Helpful resources

We have resources to help you and your patients throughout the treatment journey

Daryl
Takeda Oncology
Here2Assist® patient

Daryl, a Takeda Oncology Here2Assist® patient Daryl, a Takeda Oncology Here2Assist® patient

Downloadable forms

Enrollment and Application icon

Takeda Oncology Here2Assist® Enrollment Form

English Español
Enrollment and Application icon

Takeda Oncology Patient Assistance Program Application

English Español
Enrollment and Application icon

Takeda Oncology RapidStart Request Form

Provider resources

Takeda Oncology Here2Assist Healthcare Provider Fact Sheet
Takeda Oncology Here2Assist® Healthcare Provider Fact Sheet icon Download
Takeda Oncology Here2Assist Office Brochure
Takeda Oncology Here2Assist® Office Brochure icon Download
Sample Letter of Medical Necessity
Sample Letter of Medical Necessity icon Download
Sample Letter of Appeal
Sample Letter of Appeal icon Download

Patient resources

Takeda Oncology Co-Pay Assistance Program Brochure
Takeda Oncology Co-Pay Assistance Program Brochure icon Download
Guide to Understanding Medication Coverage
Guide to Understanding Medication Coverage icon Download
Takeda Oncology Here2Assist Patient Brochure
Takeda Oncology Here2Assist® Patient Brochure icon English Español
Takeda Oncology Here2Assist Financial Assistance One Pager
Takeda Oncology Here2Assist® Financial Assistance One Pager icon Download
Learn about our patient portal: myHere2Assist™
Learn about the patient portal myHere2Assist™ icon Download

Additional resources from trusted programs and organizations

Below are some links to government-sponsored programs and nonprofit organizations that may help your patient with the cost of their prescription:

Medicare Part D Extra Help Program ssa.gov
Medicaid Drug Rebate Program medicaid.gov
American Cancer Society cancer.org
Cancer Care Financial Assistance Program cancercare.org