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