PBS updates

Cimzia (Certolizumab pegol)

certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices · INJECTION · PBS code 12013G

AUTHORITY_REQUIRED

What it costs

AU$938.04 PBS-determined price per 2 units

Most patients pay only the standard PBS co-payment, not the full price above — up to AU$25.00 per script (general) or AU$7.70 (concession/Safety Net) in 2026. The figure above is what the PBS pays the pharmacy; the Australian Government subsidises the rest. Always confirm the current amount with your pharmacist.

  • • First listed on the PBS: 2020-06-01.
  • • Repeats: 0.
  • • PBS program: GE.
Eligibility criteria for subsidised access

The following is the government's own wording from the PBS Schedule, shown unchanged.

Listing of Pharmaceutical Benefits (NHL) - Schedule 4 part 1

Non-radiographic axial spondyloarthritis


Initial 1 (New patient), Initial 2 (Change or re-commencement of treatment after a break in biological medicine of less than 5 years) or Initial 3 (Recommencement of treatment after a break in biological medicine of more than 5 years) - balance of supply


Patient must have received insufficient therapy with this drug for this condition under the Initial 1 (new patient) restriction to complete 18 to 20 weeks treatment; or

Patient must have received insufficient therapy with this drug for this condition under the Initial 2 (change or recommencement of treatment after a break in biological medicine of less than 5 years) restriction to complete 18 to 20 weeks treatment; or

Patient must have received insufficient therapy with this drug for this condition under the Initial 3 (recommencement of treatment after a break in biological medicine of more than 5 years) restriction to complete 18 to 20 weeks treatment; AND

The treatment must provide no more than the balance of up to 20 weeks treatment; AND

Must be treated by a rheumatologist; or

Must be treated by a clinical immunologist with expertise in the management of non-radiographic axial spondyloarthritis.

Listing of Pharmaceutical Benefits (NHL) - Schedule 4 part 1

Non-radiographic axial spondyloarthritis


Continuing treatment - balance of supply


Patient must have received insufficient therapy with this drug for this condition under the continuing treatment restriction to complete 24 weeks treatment; AND

The treatment must provide no more than the balance of up to 24 weeks therapy available under Continuing treatment; AND

Must be treated by a rheumatologist; or

Must be treated by a clinical immunologist with expertise in the management of non-radiographic axial spondyloarthritis.

Sponsor: UCB Australia Proprietary Limited ABN 48 005 799 208

Not medical advice. Voxsanity republishes public PBS data in plain English. PBS listing status and criteria can change; always confirm current subsidised availability with your doctor or pharmacist.

Source: Pharmaceutical Benefits Scheme (PBS), © Commonwealth of Australia. Data used and redistributed under permission; not modified from its original wording where displayed verbatim.