Health Care Providers

The Takeda Help at Hand Patient Assistance Program aims to support patients who need specific Takeda medications but may not be able to afford them.

How to Apply

Please closely review the eligibility criteria and application requirements. Note that the prescriber must complete both sections 2 and 3 of the application, and provide a signature at the bottom of section 3. Application must be faxed in from health care provider to 1-800-497-0928.

Shipping Information

Please note that the shipment address can be specified on the application. Delivery will be to the patient's address unless indicated otherwise on the application.

Pharmacy Contact

1-800-830-9159, option 2 for HCP specific prompts.

If you have additional questions about the program please review our Frequently Asked Questions or Contact Us.