The price you pay for Cosentyx may depend on factors such as your dosage, whether you have health insurance, and the pharmacy you use. Financial assistance may be available to help you with the cost of Cosentyx.
Several factors can affect the price you’ll pay for Cosentyx. These include:
- your treatment plan
- your insurance coverage
- the pharmacy you use
- the cost of the visit to your healthcare professional to receive doses of Cosentyx
- any equipment you may need to purchase to administer Cosentyx yourself, such as needles and syringes
- available financial assistance for Cosentyx (see the “Financial and insurance assistance” section)
To find out your cost for Cosentyx, talk with your doctor, pharmacist, or insurance provider. The next section, “Cosentyx coupons and savings,” includes information about how much you can save by using an Optum Perks coupon.
To save money on your Cosentyx prescription, explore these Optum Perks coupons.
Cosentyx is a biologic drug, which means it’s made from parts of living organisms. It doesn’t come in a biosimilar form.
Biosimilars are like generic drugs. But unlike generics (which are made for nonbiologic drugs), biosimilars are made for biologics.
Why is there such a cost difference between biologic drugs and biosimilar drugs?Biologic drugs can be expensive because of the research and testing needed to ensure their safety and effectiveness. The manufacturer of a biologic drug can sell it exclusively for up to
12 years . When the biologic drug’s patent expires, other drugmakers can create biosimilar versions. This competition in the market may lead to lower costs for biosimilars. And because biosimilars are very similar to biologic drugs, they don’t need to be studied again. This can also lead to lower costs for biosimilars.
If you receive Cosentyx long term, you may be able to lower your costs in the following ways:
- Look into getting a 90-day supply of your medication: You may be able to get a 90-day supply of Cosentyx if approved by your insurance company. This could reduce your number of trips to the pharmacy and help lower the cost of Cosentyx. If you’re interested in getting a 90-day supply of this drug, talk with your doctor, pharmacist, or insurance provider.
- Use a mail-order pharmacy to get your medication: Using a mail-order pharmacy might help lower your cost for Cosentyx. Plus, you could get your medication without leaving home. Some Medicare plans may help cover the cost of mail-order drugs. You may also be able to get a 90-day supply of the drug through mail order. If you don’t have health insurance, talk with your doctor or pharmacist. They may be able to suggest online pharmacy options that could work for you.
If you need financial support to pay for Cosentyx or help understanding your insurance coverage, check out these resources:
Here are answers to some commonly asked questions about Cosentyx’s cost.
How much will I pay for Cosentyx if I have Medicare?
The cost of Cosentyx with Medicare can vary depending on several factors, including:
- the type of Medicare plan you have
- your treatment plan
- the dose of Cosentyx you’re prescribed
- which pharmacy you use
Note that some insurance plans, including Medicare Part D, may not cover Cosentyx. But insurance coverage can change from year to year.
To find out whether your Medicare plan covers the cost of Cosentyx, call your plan provider. There are many different types of Medicare plans available, and your cost and coverage depend on your individual plan benefits.
Does the price of Cosentyx depend on the strength (75 mg, 150 mg, 300 mg)?
It’s possible. The price of Cosentyx can vary based on several factors, including whether you use insurance to pay for the medication.
If you have a set copay with your insurance plan, the price of Cosentyx should not vary based on the drug strength.
But if you don’t have insurance or your insurance doesn’t cover Cosentyx, the price you pay could vary based on the strength you’re prescribed.
What’s the cost of Cosentyx without insurance vs. with insurance?
The cost of Cosentyx without insurance can vary based on several factors. These include:
- your treatment plan
- the pharmacy you use
- any cost-savings programs you qualify for
The same factors affect your cost of the drug if you’re paying through insurance. But in addition, your cost with insurance may depend on:
- the quantity of Cosentyx you’re prescribed (such as a 30-day or 90-day supply)
- your individual plan benefits
- any prior authorization requirements for your plan
To learn more about the price of Cosentyx with or without insurance, talk with your pharmacist or insurance provider.
You may want to consider the following information if you have insurance and you’re prescribed Cosentyx.
If you have insurance, your insurance company may require prior authorization before it covers Cosentyx. This means the company and your doctor will discuss the drug in regard to your treatment. The insurance company will then determine whether Cosentyx is covered.
If a drug requires prior authorization, but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Cosentyx requires prior authorization.
Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.