You've already taken an important step in managing your health by learning more about CIMZIA® (certolizumab pegol) and CIMplicity®. CIMZIA offers a comprehensive patient support program called CIMplicity. You can get up to 12 months of CIMZIA with no out-of-pocket costs to you with the CIMZIA Co-Pay Savings Card. UCB offers help with co-pay assistance through the CIMZIA Co-Pay Savings Card. The CIMZIA Co-Pay Savings Card provides instant savings to eligible CIMZIA patients right at the pharmacy. You must have a CIMZIA prescription and meet the eligibility requirements below to participate in the CIMZIA Co-Pay Savings Card program.*

To activate your CIMZIA Co-Pay Savings Card, simply fill out the form below and enter the Rx ID# found on the CIMZIA Co-Pay Savings Card. If you don't have a CIMZIA Co-Pay Savings Card, you may also request to have one mailed to you by filling out the form below.

Patients with additional financial challenges may qualify for a free product program, the Patient Assistance Program (PAP). Call 1-866-4-CIMZIA for more information.

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.

Consent To Use
By activating this card you agree that the information you provided may be used by UCB, the makers of CIMZIA, and its contracted third parties to provide you with information on your disease and related treatments, products, and services, and for marketing and information purposes. UCB will not sell your name or contact information to any third party for their marketing purposes.

See terms and conditions