Takeda Patient Support Patient Assistance Program: Elaprase
Funded
About
The Takeda Patient Support Patient Assistance Program: Elaprase provides vital support to patients needing the drug product Elaprase. This program assists U.S. residents by helping them find insurance plans that cover Elaprase and referring them to organizations that can aid with insurance premiums. Enrollment begins with a physician's referral, ensuring comprehensive patient support through the Takeda Patient Support Patient Assistance Program: Elaprase.
Insurance requirements: 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
•Enrollment process begins with referral to program by physician & faxing the completed start form to: 18889900008
•Program will help patient find an insurance plan that provides coverage for the medication and will refer patient to a nonprofit organization that can help with the insurance premiums
•Patient will be reassessed annually for eligibility for the program
•Call 8668880660, Monday through Friday, 8:30 AM to 8:00 PM ET, with any questions
Enrollment Forms
Enrollment Form