Terms and conditions
UV Treatment $0 copay. N/A Tint (Solid and Gradient) $0 copay $9. Standard Non-Glass Scratch Coating $0 copay. N/A Standard Polycarbonate—Adults. Standard Polycarbonate—Kids under 19 $0 copay. N/A Standard Anti-Reflective Coating. For newly eligible team members and eligible spouses/partners who want to participate in the $0 Rx copay, please contact 365 GHH customer service at 365gethealthyhere@walgreens.com or 877-227-3395. 1Please note that $0 Rx Copay eligibility requires annual participation (program expires last day of February of proceeding year). $0 copay; 15% off balance over $130 allowance: Up to $104: Contacts – Disposable: $0 copay; plus balance over $130 allowance: Up to $104: Contacts - Medically Necessary: $0.
0 Copay Prescriptions
*Limitations apply. Valid only for those with private insurance. The Program includes the Co-pay Card, Payment Card (if applicable), and Rebate, with a combined annual limit of $7,200. Patient is responsible for any costs once limit is reached in a calendar year. Program not valid (i) under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state health care program, (ii) where patient is not using insurance coverage at all, or (iii) where the patient’s insurance plan reimburses for the entire cost of the drug. The value of this program is exclusively for the benefit of patients and is intended to be credited towards patient out-of- pocket obligations and maximums, including applicable co-payments, coinsurance, and deductibles. Program is not valid where prohibited by law. Patient may not seek reimbursement for the value received from this program from other parties, including any health insurance program or plan, flexible spending account, or health care savings account. Patient is responsible for complying with any applicable limitations and requirements of their health plan related to the use of the Program. Valid only in the United States and Puerto Rico. Limitations may apply in CA and MA. This Program is not health insurance. Program may not be combined with any third-party rebate, coupon, or offer. Proof of purchase may be required. Novartis reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice.
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Support during COVID-19 (coronavirus)
Now and always, our first concern is your health. You deserve to access your medication and manage your condition without unanswered questions and concerns. We have assistance, resources, and support to help you every step of the way.
Support during COVID-19
US-P-CZ-AS-2000174
US-P-CZ-AS-2100039
Introducing Support With CIMplicity®
Cost shouldn’t get in the way of your treatment. The CIMplicity Savings Program may be able to help.* The program allows eligible commercially insured patients to save on the cost of CIMZIA throughout treatment.
We understand that prescription drug prices can be confusing. See details on CIMZIA pricing and ask your insurance provider for more information.
*Eligibility criteria and additional terms and conditions may apply. See the bottom of the page for details.
CIMplicity benefits include:
No income requirements
No dollar limit per use
No cost to participate
Maximum annual benefit amount is $15,000 per calendar year
$0 Copay For Epipen
If you receive CIMZIA at your doctor’s office (from a trained professional):
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.
If you self-inject CIMZIA (use the prefilled syringe):
Find out if you're eligible for the CIMplicity Savings Program and request your Savings Card for prefilled syringes in one of two ways:
Using your CIMplicity Savings 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!
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.
Like a co-pay card, the CIMplicity Savings Card provides savings on CIMZIA prescription out-of-pocket costs. The CIMplicity Savings Program CANNOT be used for medical co-pays, such as doctor’s office visits.
If you do not have insurance, UCB’s Patient Assistance Program may be able to help. Call 1-866-395-8366 to learn more.
*Eligibility: Available to individuals with commercial prescription insurance coverage for CIMZIA. Not valid for prescriptions that are reimbursed, in whole or in part, under Medicare (including Medicare Part D), Medicaid, similar federal- or state-funded programs (including any state prescription drug assistance programs and the Government Health Insurance Plan available in Puerto Rico), or where otherwise prohibited by law. Product dispensed pursuant to program rules and federal and state laws. Claims should not be submitted to any public payor (ie, Medicare, Medicaid, Medigap, TRICARE, VA, and DoD) for reimbursement. The maximum annual benefit amount is $15,000 per calendar year. The parties reserve the right to amend or end this program at any time without notice.
If you are uninsured, other financial assistance may be available. 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. 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. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.