Shire cares 2026

See details

4.5 out of 5

68 votes

The document outlines the Shire Cares Patient Assistance & Support Program, which provides financial assistance for patients struggling to afford Shire medications. It details the application process, eligibility requirements based on household income and insurance status, and includes a checklist for both doctors and patients to ensure all necessary information is submitted. The program's contact information and guidelines for submitting applications are also provided.

Here's how it works

01. Edit your shire cares online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send shire care via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out shire cares with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the Shire Cares application in the editor.
In Section 1, have your treating physician complete all required fields, including their name, DEA number, and facility information.
In Section 2, the doctor should fill out the prescription details for the patient, ensuring to select the correct medication and dosage.
For Section 3, as a patient, enter your personal information such as name, date of birth, and contact details.
In Section 4, provide your financial information. Be sure to attach proof of income as specified.
Complete Section 5 by filling out your insurance information. Attach copies of your insurance card if applicable.
Finally, review all sections for completeness and ensure both you and your doctor sign where required before submitting via fax or mail.

Start using our platform today to easily complete your Shire Cares application for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is Takeda help at hand legitimate?

Help At Hand is a patient financial support program, sponsored by Takeda. The progam is for people who have no insurance, or who do not have enough insurance, and need help getting their Takeda medications.

What is Shire Cares?

This is a temporary assistance program that looks at your financial and medical needs. You will not need to pay any co-pays or enrollment fees to get help from this program. Once enrolled, you will receive a supply of the medication in the amount needed for your treatment or as determined by the program.

How long can you safely take Dexilant?

If your doctor prescribes Dexilant for your erosive esophagitis, your starting dose will likely be 60 mg taken once per day. This is the typical recommended dosage of Dexilant for healing erosive esophagitis. This dose may be taken for up to 8 weeks.

Can dexlansoprazole cause weight gain?

Dexilant (dexlansoprazole) is a prescription drug thats used to treat certain stomach and esophagus conditions. Dexilant can cause side effects that range from mild to serious, and some effects may last long term. Examples include weight gain and tiredness.

What is the medication assistance program?

These are public and private programs that offer discounted or free medications. Your income and often your age will determine whether you can get them. And some programs require your health care professional to apply for you.

shire cares patient assistance program

Shire Cares Vyvanse coupon Shire Pharmaceuticals Takeda Help at Hand Takeda Patient Assistance application PDF Takeda Patient Assistance Program application Vyvanse Assistance Program application Takeda Help at Hand phone number Takeda Patient Assistance Program Vyvanse

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more

How can I get Dexilant for free?

Simplefill connects individuals struggling to pay for their monthly prescriptions with patient assistance programs that can help them with the cost. Learn more about our Dexilant patient assistance programs, and apply today.

What drug family is dexilant in?

Dexlansoprazole is in a class of medications called proton pump inhibitors. It works by decreasing the amount of acid made in the stomach.

Is Dexilant being discontinued?

On October 17, 2017, Dexilant Solutab (delayed-release disintegrating tablets) was withdrawn from the US market. Dexilant and Kapidex (delayed-release capsules) are still available. This product is available in the following dosage forms: Capsule, Delayed Release.