Cimzia

(certolizumab pegol)
1 ML certolizumab pegol 200 MG/ML Prefilled Syringe [Cimzia]certolizumab pegol 200 MG Injection [Cimzia]

Dosage & administration

CIMZIA is administered by subcutaneous injection. The recommended initial dose of CIMZIA is 400 mg (given as two subcutaneous injections of 200 mg) ( 2).

Crohn's Disease ( 2.1)

Rheumatoid Arthritis ( 2.2)


Psoriatic Arthritis ( 2.3)


Ankylosing Spondylitis ( 2.4)


Non-radiographic Axial Spondyloarthritis ( 2.5)


Plaque Psoriasis ( 2.6, 14.6)


drug label

Cimzia prescribing information

prior authorization

Cimzia prior authorization resources

Most recent Cimzia prior authorization forms

View By Payer
Verified: Oct 02, 2023Blue Cross Blue Shield of Michigan - FEP Cimzia Prior Authorization Form (Medical Benefit)
Verified: Sep 27, 2023Cigna - Cimzia Prior Authorization Form
Verified: Sep 26, 2023Blue Cross Blue Shield of Michigan - Cimzia Prior Authorization Form (Medical Benefit)
Verified: Sep 22, 2023Independence Health - Value Formulary Immune Modulating Therapy Prior Authorization Form
Verified: Sep 22, 2023Independence Health - Select Formulary Immune Modulating Therapy Prior Authorization Form
Verified: Sep 21, 2023Aetna - Cimzia Prior Authorization Form
Verified: Sep 19, 2023Aetna - Medicare Part B Cimzia Prior Authorization Form

PDF
Complete Letter of Medical Necessity

PDF
Coverage Authorization Request

PDF
CIMplicity Enrollment & Benefits Verification Form: Rheumatology & GI

PDF
CIMplicity Enrollment & Benefits Verification Form: Dermatology
Learn More

Benefits investigation

PDF
CIMplicity Enrollment & Benefits Verification Form: Rheumatology & GI

PDF
CIMplicity Enrollment & Benefits Verification Form: Dermatology
Learn More

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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financial assistance

Cimzia financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Savings Program
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Bridge program

commercial only

PDF
CIMplicity Enrollment & Benefits Verification Form: Dermatology
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Foundation programs

under insured
no insurance
goverment insurance
65+

OTHER
UCB Cares Foundation
Learn More

patient education

Cimzia patient education

Getting started on Cimzia

BRAND PAGE
Instructions For Use: Plaque Psoriasis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Psoriatic Arthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Rheumatoid Arthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Ankylosing Spondylitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: nr-axSpA
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Instructions For Use: Crohn's Disease
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

OTHER
Receiving Cimzia (In Office Injections)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
View How to Take Cimzia (At Home Injections)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Cimzia: Plaque Psoriasis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Side Effects: Plaque Psoriasis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Doctor Discussion Guide: Plaque Psoriasis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Cimzia: Psoriatic Arthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Side Effects: Psoriatic Arthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Doctor Discussion Guide: Psoriatic Arthritis, Rheumatoid Arthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Cimzia: Rheumatoid Arthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

VIDEO
Patient Stories: Rheumatoid Arthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Side Effects: Rheumatoid Arthritis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Cimzia: Ankylosing Spondylitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Side Effects: Ankylosing Spondylitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Doctor Discussion Guide: Ankylosing Spondylitis
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Cimzia: nr-axSpA
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

VIDEO
Patient Stories: nr-axSpA
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
Side Effects: nr-axSpA
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
Doctor Discussion Guide: nr-axSpA
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link