Bimzelx

Indicated For

plaque psoriasis, psoriatic arthritis, non-radiographic axial spondyloarthritis, ankylosing spondylitis, hidradenitis suppurativa, CRSwNP (investigational)

About This Medication

# UCB Patient Assistance Program Patient Guide: How to Get **Bimzelx** (bimekizumab-bkzx) at Low or No Cost Bimzelx (bimekizumab-bkzx) is a prescription biologic medication used to treat moderate to severe **plaque psoriasis**, **psoriatic arthritis**, and **axial spondyloarthritis** in adults. It works by targeting specific proteins (IL-17A and IL-17F) that cause inflammation, helping to clear skin plaques and reduce joint pain and stiffness. Administered as a subcutaneous injection every 4 or 8 weeks, Bimzelx can significantly improve quality of life but is expensive without assistance—often costing over $5,000 per month out-of-pocket.[1][3] The **UCB Patient Assistance Program (PAP)** provides **Bimzelx at no cost** to eligible uninsured or underinsured U.S. patients facing financial hardship. This guide explains eligibility, application steps, and more to help you access this life-changing treatment affordably.[1][2][3][6] ## Who Qualifies for the UCB PAP? To qualify, you must meet **all** these criteria: - Reside in the **United States, District of Columbia, or U.S. Territories** (including Puerto Rico).[1][2][6] - Be **uninsured, underinsured**, or insured but experiencing **significant financial hardship**. Patients with **Medicare Part D** may qualify—apply to confirm.[1][2][6] - Have a **valid prescription** for Bimzelx from a U.S.-licensed healthcare provider.[1][3] - Household income at or below **500% of the Federal Poverty Level (FPL)** (most authoritative recent info; some sources note 300%). No assets test mentioned.[6][7] - Not receiving other assistance that fully covers the medication.[1][2] **Note**: Program details can change; contact UCBCares at **1-844-599-CARE (2273)** for latest requirements.[1][2][5][9] ## Income Eligibility Breakdown Eligibility hinges on **household income** relative to the **2026 Federal Poverty Level (FPL)**. For a household of 4, 100% FPL is about $32,150 annually (adjusts yearly; verify current via HHS.gov). At **500% FPL**, limits are generous.[6][7] | Household Size | Max Annual Income (500% FPL, approx. 2026) | |----------------|--------------------------------------------| | 1 (Individual) | $96,450 | | 2 (Couple) | $130,650 | | 3 | $164,850 | | 4 | $199,050 | | +1 Member | +$34,200 each | *Examples*: A single person earning $70,000/year likely qualifies; a family of 4 at $180,000 may not. Include **all household income** (wages, Social Security, etc.). Provide **proof** like tax returns, pay stubs, or W-2s.[1][2][6][7] ## Insurance Requirements - **Uninsured**: Fully eligible if other criteria met.[1][2] - **Underinsured**: Eligible if no/low prescription coverage or high copays cause hardship. **Include copies of insurance cards**; UCB verifies status verbally.[1][2] - **Medicare Part D**: Certain plans qualify—apply to check. Not for those with full coverage.[2][6] - **Medicaid/Commercial**: May qualify if significant gaps; disclose all details.[1] **Important**: Do **not** have other insurance/assistance paying for Bimzelx.[1][2] ## Step-by-Step Application Process UCB offers **multiple application methods**: downloadable PDF, online portal, or phone assistance.[1][3][4][9] 1. **Gather Documents**: - **Proof of income** (e.g., last year's tax return, 2-4 recent pay stubs, W-2s, 1099s—**MUST be signed/completed**).[1][2] - **Proof of residency** (e.g., utility bill, driver's license).[1] - **Proof of insurance status** (front/back of cards; note if uninsured).[1][2] - **Government-issued ID** (e.g., driver's license).[4][9] - **Valid Bimzelx prescription** from your doctor.[1][3] 2. **Complete Patient Sections**: Download form from ucb-usa.com or use online portal (ucb-pap.enrollsource.com). Enter personal info, income, insurance details.[1][3][4][9] 3. **Doctor Completes Prescriber Section**: Your healthcare provider signs, confirms diagnosis, and provides prescription details. **Do not** add extra medical records.[1][2][9] 4. **Submit**: - **Online**: ucb-pap.enrollsource.com (easiest).[3][4] - **Mail**: UCB, Inc., 1330 Enclave Parkway, Suite 125, Houston, TX 77077.[9] - **Fax**: (855) 880-5262.[9] - Call **1-844-599-CARE (2273)** or **(877) 785-8906** for help (ucb-pap@cardinalhealth.com).[1][5][9] 5. **Sign & Date**: Patient and doctor must sign; all info subject to verification.[1][2] **Tip**: Applications delay/deny if incomplete. Double-check![1][2][9] ## Timeline and Delivery - **Processing**: 4-6 weeks typical (allow time for review/shipping).[8] - **Approval**: Up to **12 months** free supply; **reauthorization required** annually (reapply before expiration).[6] - **Delivery**: Shipped free to **your home or doctor's office**.[1] - **Refills**: Doctor requests or reapply as needed.[1] Track status via UCBCares helpline.[5][9] ## Alternatives if Denied - **UCBCares®**: Call 1-844-599-CARE (2273) for other UCB resources, copay cards, or free trial offers.[1][2][5] - **Simplefill**: Free service applies for you (877-386-0206).[6] - **RxAssist.org** or **NeedyMeds.org**: Find similar programs.[7] - **Manufacturer Savings**: Check bimzelx.com for copay assistance (commercial insurance only).[3] - **State Programs**: Local Medicaid or charity clinics. - **No biosimilars** available for Bimzelx currently.[ ] ## Disclaimer This guide is for informational purposes based on publicly available data as of 2026. **UCB reserves the right to change eligibility, benefits, or end the program anytime** without notice. Not a guarantee of approval—UCB verifies all info. Consult your doctor; this is not medical advice. For latest details, visit ucb-usa.com/Patients/Financial-Assistance or call UCBCares. Word count: 1028.

Program information last verified: March 30, 2026