access and 

Together, we got this

Let's talk coverage and support for your patients and about the resources available to help them along their treatment journey.

Key resources are only one click away.

Takeda Patient Support logo.

For patients who are enrolled in Takeda Patient Support, our support specialists are available to help you and your patients understand what financial assistance options may be available.

See eligibility requirements below.

Free Trial Program

Help patients who are eligible find out if HyQvia is right for them with a free trial of HyQvia.

See eligibility requirements below.

Lookup Tool

Use this lookup tool to determine  specific plan coverage information for HyQvia in your area. Search for local coverage by entering a ZIP code.

Review safety information

Review Important Safety Information, including Contraindications and other specific Warnings and Precautions to consider when prescribing and monitoring patients treated with HyQvia.

Help your patients access the treatment they need

Your patients may have questions regarding cost and coverage.

In this section, we have several educational resources to help you help your patients along the insurance journey.

Benefits investigation

Does my patient have coverage?
How much are their out-of-pocket costs?

Dual Benefit Brochure to help you understand the differences in coverage across Medical and Pharmacy Benefit.

Or you can access your patient’s coverage information for HyQvia in your area by using our Coverage Lookup Tool.

Dual Benefit Brochure

There are some health plans that cover HyQvia under the medical benefit, the pharmacy benefit, or both. Learn how this dual benefit design can impact how HyQvia is acquired and reimbursed.

Prior authorization

Prior authorizations (PAs) are commonly required in the approval process and each health plan has different requirements. Use these resources to help you submit the PA.

PA Checklist

Our PA checklist can help you meet the requirements and follow the procedures for requesting a PA to help ensure accurate and timely processing of PA requests.

Sample Letter of Medical Necessity (LMN)

An LMN supports the PA process by explaining the clinical rationale for HyQvia.

HyQvia Prescribing Information

Please click for Full Prescribing Information, including Black Box Warning.

Appeals process

If a PA gets denied, you can appeal the decision. The Appeals Checklist can help keep you on track. Some common reasons for denial are:

  • Missing or inaccurate information
  • Step-edit requirement
  • Incorrect diagnosis code(s) submitted
  • Billed to the wrong benefit (ie, medical vs pharmacy). To learn more, a basic overview and comparison of the
    2 benefit designs is detailed here
  • Site of care for infusion is not preferred/not covered
  • Not covered on the formulary

Denials and Appeals Resource

Understand the appeals and denials process for both pharmacy and medical benefits.

Appeals Checklist

To assist with the PA and/or appeals process, use this checklist, which outlines documents to consider including.

Sample Letter of Appeal

Each appeal needs to clearly answer the reason for denial and the healthcare professional's clinical rationale. The sample letter can help get you started.


HyQvia provides resources and information to help you process billing and diagnostic codes, as well as claim forms.

HyQvia Billing and Coding Guide

HyQvia is covered by many insurers for the treatment of patients. This guide contains common administrative and diagnostic codes related to HyQvia. The guide is provided for informational purposes and may not include all necessary codes.

CMS-1500 Claim Form

The CMS-1500 claim form is the standard claim form used to bill many government and private insurers. This sample is intended to assist you with completing the form for billing HyQvia and associated services.

Support when your patients need it

Takeda Patient Support logo.

Takeda Patient Support will provide your patients with resources and guidance from dedicated support specialists who will address your patients’ questions and concerns and help them get the information they need, and nurse professionals who will provide education about their condition and their prescribed Takeda treatment. If English is not your patient’s preferred language, we can assist them in a language of their choosing.

Patients enrolled in Takeda Patient Support will have access to:

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Financial assistance support

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Insurance support

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Medication delivery

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Treatment and condition education

Takeda Patient Support Co-Pay Assistance Program*

If a patient is prescribed HyQvia and needs co-pay assistance, you can direct the patient to enroll in the Takeda Patient Support Co-Pay Assistance Program. The program can cover up to 100% of your patient’s out-of-pocket co-pay costs, if they’re eligible. A support specialist can review your patient's coverage and determine eligibility.


  • Be prescribed HyQvia
  • Have commercial insurance. This includes health insurance marketplace plans
  • Be enrolled in Takeda Patient Support

See below for terms and conditions.

If your patient has government insurance

Takeda Patient Support can help answer questions about their prescribed Takeda treatment coverage.

If your patient can’t afford treatment

Takeda Patient Support may be able to connect them to programs that may help.

Enroll patients today.
There are 3 ways to enroll.

