CIMZIA

Indicated For

Crohn's disease, Rheumatoid arthritis, Psoriatic arthritis, Ankylosing spondylitis, Non-radiographic axial spondyloarthritis, Plaque psoriasis, Polyarticular juvenile idiopathic arthritis

About This Medication

# UCB Patient Assistance Program Patient Guide: How to Get CIMZIA (certolizumab pegol) at Low or No Cost CIMZIA (certolizumab pegol) is a prescription biologic medication used to treat certain inflammatory conditions like rheumatoid arthritis, Crohn's disease, psoriatic arthritis, ankylosing spondylitis, and non-radiographic axial spondyloarthritis. The **UCB Patient Assistance Program** helps **uninsured or underinsured low-income patients** in the US get CIMZIA at no cost if they qualify.[1][2][10] ## About CIMZIA **CIMZIA** is a tumor necrosis factor (TNF) blocker, a type of biologic drug given by injection. It works by reducing inflammation in autoimmune diseases where the immune system attacks healthy tissues. Common uses include: - Moderate to severe **rheumatoid arthritis** (with methotrexate) - **Crohn's disease** - **Psoriatic arthritis** - **Ankylosing spondylitis** - **Non-radiographic axial spondyloarthritis** It's administered as a subcutaneous injection, often starting with loading doses, then maintenance doses every 2-4 weeks. Always follow your doctor's instructions. **Important**: CIMZIA has risks like serious infections, cancer, and hypersensitivity reactions (e.g., anaphylaxis). Discuss with your doctor.[2][8] ## Who Qualifies? The program targets patients facing financial hardship. Key requirements:[1][4][10] - **Reside** in the US, DC, or US Territory. - **Uninsured** (no prescription coverage) or **underinsured** (have insurance but can't afford copays/deductibles despite exhausting other options). - **Low-income** (proof required; no specific FPL % listed, assessed case-by-case). - **Valid prescription** for CIMZIA from a US-licensed doctor. - Not enrolled in government programs like Medicare, Medicaid, VA, etc., for this medication.[1][5] **Note**: Insured patients must show 'significant financial hardship' and try all coverage options first. Government-insured patients generally don't qualify.[1] ## Income Eligibility Breakdown No fixed federal poverty level (FPL) thresholds are published; eligibility is based on **proof of income** and overall financial need. Patients complete an income section and provide documentation.[1][4] | Household Size | Typical Threshold Example (300% FPL, illustrative)* | Notes | |---------------|-----------------------------------------------------|-------| | **Individual** | ~$43,740/year | Case-by-case; proof required | | **Couple** | ~$59,160/year | Adjusted annually; call to confirm | | **Family of 3** | ~$74,580/year | Income verification mandatory | | **Family of 4** | ~$90,000/year | Larger families prorated | *Illustrative based on common PAP standards (2026 FPL); actuals vary. Contact program for your situation.[1][4] ## Insurance Requirements - **Uninsured**: Primary candidates; no coverage needed.[10] - **Underinsured**: Must prove insurance doesn't cover costs fully (e.g., high copays). Exhaust appeals, manufacturer copay cards first.[1] - **Exclusions**: Medicare (Parts D, Advantage, Medigap), Medicaid, VA/TRICARE, DoD, state programs. Cash-pay or fully reimbursed by commercial insurance? No.[1][5] If insured but struggling, call **UCBCares® at 1-844-599-CARE (2273)** for alternatives.[1] ## Step-by-Step Application Process 1. **Check Eligibility**: Confirm you meet criteria. Gather income proof (tax returns, pay stubs, etc.).[1][4] 2. **Get Doctor Involved**: Doctor completes Prescriber Section + writes CIMZIA prescription.[1][4] 3. **Complete Application**: Patient fills Patient Section (personal info, income). Download from ucb-usa.com or call.[1][3] 4. **Submit by Phone**: Call **(866) 395-8366** to start. Fax/mail form with docs to specified address.[1][10] 5. **Verification**: UCB reviews (income, insurance, residency). All info verified.[1] 6. **Approval Notification**: If approved, medication shipped free to your home.[1] **Tip**: Print clearly; incomplete apps delay/deny. No extra medical records needed.[1] ## Timeline and Delivery Processing time not specified; typically 2-4 weeks based on similar programs. Call for status. Approved meds **shipped directly to patient** (not doctor/pharmacy).[1] Expect standard shipping; refrigerate upon arrival. ## Alternatives if Denied - **UCBCares®**: Call 1-844-599-CARE (2273) for other UCB resources, copay help (if commercially insured), or referrals.[1][10] - **CIMplicity Savings**: For insured patients; reduces copays (not for gov't insurance).[5][10] - **General Help**: PAN Foundation, NeedyMeds.org, RxAssist.org. - **State Programs**: Check local Medicaid expansion or drug assistance. - **Doctor's Office**: Ask about samples or in-office programs.[9] ## Disclaimer This guide is for informational purposes based on publicly available data as of 2026. Program details can change; UCB may amend/terminate anytime. Not medical/financial advice. Consult your doctor and call **(866) 395-8366** for latest info. Eligibility not guaranteed. UCB verifies all claims; falsifying info risks denial/legal issues. See full terms in application.[1][3]

Program information last verified: March 30, 2026