Models are used for illustrative purposes only.
Healthcare provider in white coat with stethoscope reviewing document with patient in clinical setting, framed by geometric design. Models are used for illustrative purposes only.

Get your patients started

Enrolling in Takeda Oncology Here2Assist® is simple

There are 2 ways to enroll

1.  Enroll online

Visit our digital enrollment 
platform

Enroll Online
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Can my patient enroll online?
Yes, your patient has the option to enroll online by visiting Here2Assist.com/enroll and completing the Enrollment Form digitally.

  • After your patient submits the form, we will notify you and request your review and signature
  • You may provide your attestation and submit the form via fax or digital completion

Reach out to a Case Manager if you need assistance with a patient-initiated enrollment. Call us at 1-844-817-6468, Option 2. We’re available Monday-Friday, 8AM-8PM ET.

2.  Download and fax

Download and print the Takeda Oncology Here2Assist Enrollment Form.

English Español
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Complete with your patient and sign
Work together with your patient to fill out the Enrollment Form. Ensure that the form is fully completed and includes your signature before you submit it.

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Fax
Fax the completed Enrollment Form and a copy of your patient’s insurance card and prescription to 1-844-269-3038.

Once fully enrolled, you and your patient can expect:

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A welcome communication from a Case Manager

A Case Manager will call, text, or email your patient to welcome them to the Takeda Oncology Here2Assist Program and share key program information with them.

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An efficient benefits investigation and verification review

A Case Manager will work to complete a timely benefits investigation and communicate a summary of coverage to both you and your patient. Case Managers will also help support you when navigating the insurance approval process with prior authorizations, denials, and appeals.

Understand Your Patient’s Coverage
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Help with getting their medication

Our goal is to help your patients get started on their treatment. A Case Manager will help by tracking any prior authorization or appeals you may need to submit to your patient’s insurance provider.

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Identification of financial assistance programs

Based on your patient’s insurance coverage, a Case Manager can provide information on available support through the Takeda Oncology Co-Pay Assistance Program or the Takeda Oncology Patient Assistance Program.

Explore Financial Assistance
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Reliable product distribution and prescription fulfillment

Takeda Oncology Here2Assist works with your office to help identify specialty pharmacies or in-office dispensing options for fulfilling your patient’s prescription by connecting you with the specialty distributor for their specific treatment.

Review Fulfillment Options
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Ongoing support and education

A Case Manager will conduct follow-ups with your patient on a regular basis and provide continuous support by offering:

  • Status updates via text message*

Have your patient visit Here2Assist.com/patient to find more resources.

*Patients will need to enroll in the texting program to receive text messages.