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cimzia patient assistance application

by Arianna Wunsch Published 1 year ago Updated 1 year ago
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What is Cimzia?

What is CIMZIA? CIMZIA is a prescription medicine called a Tumor Necrosis Factor (TNF) blocker used in adults to: Lessen the signs and symptoms of moderately to severely active Crohn’s disease (CD) in adults who have not been helped enough by usual treatments

What is the cimplicity savings program for Cimzia?

CIMplicity offers comprehensive support for your patients, including insurance, co-pay, and nurse support.* for their CIMZIA prescription with the CIMplicity Savings Program. The CIMplicity program is provided as a service of UCB and is intended to support the appropriate use of CIMZIA.

How do I enroll my patients for Cimzia in-office injections?

For dermatologists, please contact your UCB sales representative, Patient Experience Lead (PEL), or call 1-866-4CIMZIA (1-866-424-6942) to receive the Patient Enrollment Form. Have more questions? access and reimbursement. Help other healthcare providers find your practice for their patients who need CIMZIA In-Office Injections.

What are the treatment options for Cimzia infection?

Patients who develop a new infection during treatment with CIMZIA should be closely monitored, undergo a prompt and complete diagnostic workup appropriate for immunocompromised patients, and appropriate antimicrobial therapy should be initiated.

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How do I get CIMZIA for free?

(1-866-424-6942). Eligible patients with a valid prescription for CIMZIA can receive treatment with the CIMZIA Prefilled Syringe at no cost for up to two years or until the patient's coverage is approved, whichever comes first.

Does CIMZIA have a patient assistance program?

Call ucbCARES™ toll free at 1-844-599-CARE (2273) for more information. The CIMplicity program is provided as a service of UCB, Inc., and is intended to support the appropriate use of CIMZIA. Any CIMplicity program may be amended or canceled at any time without notice.

What is UCB Patient Assistance Program?

Through the UCB Patient Assistance Program, we provide some medications at no cost to eligible and qualified patients who are uninsured or underinsured who otherwise have no access to the UCB medicines prescribed by their physician.

How do you get CIMZIA?

Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. If you and your doctor have decided that CIMZIA is right for you, simply request a call from a CIMplicity® nurse if you have questions about your treatment including how it works, dosing, and administration. You'll receive a call within the next 15 minutes. Mon.

Does Medicare pay for CIMZIA injections?

CIMZIA* is now covered by Medicare Administrative Contractors administering Medicare Part B to patients in all 50 United States and US Territories.

How long does it take for CIMZIA to work?

Cimzia injection can work as fast as 1 or 2 weeks in some people for conditions such as rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and non-radiographic axial spondyloarthritis. Its full effectiveness can range from 4 months to 1 year based on your specific medical condition.

What does UCB stand for pharma?

Union Chimique BelgeUCB (Union Chimique Belge) is a multinational biopharmaceutical company headquartered in Brussels, Belgium.

Who makes Keppra?

The branded version Keppra is manufactured by UCB Pharmaceuticals Inc.

Is cimzia a high risk medication?

Cimzia may raise your risk for blood cancers and skin cancer. In addition, children and adolescents may develop lymphoma (cancer of the lymph nodes) and other cancers while taking drugs called tumor necrosis factor (TNF) inhibitors.

Does cimzia cause weight gain?

No, Cimzia isn't known to cause weight changes. Weight loss or weight gain weren't seen in clinical studies of Cimzia. But these may be symptoms of other serious side effects of Cimzia. Weight gain due to fluid retention could be a sign of heart failure.

Does cimzia cause fatigue?

Tiredness. You may feel tired while using Cimzia. In clinical studies, fatigue (lack of energy) was reported in some people who took Cimzia. In people with rheumatoid arthritis, fatigue was reported in 3% of people who took Cimzia with methotrexate.

Does cimzia cause fatigue?

Tiredness. If you feel more tired than usual, it may be a side effect of Cimzia. But tiredness may also be a symptom of infection. And Cimzia has a warning about the risk of infection while using the drug.

What pharmaceutical company makes Cimzia?

CIMZIA® is a registered trademark of the UCB Group of Companies.

How do I get Cosentyx for free?

