• Current CIMplicity Sign Up

  • CIMplicity Services

Personal Information

All fields are required.

Gender

Contact Information

All fields are required.

Is this a mobile number?

By providing your information on this webpage, you acknowledge you are a U.S. resident and give UCB and its business partners permission to send you information or contact you and/or your healthcare provider regarding your disease as well as information on other related treatments, products and services, and for marketing and informational purposes by phone, email, or mail. You understand that UCB or its business partners will not sell your name, address, e-mail address, or any other information to another party for their own marketing use.

If you opt to receive insurance benefit coordination assistance, you authorize UCB to disclose your health and insurance information to its insurance coordination business partners in order to verify, investigate, assist with, and coordinate your coverage for CIMZIA with your Insurer(s) and/or your healthcare provider(s). Any information collected, used or disclosed by the business partner will be subject to its privacy policy as well as any applicable privacy laws.

At any time, you may unsubscribe from the mailing list as well as review the Privacy Policy.

View full Terms of Use.

CIMplicity® Text Messaging Terms of Use: CIMplicity will send updates via SMS text. This text service is not medical information or medical advice and is not a replacement for seeking medical advice or care from your healthcare provider. Please consult your healthcare provider for any medical advice or information on your condition or treatments. CIMplicity text service is available on the following carriers: Major carriers: AT&T, Verizon Wireless, Sprint, and T-Mobile® USA. Minor carriers: Aio Wireless, Alaska Communications Systems (ACS), Appalachian Wireless (EKN), Bluegrass Cellular, Boost Mobile, Carolina West Wireless, CellCom, Cellular One of East Central IL (ECIT), Cellular One of Northeast Arizona, Cellular One of Northeast Pennsylvania, Chariton Valley Cellular, Coral Wireless (Mobi PCS), Cricket, Cross, C-Spire (CellSouth), Duet IP (Maximum Communications New Core Wireless), Element Mobile (Flat Wireless), Epic Touch (Elkhart Telephone), GCI, Golden State, Google Voice, Hawkeye (Chat Mobility), Hawkeye (NW Missouri), Illinois Valley Cellular, Inland Cellular, iWireless (Iowa Wireless), Keystone Wireless (Immix Wireless/PC Man), Metro PCS, Mosaic (Consolidated or CTC Telecom), MTA Communications, MTPCS (Cellular One Nation), Nex-Tech Wireless, Panhandle Communications, Peoples Wireless, Pine Cellular, Pioneer, RINA, Sagebrush Cellular (Nemont), SI Wireless/Mobile Nation, Simmetry (TMP Corporation), SouthernLinc, SRT Wireless, Thumb Cellular, Union Wireless, United Wireless, U.S. Cellular, Viaero Wireless, Virgin Mobile, and West Central (WCC or 5 Star Wireless). Message and data rates may apply. Message frequency varies. If you have questions, call 1-844-822-6877. Text STOP to cancel. Text HELP for help.

Alerts sent via SMS may not be delivered to you if your phone is not in range of a transmission site, or if sufficient network capacity is not available at a particular time. Even within a coverage area, factors beyond the control of your wireless carrier may interfere with message delivery, including the customer's equipment, terrain, proximity to buildings, foliage, and weather. You acknowledge that urgent alerts may not be timely received and that your wireless carrier does not guarantee that alerts will be delivered. Carriers are not liable for delayed or undelivered messages.

CIMplicity® Medication Reminders Terms and Conditions: CIMplicity Medication Reminders are sponsored by UCB. Your privacy is important to us. We have privacy and security policies in place to help us protect your information. Please read our PRIVACY POLICY for more details. Through the sign up process, you have authorized us to send you automatic medication reminders. There is no charge for participation in the CIMplicity Medication Reminder program, and your participation is not contingent on any purchase. Message frequency depends on user. Message and data rates may apply. (Contact your mobile carrier for further details on message and data rates under your phone plan.) .You can opt-out of CIMplicity Medication Reminders at any time by texting STOP to 83931. CIMplicity Medication Reminders service is available on the following carriers: Alltel AWCC; Associated Carrier Group (ACG); at&t Mobility; Boost; Cincinnati Bell; Cricket; Google Voice; MetroPCS; Rural Carrier Group; Sprint; Tier 2/3 Carrier Group; T-Mobile® USA; U.S. Cellular; Verizon; and Virgin Mobile. Cellular phone carriers’ instructions for text messaging may be different. Check your user’s manual for phone capabilities and specific instructions. Please consult the applicable wireless service agreement for your individual pricing plan.

UCB reserves the right to terminate this service in whole or in part, at any time, without notice. For more information on how UCB will use your information please view our privacy policy.

Eligibility: Available to individuals with commercial prescription insurance coverage for CIMZIA. Not valid for prescriptions that are reimbursed, in whole or in part, under Medicare (including Medicare Part D), Medicaid, similar federal- or state-funded programs (including any state prescription drug assistance programs and the Government Health Insurance Plan available in Puerto Rico), or where otherwise prohibited by law. Product dispensed pursuant to program rules and federal and state laws. Claims should not be submitted to any public payor (ie, Medicare, Medicaid, Medigap, TRICARE, VA, and DoD) for reimbursement. The parties reserve the right to amend or end this program at any time without notice.

CIMplicity® Covered™ Eligibility: Eligible patients with a valid prescription for CIMZIA can receive treatment with the CIMZIA Prefilled Syringe at no cost for up to two years or until the patient’s coverage is approved, whichever comes first. Program is not available to patients whose medications are reimbursed in whole or in part by Medicare, Medicaid, TRICARE, or any other federal or state program or where otherwise prohibited by law. Patients may be asked to reverify insurance coverage status during the course of the program. No purchase necessary. Program is not health insurance, nor is participation a guarantee of insurance coverage. Limitations may apply. For initial enrollment into the program, the patient must be experiencing a delay in, or have been denied, coverage for CIMZIA by their commercial insurance plan. To maintain eligibility in the program, the following are required: (1) a prior authorization request has been submitted and/or coverage remains unavailable for the patient; and (2) if the prior authorization is denied by the payer, the prescriber must submit an appeal within the first sixty (60) days of the prior authorization denial and a prior authorization must be submitted every six (6) months thereafter or documentation as may otherwise be required by the payer. UCB reserves the right to rescind, revoke, or amend this Program without notice.

If you are uninsured, other financial assistance may be available. Call UCBCares toll free at 1-844-599-CARE (2273) for more information. The CIMplicity® program is provided as a service of UCB, Inc., and is intended to support the appropriate use of CIMZIA. Any CIMplicity® program may be amended or canceled at any time without notice. Some program and eligibility restrictions apply. Please consult your doctor if you have any questions about your condition or treatment. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

UCB, Inc., is not liable for unintended or unauthorized use of the CIMplicity® Savings Card if it is lost or stolen.

The CIMplicity® program is provided as a service of UCB, Inc., and is intended to support the appropriate use of CIMZIA. The CIMplicity® program may be amended or canceled at any time without notice. Some program and eligibility restrictions may apply.