by or in consultation with a rheumatologist

Reauthorization criteria

  • Patient has been established on Cosentyx subcutaneous for at least 6 months
  • Patient meets at least ONE of the following: (a) Objective measure shows beneficial clinical response from baseline; OR (b) Improvement in ≥ 1 symptom such as less joint pain or tenderness, improved function, decreased morning stiffness or fatigue

Approval duration

6 months initial, 1 year reauth