Cimzia

Indicated For

Crohn's disease, Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis, Non-radiographic axial spondyloarthritis, Plaque Psoriasis

About This Medication

# UCB Patient Assistance Program (CIMplicity): Your Complete Guide to Getting Cimzia at No Cost ## Who Qualifies for the UCB Patient Assistance Program (CIMplicity)? If you need Cimzia (certolizumab pegol) but cannot afford it, you may be able to get it at little or no cost through the **UCB Patient Assistance Program (CIMplicity)**. This program is designed specifically for patients who lack adequate insurance coverage for Cimzia. If you are a single-person household, you may qualify if your annual income is at or below **$90,360**. Larger households may qualify at higher income levels. To be eligible, you must be either uninsured or underinsured — meaning your current coverage does not adequately pay for Cimzia. Some Medicare Part D patients who meet specific financial hardship criteria may also qualify. RX Advantages can help you determine whether this program is the right fit for your situation. --- ## About Cimzia (certolizumab pegol) Cimzia (certolizumab pegol) is a biologic medication made by UCB. It belongs to a class of drugs called TNF inhibitors, which work by targeting a specific protein involved in inflammation. The FDA has approved Cimzia to treat several conditions, including Crohn's disease, rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, non-radiographic axial spondyloarthritis, and plaque psoriasis. Because Cimzia is a specialty biologic, it carries a very high list price — often thousands of dollars per month without insurance or assistance. This cost puts it out of reach for many patients, which is exactly why UCB created the CIMplicity program to help qualifying individuals access the medication they need. --- ## Income Eligibility: Full Breakdown The CIMplicity program uses income thresholds based on **600% of the 2025 Federal Poverty Level (FPL)**. UCB applies this higher threshold to account for the significant cost of specialty biologic medications like Cimzia. The limits by household size are: | Household Size | Max Annual Income | |---|---| | 1 person | $90,360 | | 2 persons | $122,640 | | 3 persons | $154,920 | | 4 persons | $187,200 | If your household is larger than four people, income limits continue to increase — contact CIMplicity directly at **(844) 246-7542** to ask about your specific household size. To verify your income, UCB typically accepts your **most recent federal tax return (Form 1040)**, **W-2 forms**, or **three months of recent pay stubs**. If you are self-employed or have irregular income, speak with a program representative about acceptable alternatives. If your income is above the listed limits, you may not qualify for free medication through this program. However, you may still be eligible for other forms of assistance — see the **Alternatives** section below. --- ## Insurance Requirements Explained Your insurance status plays a key role in determining your eligibility for CIMplicity. Here is how different situations are handled: - **If you are uninsured:** You are a strong candidate for free Cimzia through CIMplicity, provided you meet the income requirements. Uninsured patients are the primary audience for this program. - **If you have Medicare Part D:** Most patient assistance programs exclude Medicare Part D patients due to federal regulations. However, CIMplicity may make exceptions for Medicare Part D patients who can demonstrate specific financial hardship and who lack any coverage for Cimzia under their plan. You will need to contact UCB directly to discuss your situation. - **If you have private insurance that covers Cimzia poorly or partially:** You may still qualify as an "underinsured" patient if your out-of-pocket costs remain unaffordable. Eligibility is reviewed on a case-by-case basis. - **If you have Medicaid:** Patients with full Medicaid coverage that includes Cimzia are generally not eligible for this program, as Medicaid is considered active coverage for the medication. --- ## Step-by-Step: How to Apply Follow these steps to apply for free Cimzia through the UCB CIMplicity program: 1. **Gather your documents.** You will need: a completed and signed application form (with both patient and prescriber sections filled out), proof of household income (1040, W-2, or three months of pay stubs), and a valid prescription for Cimzia from your doctor. 2. **Get the application.** Visit **[https://www.cimzia.com/cimplicity-program](https://www.cimzia.com/cimplicity-program)** to access the online application or download a paper form. 3. **Choose your application method.** You can: - Apply **online** at the link above - Call **(844) 246-7542** to apply by phone or request a paper application - Fax a completed paper application to **(866) 438-2321** 4. **Have your prescriber sign.** The application includes a prescriber section that your doctor or their office staff must complete and sign. Many offices are familiar with this process and can help coordinate. 5. **Submit your income documentation** along with the signed application by your chosen method (online upload, fax, or mail). 6. **Wait for a determination.** Processing typically takes **7 to 10 business days** after UCB receives a complete application. 7. **Confirm your approval.** UCB or a CIMplicity representative will contact you with your eligibility decision. If approved, you will receive instructions on how your medication will be delivered. --- ## What to Expect: Timeline and Delivery Once UCB receives your complete application, the review process typically takes **7 to 10 business days**. You will be notified of your approval status by UCB or the CIMplicity program team. If approved, your Cimzia will be **shipped directly to your home address** — you do not need to pick it up at a pharmacy or your doctor's office. Make sure someone is available to receive the shipment, as specialty biologics often require refrigeration and signature upon delivery. Your enrollment in CIMplicity is **valid for one year**. Before that period ends, you will need to **reauthorize your enrollment** by submitting updated income documentation and a renewed prescription. UCB may send you a reminder, but it is a good idea to track your renewal date yourself. --- ## Alternatives If You Don't Qualify If you do not qualify for CIMplicity, you still have options: 1. **Biosimilars:** As of the publication of this guide, there are **no FDA-approved biosimilar alternatives** to Cimzia currently available. This makes access programs like CIMplicity especially important for cost savings. 2. **Manufacturer savings card (insured patients):** If you have commercial insurance, UCB offers a **CIMplicity savings card** that may reduce your out-of-pocket costs significantly. Learn more at **[https://www.cimzia.com/cimplicity-program/financial-support](https://www.cimzia.com/cimplicity-program/financial-support)**. 3. **State Pharmaceutical Assistance Programs (SPAPs):** Many states offer programs to help residents afford high-cost medications. Eligibility and benefits vary by state. Contact your state health department or ask RX Advantages to help identify programs available in your area. 4. **NeedyMeds.org:** This free, nonprofit database lists hundreds of patient assistance programs and drug discount options. Visit **[www.needymeds.org](https://www.needymeds.org)** to search by medication or condition at no cost. --- > *This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by UCB. Program terms may change — verify current requirements at [https://www.cimzia.com/support/financial-support](https://www.cimzia.com/support/financial-support) before applying.* ---

Program information last verified: February 27, 2026