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.
, and consent. All of the information you provide today will be kept strictly confidential.
For what diagnosis are you taking CIMZIA?
For what diagnosis are you requesting a CIMZIA Co-Pay Savings Card?