If you have commercial or private insurance and your prescription coverage isn't initially approved, you may get up to 2 years of COSENTYX for free through Covered Until You're Covered while we work with your healthcare provider to try to secure coverage for COSENTYX.

What are the side effects of Cimzia?

Side effects of Cimzia include:stuffy nose,sinus pain,stomach pain,diarrhea,constipation,injection site reactions (pain, redness, itching, swelling, or bleeding),upper respiratory infections (flu, cold),rash, and.More items...

What is cimplicity for cimzia?

CIMplicity® is available to help you with your CIMZIA treatment. While you are enrolled in the program, you will be provided with tools and support to help empower you to manage your condition.*

How to change reminders for CIMZIA?

If you ever need to change your reminder selections, just log in to your CIMplic ity account to make updates.

How much is CIMZIA out of pocket?

For eligible commercially insured patients, CIMZIA is available for $0 out-of-pocket with the CIMplicity Savings Program.† We are committed to helping you save on your cost of treatment with CIMZIA.

Does CIMplicity provide medical advice?

CIMplicity Nurse Support does not provide you with medical advice and does not replace the care of your healthcare provider. Any questions related to your individual treatment plan or medical treatment will be referred back to your treating healthcare provider. Explore free nurse support. Syringe disposal. The following information is intended only ...

Can you cancel cimplicity?

Any CIMplicity program may be amended or canceled at any time without notice. Some program and eligibility restrictions apply. Please consult your doctor if you have any questions about your condition or treatment. You are encouraged to report negative side effects of prescription drugs to the FDA.

Can CIMplicity be canceled?

The CIMplicity program may be amended or canceled at any time without notice. Some program and eligibility restrictions may apply. †Eligibility: Available to individuals with commercial prescription insurance coverage for CIMZIA.

Can UCB be liable for lost or stolen CIMplicity card?

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. UCB, Inc., is not liable for unintended or unauthorized use of the CIMplicity Savings Card if it is lost or stolen.

What is CIMZIA used for?

CIMZIA is indicated for: Reducing signs and symptoms of Crohn’s disease (CD) and maintaining clinical response in adult patients with moderately to severely active disease who have had an inadequate response to conventional therapy.

What are the side effects of CIMZIA?

Angioedema, anaphylaxis, dyspnea, hypotension, rash, serum sickness, and urticaria have been reported following CIMZIA administration. If a serious allergic reaction occurs, stop CIMZIA and institute appropriate therapy. The needle shield inside the removable cap of the CIMZIA prefilled syringe contains a derivative of natural rubber latex which may cause an allergic reaction in individuals sensitive to latex.

What is a CIMZIA business associate agreement?

The Business Associate Agreement that enables access to CIMplicity. Contact a CIMZIA Representative for submission instructions

Is Cimzia contraindicated?

CIMZIA is contraindicated in patients with a history of hypersensitivity reaction to certolizumab pegol or to any of the excipients. Reactions have included angioedema, anaphylaxis, serum sickness, and urticaria.

Can CImzia cause TB?

Serious and sometimes fatal side effects have been reported with CIMZIA, including tuberculosis (TB), bacterial sepsis, invasive fungal infections (such as histoplasmosis), and infections due to other opportunistic pathogens (such as Legionella or Listeria). Patients should be closely monitored for the signs and symptoms of infection during and after treatment with CIMZIA. Lymphoma and other malignancies, some fatal, have been reported in children and adolescent patients treated with TNF blockers, of which CIMZIA is a member. CIMZIA is not indicated for use in pediatric patients.

What is a cimplicity program?

The CIMplicity program is provided as a service of UCB and is intended to support the appropriate use of CIMZIA. The CIMplicity program may be amended or canceled at any time without notice. Eligibility and restrictions apply. The CIMplicity Nursing Program does not provide medical advice and does not replace the care of the healthcare provider.

Can you start CIMZIA during an infection?

Do not start CIMZIA during an active infection, including localized infections. Patients older than 65 years, patients with co-morbid conditions, and/or patients taking concomitant immunosuppressants may be at greater risk of infection. If an infection develops, monitor carefully and initiate appropriate therapy.

What is the exchange for health insurance?

Programs and costs vary, especially in terms of coverage, co-pays, and deductibles. About the Health Insurance Marketplace (the Exchange) The Health Insurance Marketplace, also known as the Exchange, was created through the Affordable Care Act (ACA), commonly called Obamacare. The Exchange is your state’s price comparison website ...

