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Takeda Pharmaceuticals Patient Assistance Program

Summary:

Takeda Pharmaceuticals America is a pharmaceutical company rooted in developing innovative products which improve patients’ lives through better healthcare. With headquarters in Deerfield, Illinous, Takeda Pharmaceuticals America is a subsidiary of parent company Takeda Pharmaceutical Company Limited, the largest provider of pharmaceuticals in all of Japan. Seeded in over two centuries of heritage, Takeda America has been growing exponentially in the United States since it arrived in Deerfield in 2000. Seeing large success with the creation of ACTOS, the company now offers a wide variety of pharmaceuticals to its’ consumers.

Eligibility:

Takeda Pharmaceuticals Patient Assistance Program, a patient assistance program provided by Takeda Pharmaceuticals America offers (see table at right) at no cost to those who are eligible for the program. Refills are dependent on the individual drugs themselves. Eligibility is based off of the following requirements:

- You must not be covered by private or public health insurance.

- You must meet an undisclosed income guideline.

- You must provide a Federal low-income subsidy denial letter from Social Security if you are eligible for Medicare Part D but have not yet enrolled.

- You must be a citizen of the United States or its Territories.

The medication must be sent to the physicians office.

Those eligible for Medicare Part D but not enrolled may still be eligible.
SOURCE: 2008 HHS Poverty Guidelines
Persons in Family or Household 48 Contigous States and D.C. Alaska hawaii
1 $10,400 $13,000 $11,960
2 $14,000 $17,500 $16,100
3 $17,600 $22,000 $20,240
4 $21,200 $26,500 $24,380
5 $24,800 $31,000 $28,520
6 $28,400 $35,500 $32,660
7 $32,000 $40,000 $36,800
8 $35,600 $44,500 $40,940
For each addtional person, add $3,600 $4,500 $4,140

What’s Next?

Fill out the program enrollment form located to your right. If you don’t see an enrollment form available please call Takeda Pharmaceuticals America program directly. After filling out the enrollment form please bring the form to your doctor for proper signatures and procedures. Do not forget a self stamped envelope for them to mail in your application to the program.

Other Tips

  • If you have any questions please call the Takeda Pharmaceuticals America program directly
  • Fill out as much of the information on the enrollment form as possible. The more information you have pre-filled the easier the progrm is to enroll in
  • Write down the refill dates for your program and set a reminder here on PatientAssistance.com so that you don’t run out of medication.
  • Do not write messy on your forms as this will delay any response
  • Call and write thank you notes to Takeda Pharmaceuticals America program. Without their help millions of people will be without medication.



  • PAP Links:
    Create Account to View

    Company Website:
    Create Account to View

    Company Phone: Create Account to View
    Company Fax: Create Account to View
    Company Address:
    Create Account to View

    List of Medications:
    ACTOplus Met Tablets 15mg/500mg, 15mg/850mg (metformin/pioglitazone), ACTOS Tablets 15mg, 30mg, 45mg (pioglitazone), Amitiza capsules 24mcg (lubiprostone), Duetact Tablets 30/2mg, 30/4mg (pioglitazone/glimedpiride), Rozerem Tablets 8mg (ramelteon)

    Forms and other information are Copyright © Takeda Pharmaceuticals Patient Assistance Program