Takeda Oncology Patient Assistance Program

Funded

About

The Takeda Oncology Patient Assistance Program offers eligible patients access to crucial medications, including Iclusig, Fruzaqla, Ninlaro, and Alunbrig, at no cost. Designed for those residing in the United States with limited or no prescription insurance, the Takeda Oncology Patient Assistance Program provides a streamlined enrollment process through which patients can receive a one-month supply of their medications, ensuring continuous treatment support.

Insurance requirements: Underinsured, Uninsured

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: Yes

•Activation Required: No

Program Details

•Patients who are uninsured or the prescribed medication is not covered by their insurance may be eligible to receive their medication through Takeda's Patient Assistance Program at no cost

•Patients who qualify may be enrolled for up to 1 year

•Enrollment verification process begins when physician faxes application form and valid prescription to: 18442693038; once enrolled, a Takeda Oncology Here2Assist case manager will notify patient and healthcare provider

•1month supply of the medication will be delivered to the patient at no cost; each month a Takeda Oncology Here2Assist case manager will confirm that the patient is still being treated and is eligible to receive another month’s supply of the medication

•For questions about enrolling call 18448176468, Option 2; available MondayFriday, 8AM8PM ET

Enrollment Forms

Enrollment Form