Copay support
May reduce eligible commercially insured patients' CIMZIA cost to as little as $0 per dose and reimburse eligible in-office administration costs for the lyophilized-powder presentation.
What it does
Applies savings to eligible medication claims. A separate manual reimbursement process supports qualifying in-office administration costs and requires an EOB and claim documentation.
Open official program pageAvailable to eligible patients with commercial insurance coverage for CIMZIA. Administration reimbursement is limited to qualifying in-office lyophilized-powder claims.
Government program exclusions: Medicare, Medicaid, TRICARE, VA, DoD, Other federal or state healthcare programs
Send the prescription or office-administered order through the normal channel.
Enroll through the official CIMplicity service portal.
Complete the manual reimbursement form and attach the EOB and requested payment records.
Open documentEnroll in savings through the official CIMplicity services page or by phone. Give the savings information to the pharmacy or clinic. For eligible office-administered costs, submit the manual reimbursement form with the EOB.
Best for: Patients or caregivers who can complete the official web form
Enter the requested patient, prescription, contact, and insurance information; select the services requested.
Patient, CIMplicity, Pharmacy Or Administering Clinic
CIMplicity
Enrollment, savings, Nurse Navigator, training, tracking, and sharps support.
Monday-Friday, 8 AM-8 PM ET
UCB Patient Assistance Program
Patient-assistance application and status.
Official CIMZIA patient-support overview.
Official UCB-hosted patient enrollment flow.
Owner: Patient or caregiver
Have ready: CIMZIA prescription, Contact information, Commercial insurance, Service selections, Consent
Review the authorization and program terms, provide consent, and submit the form.
Owner: Patient or caregiver
Best for: Patients with eligible in-office lyophilized-powder administration costs
Obtain the EOB showing CIMZIA and eligible administration responsibility.
Owner: Patient or clinic staff
Have ready: EOB, Proof of payment when requested
Fax the form and supporting records to 1-908-809-6248.
Owner: Patient or clinic staff
After enrollment: Use the savings information with the dispensing or administering party. Track any manual reimbursement request and retain the EOB and submitted form.
If there is a problem: Call CIMplicity about rejected medication claims or the status of an administration reimbursement request.
Official form for eligible in-office administration reimbursement and manual claims.
