You've already taken an important step in managing your health by learning more
(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
counter. 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 RxID # 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. After the year is complete, you can request another savings card
to continue to benefit from the savings.
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,
, and consent. All of the information you provide today
will be kept strictly confidential.