Providing individuals in need access to life-changing medicines.
As we continue to develop best-in-class medicines that improve patients’ lives through better healthcare, we remain mindful that access to these medicines is critical. This is why we are proud to offer patient assistance programs for eligible individuals.
|
Takeda Patient Assistance Program |
| Products Available |
Please click here for list of products |
| Application Download: |
Please click here for application |
| Eligibility Criteria: |
 |
You are a resident of the United States |
| |
You have no prescription drug coverage through private or government programs (Medicare Part D eligible or enrolled applicants will be considered under certain circumstances) |
| |
Your total household income does not exceed 300% of the HHS Federal Poverty Guidelines |
|
| Phone: |
800-830-9159 |
| Fax: |
800-497-0928 |
| Address: |
P.O. Box 66552
St. Louis, MO 63166-6552
|
| Product Shipment: |
If you are accepted into the program, your medication(s) will be sent directly to your home, free of charge |
| Enrollment: |
Up to one year, after which you must reapply to continue enrollment in the program |
Complete the appropriate form with your doctor and then submit it by fax or mail with a valid prescription from your doctor, along with a tax return or other financial documentation. You should receive notification of your applications status within 10 days of receipt.
Even More Options from Takeda
Takeda participates in Together Rx Access®, a free prescriptions savings program for eligible individuals and families who lack prescription drug coverage and are not eligible for Medicare. The Together Rx Access Card provides individuals and families with immediate help in getting the brand name prescription products they need. Visit TogetherRxAccess.com or call toll-free 1-800-444-4106.
Takeda participates in the Partnership for Prescription Assistance, a single point of access to more than 475 public and private patient assistance programs, including more than 180 offered by pharmaceutical companies. Visit www.pparx.org or call toll-free 1-888-4PPA-NOW (1-888-477-2669).
*Together Rx Access and the Together Rx Access logo are trademarks of Together Rx Access, LLC.