takeda help at hand application pdf

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TakedaPatientAssistanceProgramPOBoxLouisville,KentuckyHOWDOIAPPLY?POBox,Louisville,KYPhoneFaxCANIAPPLY?Allapplicationsare reviewedonacase-by-casebasisinaccordancewithprogramcriteria.Ifyouareeligible,clickontheapplicationtoobtainthePDForcalltohaveaphysicalcopy oftheapplicationmailed/faxedtoyourphysician’sofficeortoyourhomeOursupportspecialistsarenevermorethanataporacallaway Mondaythrough Friday,amtopmETUnderstandingfinancialassistanceoptionsTakedaPatientSupportspecialistscanwalkyourpatientthroughtheinsuranceprocessstepby stepandhelpanswerquestionsabouttheircoverage,regardlessoftheirinsurancesituationAllproductsdistributedthroughtheTakedaHelpatHandProgramare freetoalleligiblepatientsHelpatHandprovidesassistanceforpeoplewhohavenoinsuranceornotenoughinsuranceandneedhelpgettingtheirTakeda medicines**HelpAtHandisnotavailabletoallpatientswhoareprescribedaTakedaproductLeadersInaddition,pleaseencouragethemtokeeptheTakeda PatientSupportnumberintheirphonesotheydon’tmistakeitforaspamcall*Tobeeligible,yourpatientmustbeHelpAtHandprovidesassistancetoeligible patientswhohavenoinsuranceorwhodonothaveenoughinsuranceandneedhelpgettingtheirTakedamedicines.GlobalCSRProgramApplyforFunding FrequentlyAskedQuestionsBEGINBYFINDINGAPRODUCTAtTakeda,webelieveallpatientsshouldhaveaccesstothemedicationsprescribedbytheir healthcareprovidersHelpAtHandisafinancialneedsbasedprogramforpeoplewhohavenoinsuranceorwhodonothaveenoughinsuranceandneedhelp gettingtheirTakedamedicinesYouareeligibletoapplyfortheTakedaPatientAssistanceProgramifYouarealegalresidentintheUnitedStatesApplication CANIAPPLY?TakedaPatientAssistanceProgramPOBox,Louisville,KentuckyPhoneFaxCANIAPPLY?AtTakeda,webelieveallProgramsinAction TakedaChairinGlobalChildHealthTakedaInitiativefortheGlobalFundTakedaHelpAtHandTobeeligible,youshould:Nothavehealthcoverage,ornot haveenoughcoveragetoaffordyourTakedamedicationTakedaGlobalHeadquartersDesignConceptWhereweworkCorporatePhilosophyCorporate GovernanceValuesandCorporateGovernanceBoardofDirectorsNominationCommitteeandCompensationCommitteeAuditandSupervisoryCommitteeand InternalAuditOurManagementChartersandReports,etcHelpAtHandprovidesassistancetoeligiblepatientswhohavenoinsuranceorwhodonothave enoughinsuranceandneedhelpgettingtheirTakedamedicinesAtTakeda,webelieveallpatientsshouldhaveaccesstothemedicationsprescribedbytheir healthcareprovidersMailyourcompleteapplicationandotherpapersto:TAKEDAPATIENTASSISTANCEPROGRAMPOBOXLOUISVILLE, KENTUCKYorPLEASEPRINTThissiteisintendedforUSresidentsandgovernedbyUSlawsandgovernmentregulationsClickhereforalistingofTakeda TakedaHelpatHandApplicationLEARNMOREfaxthesignedapplicationwithallyourdocumentationtoormailtotheaddressbelow*HelpAtPatient AssistanceProgramApplicationForm.Eligibilitycanvarybymedication.©TakedaPharmaceuticalsU.S.A.,Inc.TAKEDA(Supportprogramtohelpeligible patientswhohavelostajobandareexperiencingafinancialhardshipduetotheCOVIDpandemic

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