Prescribing CINRYZE

Starting Patients on CINRYZE

When your patient is prescribed a Takeda treatment, Takeda Patient Support will be ready to help them get the answers, resources, and tools they need.

1. Complete and fax the following to 1‑866‑888‑0660:

1. Takeda Patient Support Start Form: in order for Takeda Patient Support to provide services to your patient, the patient will need to sign the Takeda Patient Support Start Form, which provides their consent for services.
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2. A copy of your patient's insurance card(s)

2. Next a support specialist will facilitate a benefits investigation.

If your patient does not have insurance coverage, a support specialist will work with your patient to provide information about their options.

3. The support specialist will forward the prescription to a specialty pharmacy that will dispense CINRYZE.

Note that insurance companies sometimes require additional documentation to authorize coverage for CINRYZE, which could include a Statement of Medical Necessity.

Our support specialists are never more than a tap or a call away—1-866-888-0660, Monday through Friday, 8:30 AM to 8 PM ET.