Formulary Focus: Cosentyx Navigating Tightly Managed Psoriasis Market

Payers’ prior authorization and step therapy requirements may delay broad access to Novartis’ Cosentyx until after competition arrives in 2016 from Lilly’s IL-17 inhibitor and possibly from a biosimilar to Humira.

Access challenges may undercut Novartis AG’s first-mover advantage as it seeks to establish itsnew plaque psoriasis treatment Cosentyx (secukinumab) in a tightly controlled reimbursement environment.

“The key going forward [for Cosentyx] is going to be gaining access, which we’re working through,” Novartis Pharmaceuticals Division Head David Epstein said during the company’s April 23 earnings call. “In the U.S

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