As of 2015, underinsured and uninsured individuals apply to Takeda's patient assistance program to obtain their Takeda medicines free, according to Takeda. Medications include Contrave, Amitiza and Oseni. Program applicants must be legal U.S. residents with documents that show their gross household income is 300 percent or less of the federal poverty level guidelines, according to SCBN. Applicants and their doctors must complete the two-page applications in blue or black ink, and fax them to Takeda from their doctors' offices.
The Takeda patient assistance program typically processes patient applications within seven business days and ships medications to the physical mailing addresses patients provide on their application forms, explains SCBN. The program does not deliver to post office boxes, and prescribing physicians must call Takeda every 75 days to renew their patients' prescriptions.
Takeda offers the prescription assistance program application as a portable document format file on its website, notes SCBN. Applicants can document their household income with their previous year's tax returns, tax transcripts, W2s or Social Security 1099s, notes SCBN. For applicants who do not have copies of their tax returns, Takeda requests their tax transcripts if the applicants sign and send Form 4506-T with their applications. Applicants who receive denials of prescription assistance can appeal by calling 800-830-9159 and asking for exception forms to complete and submit. Takeda customer care representatives are available by toll-free phone to answer questions before, during and after individuals complete the application process.