CIMZIA

Indicated For

Crohn's, RA, PsA

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 medication used to treat conditions like rheumatoid arthritis, Crohn's disease, psoriatic arthritis, ankylosing spondylitis, and non-radiographic axial spondyloarthritis in adults. The **UCB Patient Assistance Program** helps eligible patients in the US obtain CIMZIA at no cost if they face significant financial hardship and lack adequate insurance coverage. ## About CIMZIA and Why Assistance Matters **CIMZIA** is a biologic drug, specifically a tumor necrosis factor (TNF) blocker, administered by injection. It works by reducing inflammation to help manage moderate to severe symptoms of autoimmune conditions. Without insurance or financial help, CIMZIA can cost thousands of dollars per dose, making it unaffordable for many. The UCB Patient Assistance Program bridges this gap by providing free medication to those who qualify, ensuring continued access to treatment. ## Who Qualifies for the Program? To qualify, you must meet these key criteria: - Reside in the United States, District of Columbia, or a U.S. Territory. - Be **uninsured, underinsured**, or insured but experiencing **significant financial hardship**. - Provide **proof of income** showing financial need. - Have a valid prescription for CIMZIA from a U.S.-licensed healthcare provider. **Important exclusions**: Patients enrolled in government-funded programs like Medicaid or Medicare (except possibly Medicare Part D in some cases) are generally not eligible. The program verifies insurance status, so include copies of insurance cards if applicable. ## Income Eligibility Breakdown The program does not publish fixed income thresholds like a specific percentage of the Federal Poverty Level (FPL). Instead, eligibility is based on **significant financial hardship**, determined case-by-case with required proof of income. Sources vary, with some referencing up to **500% FPL** or **300% FPL**, but official UCB materials emphasize overall financial need over strict cutoffs. Here's a general guide based on 2026 Federal Poverty Guidelines (approximate; check current FPL for accuracy): | Household Size | 300% FPL (Example Threshold) | 500% FPL (Higher Example) | Notes | |---------------|------------------------------|---------------------------|-------| | Individual | ~$45,180 | ~$75,300 | Proof required; case-by-case | | Couple | ~$61,320 | ~$102,200 | Household income total | | Family of 3 | ~$77,460 | ~$129,100 | Includes dependents | | Family of 4 | ~$93,600 | ~$156,000 | Additional product criteria may apply | **Notes**: These are illustrative; submit proof like tax returns, W-2s, or pay stubs. Contact (844) 599-2273 if unsure. ## Insurance Requirements - **Uninsured or underinsured**: Ideal candidates. - **Insured patients**: May qualify if coverage doesn't cover CIMZIA or causes significant out-of-pocket costs (e.g., high copays). - **Exclusions**: No eligibility for Medicaid, Medicare Part A/B (Part D may be case-specific), or other government programs. - Provide insurance details and cards; UCB will confirm status verbally. ## Step-by-Step Application Process 1. **Check Eligibility**: Confirm residency, financial hardship, and prescription. Call (844) 599-2273 (UCBCares) for guidance. 2. **Gather Documents**: - Proof of income (e.g., recent tax return, W-2, pay stubs). - Completed patient section of application. - Prescriber-completed section and **written prescription** for CIMZIA. - Copies of insurance cards (front/back). - Government-issued ID if required. 3. **Complete the Application**: Download from UCB's site or call for one. Patient fills Sections 1-2 (personal/income info); doctor completes Section 3. 4. **Submit by Mail**: Send to UCB Patient Assistance Program (address on form, e.g., 1330 Enclave Parkway, Suite 125, Houston, TX 77077). No online URL listed; mail only. 5. **Follow Up**: Expect contact for verification. Processing takes 4-6 weeks typically. Sign all sections; incomplete apps delay or deny. ## Timeline and Delivery - **Processing**: 4-6 weeks from receipt. - **Delivery**: Free medication shipped to your **physician's office** or directly to you. - **Duration**: Up to 12 months; reapply annually. Track via phone; delays possible if docs missing. ## Alternatives if Denied - Call UCBCares at (844) 599-2273 for other UCB resources or copay help. - Explore **biosimilars**: None listed for CIMZIA currently. - Other programs: PAN Foundation, NeedyMeds, or Simplefill (877-386-0206). - State assistance, manufacturer copay cards (if insured), or low-income clinics. ## Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility, terms, and addresses may change; always verify with UCB at (844) 599-2273 or official sources. Not medical/financial advice—consult your doctor and advisor. UCB verifies all info; falsification leads to denial.

Program information last verified: March 30, 2026