What is a copay?

Co-pay: A flat fee you pay for certain covered services such as a doctor’s visit or prescriptions. The amount can vary depending on the type of insurance you have or the service being performed.

What is Medicare for people over 65?

Medicare is a federally funded health insurance program for: People age 65 or older. People younger than 65 with certain disabilities. People of all ages with end-stage renal disease (permanent kidney failure requiring dialysis or a kidney transplant)

Does insurance cover Cimzia?

Insurance companies often have special requirements that must be met before they agree to cover your medication. For instance, they may require you to try other medications before trying CIMZIA. That’s where CIMplicity® can help.* We can work with your doctor’s office to verify whether CIMZIA is covered under your insurance plan. This is called a benefits investigation. We can also help your doctor’s office with paperwork the insurance company may require before starting CIMZIA, or prior authorization.

What is CIMZIA used for?

CIMZIA is a prescription medicine called a Tumor Necrosis Factor (TNF) blocker used in adults to: Lessen the signs and symptoms of moderately to severely active Crohn’s disease (CD) in adults who have not been helped enough by usual treatments.

How long does it take to get a call from a CIMZIA nurse?

You'll receive a call within the next 15 minutes.*

What is the name of the medicine that is used to treat a swollen ear?

use the medicine Kineret ® (anakinra), Orencia ® (abatacept), Rituxan ® (rituximab), or Tysabri ® (natalizumab)

How to treat plaque psoriasis?

Treat moderate to severe plaque psoriasis (PsO) in adults who may benefit from taking injections or pills (systemic therapy) or phototherapy (treatment using ultraviolet light alone or with pills)

Can you give yourself a Cimzia injection?

Do not give yourself an injection of CIMZIA unless you have been shown by your healthcare provider, or they can train someone you know to help you with your injection. CIMZIA is given by an injection under the skin. Your healthcare provider will tell you how much and how often to inject CIMZIA.

Can you get cancer from cimzia?

Some people who receive CIMZIA have developed certain types of skin cancer. Tell your healthcare provider if you develop any changes in the appearance of your skin, including growths on your skin, during or after treatment with CIMZIA. You should see your healthcare provider periodically during treatment for skin examinations, especially if you have a history of skin cancer.

Does CIMZIA increase cancer risk?

For people who receive TNF blockers, including CIMZIA, the chances of getting certain types of cancers may increase.

How to activate CIMZIA card?

If you are eligible for the CIMplicity Savings Program, as soon as you receive your card, call the number on the card to activate it so you can start saving on the cost of CIMZIA treatment. When your pharmacy calls, simply give the 10-digit number on the card as method of payment. It is that simple!

What is the phone number for a CIMplicity card?

If the pharmacy approved by your insurance company does not accept or is unable to process your CIMplicity Savings Card, call 1-844-277-6853.

Can you cancel cimplicity?

Any CIMplicity program may be amended or canceled at any time without notice. Some program and eligibility restrictions apply. Please consult your doctor if you have any questions about your condition or treatment. You are encouraged to report negative side effects of prescription drugs to the FDA.

Does CIMZIA have a copay?

You must request the CIMZIA $0 Co-Pay Program from your healthcare professional.* If you are eligible for the Program, your doctor’s office will activate your CIMplicity Savings Card (which works as a CIMZIA co-pay card) and keep the information with your patient records in their office.

UCB Financial Assistance During COVID-19 Pandemic

We understand some patients are facing hardship due to the COVID-19 pandemic and may experience difficulty affording UCB medicines due to job loss, job furlough, or loss of insurance coverage.

Information for Veterans

If you served in the active military, naval, or air service and were honorably discharged, you may be eligible for VA health care benefits. For more information: https://www.va.gov/health-care/eligibility/

UCB Prescription Co-Pay Assistance Programs

If you have been prescribed BRIVIACT ® (brivaracetam) CV, CIMZIA ® (certolizumab pegol), NAYZILAM ® (midazolam) nasal spray CIV, NEUPRO ® (rotigotine transdermal system), or VIMPAT ® (lacosamide) CV and would like to apply for a co-pay assistance card, please click on the appropriate link above.

