Helpful resources for healthcare providers

Find a range of tools and resources for your office, staff, and patients

Takeda Oncology Here2Assist Enrollment Form

Takeda Oncology Here2Assist® enrollment form.

Patient Assistance Program Application

Takeda Oncology Here2Assist® Patient Assistance Application.

ICLUSIG (ponatinib) RapidStart Request Form

Takeda Oncology Here2Assist® RapidStart request form.

Sample Letter of Medical Necessity

Sample letter of medical necessity.

Sample Letter of Appeal

Sample letter of medical appeal.

Co-Pay Assistance Brochure

Takeda Oncology copay assistance program.

Here2Assist Office Brochure

Takeda Oncology Here2Assist® office brochure.

Guide to Understanding Medication Coverage

Guide to understanding medication coverage.

Here2Assist Patient Brochure

Takeda Oncology Here2Assist® Patient brochure.

ICLUSIG Access Guide

ICLUSIG® (ponatinib) Access Guide.

Additional resources for your patients can be found on the ICLUSIG patient website.