Takeda Help at Hand Eligibility

Start by choosing a medicine. You will have the option to select additional medicines later on. All applications are reviewed on a case-by-case basis in accordance with program criteria.

Please answer 5 short questions to see if you may qualify.
This information is not collected or retained.

Who is eligible?

If you have been prescribed a Takeda medicine available through the Help at Hand Program, you may be eligible for the program if all of the following conditions apply:

You are being prescribed a Takeda medicine by a U.S. physician licensed and practicing in the U.S. or its territories
You are currently living in the United States with a U.S. address or in a U.S. territory; proof of citizenship is not required
You do not have health insurance coverage, are struggling to pay for medication, or you do not have enough insurance and need help getting your Takeda medicines

As of , your annual household income is*

Equal to or Less Than	Household Size
	1 (only consists of yourself)
	2 (you and one other person)
	3 (you and two other people)
	4 (you and three other people)
5X the Federal Poverty Level	5 or more Visit: HHS Poverty Guidelines

*Annual household incomes may differ in Alaska and Hawaii. Refer to the HHS Poverty Guidelines for more information. Income levels change annually. If you are within $1,000 of a household income, please call Help At Hand to find out more.

According to the information you entered, you may be eligible for financial assistance with your prescription for .

Download the application and follow these steps to submit your Help at Hand enrollment form for your Takeda medicines:

Complete each section for Patient Information (1, 4, 5, and 6) of the application including two places for patient signatures.
Attach your current proof of income as outlined in Section 4.
Have your health care provider complete sections for prescribing information (2 and 3) and provide a signature at the bottom of section 3. Fax or mail the completed application and all documentation to:

Takeda Help At Hand
P.O. Box 5727, Louisville, KY 40255-0727

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

Check your eligibility for another product

Application and attachments must be mailed to Help at Hand by the health care provider.

According to the Information you entered, you are not eligibile for help with your prescription for .

However, all applications are reviewed based on unique circumstances. If you are facing hardship and are unable to afford your prescribed medication, we encourage you to work with your doctor to submit an application for consideration

For more information call 1-800-830-9159.
Help At Hand representatives are available Monday through Friday, 8:00 a.m. to 8:00 p.m. ET

Check your eligibility for another product

Check Your Eligibility

Who is eligible?