UCB Patient Assistance Program (PAP)

If you need any financial assistance, you may qualify for the UCB Patient Assistance Program (PAP). You can access the online application here.

Understanding your Insurance

Choosing the right insurance plan for you and your family can be confusing. We’ve developed a guide to help you navigate the process.

What is CIMZIA used for?

CIMZIA is a prescription medicine called a Tumor Necrosis Factor (TNF) blocker. CIMZIA is used in adult patients to: •essen the signs and symptoms of moderately to severely active Crohn’s disease (CD) in patients who L have not been helped enough by usual treatments. •reat moderately to severely active rheumatoid arthritis (RA). T •reat active psoriatic arthritis (PsA). T •reat active ankylosing spondylitis (AS) T

What happens if you get a CIMZIA?

After starting CIMZIA,if you get an infection, any sign of an infection including a fever, cough, flu-like symptoms, or have open cuts or sores on your body, call your healthcare provider right away. CIMZIA can make you more likely to get infections or make any infection that you may have worse.

What are the adverse events of CIMZIA?

In controlled Crohn’s clinical trials, the most common adverse events that occurred in ≥5% of CIMZIA patients (n=620) and more frequently than with placebo (n=614) were upper respiratory infection (20% CIMZIA, 13% placebo), urinary tract infection (7% CIMZIA, 6% placebo), and arthralgia (6% CIMZIA, 4% placebo). The proportion of patients who discontinued treatment due to adverse reactions in the controlled clinical studies was 8% for CIMZIA and 7% for placebo. In controlled RA clinical trials, the most common adverse events that occurred in ≥3% of patients taking CIMZIA 200 mg every other week with concomitant methotrexate (n=640) and more frequently than with placebo with concomitant methotrexate (n=324) were upper respiratory tract infection (6% CIMZIA, 2% placebo), headache (5% CIMZIA, 4% placebo), hypertension (5% CIMZIA, 2% placebo), nasopharyngitis (5% CIMZIA, 1% placebo), back pain (4% CIMZIA, 1% placebo), pyrexia (3% CIMZIA, 2% placebo), pharyngitis (3% CIMZIA, 1% placebo), rash (3% CIMZIA, 1% placebo), acute bronchitis (3% CIMZIA, 1% placebo), fatigue (3% CIMZIA, 2% placebo). Hypertensive adverse reactions were observed more frequently in patients receiving CIMZIA than in controls. These adverse reactions occurred more frequently among patients with a baseline history of hypertension and among patients receiving concomitant corticosteroids and non-steroidal anti-inflammatory drugs. Patients receiving CIMZIA 400 mg as monotherapy every 4 weeks in RA controlled clinical trials had similar adverse reactions to those patients receiving CIMZIA 200 mg every other week. The proportion of patients who discontinued treatment due to adverse reactions in the controlled clinical studies was 5% for CIMZIA and 2.5% for placebo. The safety profile for patients with Psoriatic Arthritis (PsA) treated with CIMZIA was similar to the safety profile seen in patients with RA and previous experience with CIMZIA. The safety profile for AS patients treated with CIMZIA was similar to the safety profile seen in patients with RA.

What is the risk of CIMZIA?

Risk of Serious Infections and Malignancy Patients treated with CIMZIA are at an increased risk for developing serious infections that may lead to hospitalization or death. Most patients who developed these infections were taking concomitant immunosuppressants such as methotrexate or corticosteroids.

How to fax CIMplicity enrollment form?

CIMplicity Enrollment and Benefits Investigation Form Complete and fax to 1-866-949-2469 By fi lling out this form, your patient will be enrolled in the CIMplicity program.

What medicine should I take for a high chance of infection?

Especially tell your healthcare provider if you take the following medicines due to a higher chance for serious infections: • ®Kineret (anakinra), Orencia®(abatacept), Rituxan®(rituximab), or Tysabri®(natalizumab) •dici nes called Tumor Necrosis Factor (TNF) blockers, such as Remicade ®me (infliximab), Humira®.

What age can you take immunosuppressants?

Patients greater than 65 years of age, patients with co-morbid conditions, and/or patients taking concomitant immunosuppressants (e.g., corticosteroids or methotrexate) may be at a greater risk of infection.

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