BIMZELX

Indicated For

plaque psoriasis, psoriatic arthritis, axial spondyloarthritis, non-radiographic axial spondyloarthritis

About This Medication

# UCB Patient Assistance Program Guide: How to Get BIMZELX at Low or No Cost ## About This Guide If you've been prescribed BIMZELX (bimekizumab-bkzx) to treat plaque psoriasis, psoriatic arthritis, axial spondyloarthritis, or non-radiographic axial spondyloarthritis, you may be concerned about the cost. This guide explains how the UCB Patient Assistance Program can help you access BIMZELX at little to no cost if you qualify. ## What is BIMZELX? BIMZELX is a prescription medication that works by blocking two proteins in your body called IL-17A and IL-17F. By reducing the activity of these proteins, BIMZELX helps reduce inflammation and improve symptoms of psoriasis and certain types of arthritis. Your doctor believes this medication can help improve your health and quality of life. ## What is the UCB Patient Assistance Program? The UCB Patient Assistance Program is a free service offered by UCB, the manufacturer of BIMZELX, to help patients who cannot afford their medication. Through this program, eligible patients may receive BIMZELX at no cost or at a significantly reduced price. ## Who Qualifies? You may qualify for the UCB Patient Assistance Program if you meet these criteria: - You have a valid prescription for BIMZELX from your doctor - You are a U.S. resident - You are uninsured OR have limited income (see income limits below) - You do NOT have government insurance (Medicare, Medicaid, or other state/federal programs) - You do not have insurance that covers BIMZELX **Note:** If you have any type of government insurance, you are not eligible for this particular assistance program. However, other options may be available to you (see the FAQ section below). ## Income Eligibility The UCB Patient Assistance Program has varying income thresholds based on your household size. While specific income limits are not publicly listed, the program is designed for individuals and families with limited financial resources. Here's a general guideline: | Household Size | Estimated Maximum Annual Income* | |---|---| | 1 person | Varies by program | | 2 people | Varies by program | | 3 people | Varies by program | | 4 people | Varies by program | | 5+ people | Varies by program | *Income limits are flexible and determined on a case-by-case basis. Contact the program directly to learn your specific eligibility. ## Insurance Requirements - **If you are uninsured:** You are eligible to apply. - **If you have private insurance:** You may not be eligible through this specific program, but you should ask about the BIMZELX Savings Card instead (see alternatives below). - **If you have Medicare, Medicaid, or other government insurance:** You are not eligible for this patient assistance program. Other resources may be available (see alternatives below). ## What Documents Do You Need? To apply, you'll typically need: 1. **Valid prescription** - A current prescription for BIMZELX from your doctor 2. **Proof of residency** - A recent utility bill, lease agreement, or other document showing your current address 3. **Proof of income** - Recent pay stubs, tax returns, bank statements, or a letter from your employer showing your income Gather these documents before starting your application to speed up the process. ## How to Apply: Step-by-Step Instructions ### Step 1: Contact the Program Reach out to the UCB Patient Assistance Program in one of these ways: - **Phone:** 1-866-395-8366 (speak with a representative who can answer questions and help you apply) - **Online:** Visit https://www.ucb-usa.com/Patients/Financial-Assistance to apply through their online portal - **Mail or other methods:** Call the phone number above to inquire about additional application methods ### Step 2: Provide Your Information When you apply, you'll be asked to provide: - Personal and household information - Proof of income and residency - Your valid BIMZELX prescription - Insurance status (confirm you are uninsured or have limited income) ### Step 3: Wait for Approval The program typically processes applications within 4-8 weeks. You'll be notified of the decision by phone, mail, or email (depending on how you applied). ### Step 4: Receive Your Medication If approved, your medication will be delivered to you. The delivery method varies depending on the specific program option you qualify for. Ask about delivery details when you apply. ## Timeline and What to Expect - **Application processing time:** 4-8 weeks (typical) - **Notification:** You'll be contacted with approval or denial status - **Medication delivery:** Varies by program; ask for specific details when you apply - **Reauthorization:** Your eligibility must be renewed annually ## Annual Reauthorization Once approved, you'll need to reauthorize your assistance **once per year**. The program will contact you when it's time to renew. You'll provide updated income and residency information to confirm you still qualify. ## What If You Have Insurance? If you have private insurance (but not government insurance), you may not be eligible for this patient assistance program. However, you have other options: ### BIMZELX Savings Card Even with insurance, you may qualify for the **BIMZELX Savings Card**, which can reduce your out-of-pocket costs. Visit https://www.bimzelx.com/navigate-sign-up to learn more and enroll. ### Talk to Your Insurance Company Contact your insurance provider to ask about: - Prior authorization requirements - Formulary status (whether BIMZELX is covered) - Your specific copay or coinsurance amount Your doctor's office can also help appeal insurance denials if needed. ## What If Your Application is Denied? If you're denied: 1. **Ask why** - Contact the program and ask for a specific reason for the denial 2. **Review eligibility** - Double-check that you meet all criteria 3. **Reapply** - If circumstances change (income decreases, you become uninsured), you can reapply 4. **Explore alternatives** - Ask about the BIMZELX Savings Card or speak with your doctor about other options ## Other Resources and Alternatives If you don't qualify for the UCB Patient Assistance Program: - **BIMZELX Savings Card:** https://www.bimzelx.com/navigate-sign-up - May reduce copays even with insurance - **NeedyMeds.org:** Search for additional patient assistance programs and resources - **CancerSupport Community and similar organizations:** Some offer financial assistance for medications - **State pharmaceutical assistance programs:** Your state may offer additional help - **Ask your doctor or social worker:** They may know of additional resources specific to your situation ## Important Notes - This is a free program offered by UCB - there are no application fees - Do not share personal information with unlicensed third parties claiming to help with patient assistance - Always verify you're using official UCB resources - Your prescription from a licensed healthcare provider is required ## Questions? For more information about the UCB Patient Assistance Program, call **1-866-395-8366** or visit **https://www.ucb-usa.com/Patients/Financial-Assistance**. ## Legal Disclaimer This guide provides general information about the UCB Patient Assistance Program for BIMZELX and is not medical advice. Program eligibility, requirements, and benefits may change. For the most current and accurate information, contact UCB directly using the contact information above. Your healthcare provider can also answer questions about whether BIMZELX is right for you. If you have difficulty affording any medication, always speak with your doctor or a healthcare social worker about available options.

Program information last verified: March 25, 2026