Bimzelx Bridge

Funded

About

The Bimzelx Bridge program is designed to assist patients who face delays or denials in coverage for the drug Bimzelx by their commercial insurance plans. The Bimzelx Bridge program offers eligible patients the benefit of paying as little as $15 per dose for up to two years, ensuring they receive continuous treatment while navigating insurance hurdles.

Insurance requirements: Commercially insured, Underinsured

As low as: $15 per fill

Enrollment Forms

Enrollment Form

Program Requirements

•Must be 18 years of age or older

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Eligible patients may pay as little as $15 per dose of Bimzelx for up to two years or until the patient’s commercial insurance plan approves coverage for the drug, whichever comes first

•HCP can download the enrollment form and fax the completed form to 8446283299

•HCP can also enroll patient online at ucbnavigate.com, or eprescribe to Careform Pharmacy (NPI #1043762750)

•For assistance or additional information, call 8664246935, 8am to 8pm ET, Monday–Friday

Enrollment Forms

Enrollment Form

Other Programs

Bimzelx Savings Program

Commercially Insured

Medicare / Medicaid

Underinsured

Uninsured

Max Saving: $15000/year*

Pay as low as

$5/ fill

Other Tools for Bimzelx

Get patient education materials