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Direct to pharmacy PRACTITIONER INFORMATION PATIENT INFORMATION Please provide physical address no P. O. boxes. Practitioner name last first Patient name last first DOB SSN Gender M F DEA Tax ID Physical address Specialty City/State/ZIP State Lic NPI Address Home phone CIMplicity ID / Work phone Contact Cell phone E-mail INSURANCE INFORMATION Phone Fax Please fax a copy of the front AND back of insurance card s. O. boxes. Practitioner name last first Patient name last first DOB SSN Gender M F D ...

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How often do you take ?

The recommended initial adult dose of is 400 mg (given as two subcutaneous injections of 200 mg) initially, and at Weeks 2 and 4. In patients who obtain a clinical response, the recommended maintenance regimen is 400 mg every four weeks.

Is there a generic for ?

Generic Name: pegol This medication is used to reduce pain and swelling due to certain inflammatory conditions (such as rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, plaque psoriasis).

How long do you stay on ?

Its full effectiveness can range from 4 months to 1 year based on your specific medical condition. Improvements in joint worsening, daily activities and quality of life measures may also occur with treatment. is classified as an anti-tumor necrosis factor (TNF) biologic.

Does 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 . Any CIMplicity program may be amended or canceled at any time without notice.

What class of medication is ?

The brand name of pegol is . It is a biologic drug that is in a class of drugs called anti-TNFs or TNF blockers.

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Is a high risk medication?

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 have a patient assistance program?

How do I get for free?

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

What type of biologic is ?

The brand name of pegol is . It is a biologic drug that is in a class of drugs called anti-TNFs or TNF blockers.

What is prescribed for?

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 Crohns disease (CD) in adults who have not been helped enough by usual treatments. Treat moderately to severely active rheumatoid arthritis (RA)

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