Last updated: March 2026
How Much Does Cimzia (Certolizumab Pegol) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Cimzia 200mg Prefilled Syringe | $4,500 – $5,500 | $250 – $1,300 |
| Cimzia Starter Kit | $9,000 – $11,000 | $500 – $2,600 |
CPT/ADA Code: J0717
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Specialty tier — prior authorization required; self-injectable
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
Cimzia costs $4,500 to $5,500 per month without insurance. Maintenance dosing is every 2-4 weeks depending on the condition.
Cimzia is PEGylated, meaning it has a unique structure. It is the only biologic proven not to transfer across the placenta, making it an option during pregnancy.
Most insurance plans cover Cimzia with prior authorization. UCB offers a copay assistance program for eligible patients.