access and
support
access and
support
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.
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.
HelloHYQVIA
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.
Coverage
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.
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.
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:
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.
Reimbursement
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 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:
Financial assistance support
Insurance support
Medication delivery
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.
Eligibility
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.
Visit our convenient
online enrollment portal
Download and fax the
completed Start Form to
1-866-861-1752
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.
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 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.
Explore comprehensive resources for your patients to help support them with their HyQvia treatment.
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:
Have your patients connect at MyIgSource.com or call 1-855-250-5111.