Takeda Patient Assistance Program (Spanish)

Takeda Pharmaceutica

Contact Information
Takeda Patient Assistance Program
PO Box 66552
St. Louis, MO 63166
1-(800) 830-9159 (phone)
1-(800) 497-0928 (fax)
Physician requests should be directed to:
Takeda Patient Assistance Program
PO Box 66552
1-(800) 830-9159 (phone)
How to Apply:
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.
1. You are a resident of the United States 2. You have no prescription drug coverage through private or government programs 3. Your total household income does not exceed those in our application
Product(s) covered by program:
  • ACTOplus met®
  • Actos®
  • duetact®
  • Edarbi
  • Rozerem®
  • Uloric®