At Takeda, we believe all patients should have access to the medication prescribed by their health care providers. We also understand that some patients may have financial situations that make it difficult to pay for their prescriptions. This is why we are proud to offer the Takeda Patient Assistance Program for Amitiza, Dexilant and Rozerem to eligible individuals.

How to Apply

Please either download the application below (if available) or go to the program website for more information on how to apply. Once you fill out your application, send it to the address on the application. Remember not to send program applications to the PPA.

Product(s) Covered by Program

  • A

    • Amitiza┬«
  • D

    • DEXILANT┬«
  • R

    • Rozerem┬«