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Visit our convenient
online enrollment portal

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Download and fax the
completed Start Form to

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Call Takeda Patient Support
 at 1-866-861-1752,
Monday through Friday,
8 AM to 8 PM ET

*IMPORTANT NOTICE: The Takeda Patient Support Co-Pay Assistance Program (the Program) is not valid for prescriptions eligible to be reimbursed, in whole or in part, by Medicaid, Medicare (including Medicare Part D), Tricare, Medigap, VA, DoD, or other federal or state programs (including any medical or state prescription drug assistance programs). No claim for reimbursement of the out-of-pocket expense amount covered by the Program shall be submitted to any third-party payer, whether public or private. The Program cannot be combined with any other rebate/coupon, free trial, or similar offer. Copayment assistance under the Program is not transferable. The Program only applies in the United States, including Puerto Rico and other U.S. territories, and does not apply where prohibited by law, taxed, or restricted. This does not constitute health insurance. Void where use is prohibited by your patient’s insurance provider. If your patient’s insurance situation changes, they must notify the Program immediately at 1-866-861-1750. Coverage of certain administration charges will not apply for patients residing in states where it is prohibited by law. Takeda reserves the right to rescind, revoke, or amend the Program at any time without notice.

If your patient's medication is dispensed by a specialty pharmacy.

Patient resources

HelloHYQVIA Free Trial Program

Help your eligible patients* determine
if HyQvia is right for them

With the HelloHYQVIA program, patients may be able to try HyQvia for free to help you and your patient determine if HyQvia is right for them.

Start the enrollment process for your patients today.

Note: The pharmacist will call the HCP’s office to clarify ramp-up dosing if it is not written or the box is not checked.

The patient will receive a welcome call from a HelloHYQVIA Free Trial Program Case Manager.

The Case Manager will:

  • Ensure the patient has signed the HelloHYQVIA Free Trial Program Request Form
  • Connect the patient with the specialty pharmacy that will coordinate medication shipment
  • Connect the patient with a nurse who will help schedule administration training

The patient will receive their first 3 ramp-up HyQvia infusions either at home or in the office, depending on what is best. After completion of the program, communication will be sent to the HCP documenting the infusion rate and patient experience.

HelloHYQVIA Free Trial Program Request Form

Complete the form and fax to 1-833-388-5467

 *Eligible patients must have an ICD-10 code verifying diagnosis, be a new patient not currently using HyQvia, and not have previously enrolled in the HelloHYQVIA program. Additional terms apply.

Patient education can play an important role in chronic disease management

Patient education is a vital component in caring for patients with chronic disease because it informs and involves patients in understanding both the disease state and the care instructions necessary for their condition. It also helps patients understand any lifestyle changes that they will need to make to help manage their condition. You can support your patients with the following resources. 

Peristaltic infusion pump

How to infuse HyQvia with a peristaltic pump.

Patient experience videos

See how real HyQvia patients, Mary and Michael, infuse HyQvia.

Find comprehensive resources that provide support for your patients.

Explore comprehensive resources for your patients to help support them with their HyQvia treatment.

Why HyQvia brochure.

Why HyQvia brochure

Helps patients learn if HyQvia is right for them, while encouraging them to take the next step in their treatment journey.

Patient Starter Kit.

Patient Starter Kit

The HyQvia Patient Starter Kit contains educational resources and materials to help facilitate their PI treatment. 

To order starter kits, contact your specialty pharmacy. 

Step-by-Step Infusion Guide.

Step-by-Step Infusion Guide

If your patient needs to learn how to infuse HyQvia using a peristaltic infusion pump, this step-by-step guide helps you walk them through all the necessary steps. 

How to Infuse HYQVIA with a Syringe Driver Pump Guide.

How to Infuse HyQvia with a Syringe Driver Pump

After you’ve ensured your patient is properly trained on how to administer their medication with a syringe driver pump, pass this guide along to help reinforce what they’ve learned. 

Support from the start with resources throughout their journey

Find a strong support community and education resources for your patients with primary immunodeficiency, regardless of treatment.

MyIgSource is committed to helping your patients manage a life with primary immunodeficiency (PI) at diagnosis and throughout their PI journey. From advocacy to learning about diagnosis, management, and living with PI, your patients and their caregivers, regardless of treatment, have access to:

"We're in this together" MyIgSource's tagline.
  • Learn more about PI and managing their condition
  • Sign up to receive educational materials that can help them and their loved ones better understand PI
  • Connect by phone or online with patient advocates that have PI or have loved ones living with the condition
  • Register for events focusing on disease education related to PI

Have your patients connect at or call 1-855-250-5111.

Get answers to your questions. Talk to a representative about HyQvia.