How does the Cimzia copay card work and do I qualify?

If you have commercial insurance you may qualify for a Cimzia copay card for as little as $0 per dose through the CIMplicity Savings Program from UCB, the manufacturer. You can register for the card and download it directly from the manufacturer's website. People with government-sponsored insurance like Medicare or Medicaid do qualify for the copay card.

The CIMplicity Savings program will provide savings for two dosage forms: either the Cimzia prefilled syringe (which you or a caregiver will inject) or the Cimzia lyophilized powder vials for reconstitution (your healthcare provider will inject at their office). These medications are given as a subcutaneous (under the skin) injection, usually every 2 weeks or every 4 weeks.

You must request the CIMplicity Savings Program from your healthcare professional if you will receive your injections at your doctor’s office. If you are eligible, your doctor’s office will activate your copay card and keep this information on file at the office.

If you and your doctor decide you or a caregiver can inject the Cimzia prefilled syringe at home, you’ll need to pre-register to find out if you are eligible for the CIMplicity Savings Program. You can sign up for the CIMplicity program by filling out the registration form on the manufacturer’s website.

In order to qualify for the copay card, your prescription must be for an FDA-approved use for Cimzia.

Learn more about these programs, visit the:

• Drugs.com Price Guide for Cimzia

What is the CIMplicity program?

The CIMplicity program from UCB offers resources, like payment information, nurse support and an insurance guide that can help you during your Cimzia treatment. Other tools include injection training and reminders, medication shipment tracking, and help with safe syringe disposal.

Cimzia (certolizumab) is approved by the FDA to treat:

• Ankylosing Spondylitis
• Crohn's Disease
• Non-radiographic axial spondyloarthritis
• Plaque Psoriasis
• Polyarticular juvenile idiopathic arthritis (pJIA) (in patients 2 years of age and older)
• Psoriatic Arthritis
• Rheumatoid Arthritis

If you still have questions about Cimzia, you can call a CIMplicity nurse at 1-844-UCBNurse (1-844-822-6877), Monday-Friday, 8 AM-8 PM, ET, for help.

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How much does Cimzia cost without insurance?

The cost for Cimzia 200 mg subcutaneous kit is around $6,032 for cash-paying customers. Prices may vary depending on the pharmacy you visit. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. These prices are not valid with insurance plans.

UCB, the manufacturer states the list price for Cimzia is $5,719.19 per two prefilled syringes. The list price is the Cimzia price for wholesalers.

How much does Cimzia cost with insurance?

According to UCB, about 69% of Cimzia prescriptions cost between $0 and $200 per month, with the remaining costing between $200 and $1,650 per month.

How much you pay for Cimzia will depend upon your insurance benefit, formulary coverage, annual deductible, and any copays or coinsurance. You typically do not pay the full price for Cimzia if you are paying with prescription insurance.

Your out-of-pocket costs prices will typically be higher until you have not yet fully met your yearly deductible. Contact your benefit provider to determine your coverage and cost for Cimzia.

Be sure you have your Cimzia savings card or information with you each time you fill your prescription.

When is the Cimzia copay card NOT valid?

• The card is not valid if your commercial insurance plan fully reimburses for the cost of Cimzia or if your insurance does not cover Cimzia.
• You cannot use the card if you are uninsured or paying cash for your prescription
• The CIMplicity Savings Program and copay card cannot be used for medical copays, such as doctor’s office visits.
• The card also cannot be used for prescriptions reimbursed by any government-funded program such as Medicare, Medicare Part D, Medicaid, TriCare or any other federal- or state-funded healthcare programs.

What if my insurance does not cover Cimzia?

If the pharmacy cannot process your CIMplicity Savings Card, or if your coverage is delayed or denied by your insurance company, you may be eligible to receive free treatment for up to 2 years or until your insurance company approves Cimzia for your treatment, whichever comes first. To learn more call 1-844-277-6853.

ucbCARES may be able to provide patient financial insurance if you have no insurance. Call ucbCARES 1-844-599-2273 for more information.

This is not all the information you need to know about the Cimzia or the Copay Card and does not take the place of your doctor’s directions. Review the full information provided to you and discuss this information and any questions you have with your doctor or other health care provider.