Neuroscience Patient Support Program
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Neuroscience Patient Support Program This program is subject to conditions and may be modified or terminated at any time. Program offering 28 capsules or chewable tablets • Capsule or chewable • Up to 4 titrations (i.e. dose adjustments) • No cost to the patient Ongoing 20% benefit • Provides a 20% benefit on patient’s future VYVANSE prescription refills. • Patient can receive this benefit regardless of coverage (private, public or none). How to get a patient started with the program Provide your patients with a VYVANSE card The VYVANSE card can be found in the program brochure. Patients can present this card with their prescription for VYVANSE at a pharmacy to receive the free 28 capsules or chewable tablets. Enrol for the ongoing 20% benefit* Patients can fill out an online enrolment form on www.vyvansesupport.ca using a computer, tablet or smartphone. Patients will be asked for their Client ID number (found on VYVANSE card) in order complete the enrolment process. Patients will receive confirmation that their card has been activated, usually within two hours. Please call the support team (1-855-442-9395) if you require more than 20% financial support Patients can qualify for as much as 100% financial support, based on the completion of a financial means test.* * Patients should only enrol after they redeem the 28 capsules or chewable tablets. The financial means test takes into account their household income and number of dependents. For those receiving more than the 20% benefit, coverage will be active for 1 year, and will need to be renewed by contacting the Takeda Neuroscience Patient Support Program. A new financial means test may be required at the time of renewal. Redeem the free 28 capsules or chewable tablets -20% 2 3 1 Support team and additional information Contact our support team: Toll free at 1-855-442-9395 8am - 8pm EST Monday to Friday [email protected] Takeda Canada Inc. VYVANSE® and the VYVANSE Logo® are registered trademarks of Takeda Pharmaceuticals U.S.A., Inc. TAKEDA™ and the TAKEDA Logo® are trademarks of Takeda Pharmaceutical Company Limited, used under license. © 2020 Takeda Pharmaceutical Company Limited. All rights reserved. PRMCDA/CA//1307-B DOP: September 2020
Transcript of Neuroscience Patient Support Program
Neuroscience PatientSupport ProgramThis program is subject to conditions and may be modified or terminated at any time.
Program o�ering28 capsules or chewable tablets• Capsule or chewable• Up to 4 titrations
(i.e. dose adjustments)• No cost to the patient
Ongoing 20% benefit• Provides a 20% benefit on
patient’s future VYVANSE prescription refills.
• Patient can receive this benefit regardless of coverage (private, public or none).
How to get a patient started with the program
Provide your patients with a VYVANSE cardThe VYVANSE card can be found in the program brochure. Patients can present this card with their prescription for VYVANSE at a pharmacy to receive the free 28 capsules or chewable tablets.
Enrol for the ongoing 20% benefit*Patients can fill out an online enrolment form on www.vyvansesupport.ca using a computer, tablet or smartphone.
Patients will be asked for their Client ID number (found on VYVANSE card) in order complete the enrolment process.
Patients will receive confirmation that their card has been activated, usually within two hours.
Please call the support team (1-855-442-9395) if you require more than 20% financial supportPatients can qualify for as much as 100% financial support, based on the completion of a financial means test.*
* Patients should only enrol after they redeem the 28 capsules or chewable tablets. The financial means test takes into account their household income and number of dependents. For those receiving more than the 20% benefit, coverage will be active for 1 year, and will need to be renewed by contacting the Takeda Neuroscience Patient Support Program. A new financial means test may be required at the time of renewal.
Redeem the free 28 capsules or chewable tablets
-20%
2
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Support team and additional information
Contact our support team:Toll free at
1-855-442-9395 8am - 8pm EST Monday to Friday
Takeda Canada Inc.VYVANSE® and the VYVANSE Logo® are registered trademarks of Takeda Pharmaceuticals U.S.A., Inc.TAKEDA™ and the TAKEDA Logo® are trademarks of Takeda Pharmaceutical Company Limited, used under license. © 2020 Takeda Pharmaceutical Company Limited. All rights reserved. PRMCDA/CA//1307-B DOP: September 2020
