Frequently Asked Questions

Answers to frequently asked questions are below.

1. About the Takeda Help at Hand Patient Assistance Program

Help At Hand is a patient financial support program, sponsored by Takeda. The progam is for people who have no insurance, or who do not have enough insurance, and need help getting their Takeda medications. The overall objective of the Takeda Help at Hand Patient Assistance Program is to provide access to eligible patients in need, to the Takeda prescription medicines.

Help At Hand is a patient financial support program that provides free medication to eligible patients who have no insurance or who do not have enough insurance and need help getting their Takeda medicines.

Takeda Patient Assistance Program

P.O. Box 5727, Louisville, Kentucky 40255-0727

Phone: 1-800-830-9159 Fax: 1-800-497-0928

Hours of Operation: 8AM to 8PM ET, Monday through Friday, except holidays.

2. Applying to the HAH Program

Yes, the application is free. Participation in the program is also free. Takeda does not charge patients a fee for its assistance. In addition, we are not affiliated with third parties who charge a fee for assistance with enrollment in the program or medication refills.

All products distributed through the Takeda Help at Hand Program are free to all eligible patients. Help at Hand is not associated with organizations that may charge patients a fee to assist them in completing applications. These third parties are acting independently and do not have Takeda's consent.

Download the application to get started right away. If you are unable to print the application and would like a printed copy mailed to you, please call 1-800-830-9159.

You will need to provide proof of income by including a copy of your most recent 1040/1040-SR Federal tax return.

Yes, required documents include proof of recent income, such as your Federal income tax returns (including spouses and dependents 21 and over). This helps us verify the income listed on your application.


Other acceptable forms of income documentation include:

  1. Forms for most recent tax filing year (1040, 1040EZ, 1099, 1099-DIV)
  2. Yearly benefits statement (SSA, 1099, or awards letter)
  3. W-2 for most recent year
  4. Pay stubs for 1 month of pay within the last 90-days
  5. Unemployment letter or workers compensation

If you are having trouble accessing proof of income documentation, call us to discuss at 1-800-830-9159.

No, proof of legal status or citizenship is not required.

Help at Hand assistance is only provided for medicines that are available through a health care provider's prescription. Your health care provider must provide us with information regarding your prescription, to ensure that you receive the correct medicine, by completing sections 3 and 4 of the application.

Your application will be reviewed to ensure it is complete and to determine approval. You will receive communication with the approval decision or request for any additional information within 3-5 business days of applying. To check the status of your application, please call 1-800-830-9159.

You will receive a letter once a decision has been made. To check on the status of your application, please call 1-800-830-9159.

The application can be faxed in from your health care provider. They should fax it to 1-800-497-0928. The application can also be mailed to Takeda Patient Assistance Program, P.O. Box 5727, Louisville, Kentucky 40255-0727.

Once your application has been submitted, we will start the review process, which may take up to 3-5 business days. We encourage you to submit a complete application. Incomplete applications will result in processing delays.

Once your application has been submitted, we will start the review process, which may take up to 3-5 business days. We encourage you to submit a complete application. Incomplete applications will result in processing delays.

You will receive a letter letting you know if you have been approved or not.

If your application is approved:

  1. You will receive a letter stating how you will receive the medicine. Your prescriber will receive a fax.
  2. The pharmacy will ship the medicine to the address that you and or your provider indicated on the application (excluding MYDAYIS and VYVANSE).

If your application is missing information:

  1. If any information is missing or illegible, you and your health care provider will receive a notification letter (fax or mail).
  2. If the missing information is obtained successfully, all new documentation and information will be reviewed.
  3. After three unsuccessful attempts to reach you and your health care provider, a denial decision is made.

If your application is denied:

You will receive a denial letter if it was determined that your application did not meet the eligibility criteria. You may appeal this decision within 90 days of the processing date or reapply after the 90-day period.

Re-apply

Once approved, you’ll receive the medicines you need for up to one year, but you must re-apply each year to continue to receive the medications for free. Before your enrollment ends, we’ll send you a reminder to renew your application for next year.

Yes, your health care provider will receive a fax about your application status.

Yes, unless you apply for multiple medications at the same time and they are prescribed by the same health care provider.

Yes, you may re-apply. You and your healthcare provider will be contacted about your application when it is time for renewal. You may ask for status updates by by calling 1-800-830-9159.

No. Applications should be faxed in by your health care provider to 1-800-497-0928.

3. Eligibility Requirements

To be eligible, you must:

  • Reside in the United States and are being treated by a U.S. health care provider
  • Not have health coverage, or not have enough coverage, to obtain your Takeda medication
  • Have a household income equal to or less than 5 times the Federal Poverty Level (for more information on Federal Poverty Levels, visit https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines)
  • Not have access to alternate sources of coverage or funding

Yes, you may be eligible if you already have Medicare or prescription drug coverage.

Yes, you may be eligible if you have Medicaid or prescription drug coverage. If you applied for Medicaid, please include the following documents with your application:

i. Letter of Medical Necessity from health care provider (on letterhead, signed and dated within past 90-days)

ii. Proof of Denial of Coverage for the requested product through Medicaid

Yes, you must have a U.S./U.S.-territory address and be treated by a U.S./U.S.-territory health care provider. Note that Amitiza is not available in Puerto Rico.

Covered products are: CARBATROL® (carbamazepine), DEXILANT® (dexlansoprazole), EOHILIA™ (budesonide oral suspension), FOSRENOL® (lanthanum carbonate), INTUNIV® (guanfacine), LIALDA® (mesalamine), MOTEGRITY™ (prucalopride), PENTASA® (mesalamine), PREVACID SOLUTAB® (lansoprazole), ROZEREM® (ramelteon) and TRINTELLIX® (vortioxetine).

Yes, you may still be eligible if you are insured.

If it is determined that you do not meet the eligibility criteria for the Help at Hand Patient Assistance Program, you will be denied and will receive a denial letter. You may appeal the denial or reapply 90 days after the initial denial decision has been made. To start the appeal process, please call 1-800-830-9159.

4. Receiving Medicines

Upon approval, it typically takes 3-5 business days on average to process and ship the medication. All medication will be mailed to the address indicated on your application.

No, please reach out to your health care provider.

5. Post-approval information

Your enrollment in the program lasts for one year, starting from the date your application is approved, except for patients with government insurance, whose enrollment ends annually on December 31. A re-enrollment letter may be mailed to you 60 days prior to the expiration of your enrollment.

Yes. We follow the same HIPPA guidelines you experience at your health care provider's office.

6. Refills

Please call into the Takeda Help at Hand program at 1-800-830-9159. You may use our automated phone system or speak to Customer Service Agents who are available from 8 a.m. to 8 p.m. ET, Monday - Friday, except holidays. To refill a prescription, we ask that you have your date of birth and prescription number ready. The prescription number can be found on the label of the prescription bottle. To ensure you aren't without medication, we encourage you to request a refill after you've used two-thirds of your prescription.

To request a refill, please call the Takeda Help at Hand automaticed phone system at 1-800-830-9159. Customer service agents are also available from 8 a.m. to 8 p.m. ET Monday - Friday. Please be sure to include all information, including prescription number with your order. We encourage you to request a refill at 70% fill rate after you've used two-thirds of your prescription.

For assistance, contact
Help At Hand: 1-800-830-9159