Alunbrig

Indicated For

non-small cell lung cancer

About This Medication

# Takeda Oncology Patient Assistance Program Guide: Getting Alunbrig at Low Cost ## Overview Alunbrig (brigatinib) is a prescription medication used to treat certain types of non-small cell lung cancer. If you're struggling to afford this medication, the Takeda Oncology Patient Assistance Program (PAP) may help you get Alunbrig for little to no cost. ## Who Can Apply? You may be eligible for assistance if you meet these criteria: - **Have non-small cell lung cancer** and your doctor has prescribed Alunbrig - **Are uninsured** or your insurance does not cover Alunbrig - **Meet income requirements** (income limits vary by household size and state; contact the program for specific thresholds) - **Are a U.S. resident** and a citizen or permanent resident If you have Medicare, Medicaid, or other government insurance, you may still qualify. Contact the program directly to confirm your eligibility. ## Income Guidelines Income limits vary based on your household size and state. The program uses a sliding scale, meaning your co-payment or assistance level may depend on your specific income. **You must provide recent proof of income** (tax returns, pay stubs, or benefit statements) during the application process. For specific income thresholds for your situation, call **(844) 817-6468** or visit **https://www.here2assist.com/patient/financial-assistance**. ## Insurance Requirements You are eligible if you: - Have **no health insurance**, or - Have insurance that **does not cover Alunbrig** If your insurance denies coverage or you cannot afford your co-payment, the PAP may still help. You may also be eligible for the Alunbrig savings card, which offers additional discounts at the pharmacy. ## How to Apply: 4-Step Process **Step 1: Get Forms from Your Doctor** Ask your oncologist's office to request the Takeda Oncology Patient Assistance Program enrollment forms. Your doctor must complete their portion of the application. **Step 2: Complete Your Portion** Fill out the patient enrollment form with: - Your personal information - Income details and household size - Proof of income (recent tax return or pay stub) - Insurance information (if applicable) **Step 3: Submit Your Application** Fax your completed forms to the program. Your doctor's office can help you send this, or you can do it yourself. Contact the program at **(844) 817-6468** for the fax number and to confirm receipt. **Step 4: Receive Your Decision** The program will review your application and notify you of approval status. Once approved, you'll receive information on how to pick up your medication at the pharmacy. ## Timeline - **Application Review:** Typically 5-10 business days - **Approval Notification:** You'll be contacted by phone or mail - **First Prescription:** Can usually be filled within 1-2 weeks of approval - **Enrollment Duration:** Up to 1 year, with monthly confirmation required ## Enrollment and Refills Once approved, you'll need to **confirm your enrollment monthly**. This helps the program update your information and keep your assistance active. Your doctor will also need to reauthorize your prescription periodically. The program will guide you through this process. Your enrollment can last **up to 1 year**. Before your enrollment ends, the program will help you explore other options, such as: - Reapplying for continued assistance - Finding alternative financial resources - Transitioning to insurance coverage if available ## Alunbrig Savings Card If you don't qualify for the full PAP, Takeda offers a **savings card** that may reduce your out-of-pocket costs at the pharmacy. Ask your pharmacist or doctor about this option. ## Documents You'll Need Before applying, gather: - Recent income verification (tax return, pay stubs, or benefit statement) - Proof of citizenship or permanent residency - Insurance card (if applicable) - Photo ID - Your prescribing doctor's contact information ## Next Steps 1. **Contact your oncologist's office** and ask them to initiate the PAP application 2. **Call (844) 817-6468** with questions about eligibility or income limits 3. **Visit https://www.here2assist.com/patient/financial-assistance** for more information 4. **Gather your documents** and complete your application promptly Don't let cost prevent you from accessing the medication you need. Reach out today to learn if you qualify.

Program information last verified: March 25, 2026