You've already taken an important step in managing your health by learning more about CIMZIA® and CIMplicity. UCB offers help with co-pay assistance through the CIMpay® card. The CIMpay card provides instant savings to eligible CIMZIA patients right at the pharmacy counter. You must have a CIMZIA prescription and meet the eligibility requirements below to participate in CIMpay.*

To activate your CIMpay card, simply fill out the form below and enter the RxID # found on the CIMpay card. If you don't have a CIMpay card, you may also request to have one mailed to you by filling out the form below.

We will protect your privacy in accordance with current regulations, UCB's Privacy Policy, and consent. All of the information you provide today will be kept strictly confidential.
 
*Eligibility: Participation in these programs is a choice to be made together by patients and their healthcare providers. Some CIMplicity programs may have restrictions or qualifications regarding patient eligibility. These programs may be amended or cancelled at any time without notice. The CIMpay card program provides up to $500 per pack to cover CIMZIA prescriptions costs. The CIMpay card program is not valid for individuals covered under Medicare, Medicaid, or similar state or federally funded programs, residents of Massachusetts, or where otherwise prohibited by law.

See terms and conditions