Takeda Patient Support offers a range of resources to help support your patients
Patient assistance can help with coverage, financial assistance, and more
Takeda Oncology Here2Assist®
Committed to supporting your patients
Takeda Oncology Here2Assist® is a comprehensive support program committed to helping your patients navigate coverage requirements, identify available financial assistance, and connect with helpful resources throughout their Takeda Oncology treatment.
- Works with your patients’ insurance company to help get your patient started on their medication
- Identifies available financial assistance for your patients and provides information on ponatinib costs
- Identifies a specialty pharmacy to help fill and ship your patients’ prescriptions appropriately
- Conducts regular follow-up calls to patients
Enrolling your patients in Takeda Oncology Here2Assist® is simple:
1. Download and print the Takeda Oncology Here2Assist® Enrollment Form from www.Here2Assist.com
2. Complete and sign the Enrollment Form together with your patient
3. Fax the completed Enrollment Form along with a copy of your patient’s insurance card and prescription to 1-844-269-3038
Ordering
ICLUSIG is available through an exclusive, integrated specialty pharmacy:
AcariaHealth
833-442-8911
www.acariahealth.com
There are 2 ways to order ICLUSIG via the AcariaHealth Specialty Pharmacy:
- Submit the ICLUSIG prescription to any AcariaHealth in your e-prescribing syste
- Complete the ICLUSIG Referral Form provided by AcariaHealth at https://www.acariahealth.com/referral_forms.html and fax to AcariaHealth as directed on the form
ICLUSIG must be filled through AcariaHealth. Sending an ICLUSIG prescription to an alternate pharmacy may result in delay or nonfulfillment of the prescription.
ICLUSIG may be purchased directly from our distribution partner:
Foundation Care
An AcariaHealth Solution
ICLUSIGDirect Purchase Program
833-291-2773
www.ICLUSIGDirect.com