Cinryze (C1-esterase inhibitor)
Patient Assistance Program Guide — Takeda Help at Hand
Do You Qualify?
Income
Up to $75,300 for a single person
Insurance
Must be uninsured or have insurance that does not cover the product. Patients with Medicare Part D may be eligible if they meet financial criteria and are not using other subsidies.
Residency
U.S. resident with valid address
Income Limits (500% FPL)
Calculated based on 500% FPL, which is the standard threshold for Takeda's rare disease patient assistance programs.
Based on 2025 HHS Federal Poverty Level guidelines.
# Takeda Help at Hand: A Patient Guide to Getting Cinryze at No Cost
Prepared by RX Advantages | Prescription Assistance Navigation Services
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Who Qualifies for the Takeda Help at Hand?
If you need Cinryze (C1-esterase inhibitor) for hereditary angioedema and cannot afford it, the Takeda Help at Hand program may provide it to you at no cost. This program is designed specifically for patients who lack adequate insurance coverage and meet income guidelines. For a single-person household, your annual income must be at or below $75,300 to qualify. If you have insurance that does not cover Cinryze, or if you have no insurance at all, you may still be eligible. Patients with Medicare Part D may qualify under certain financial conditions. The program covers the full cost of the medication for approved applicants, with no co-pay required. Visit takedaassist.com to learn more.
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About Cinryze (C1-esterase Inhibitor)
Cinryze is a prescription medication manufactured by Takeda and used for the routine prevention of attacks in adults and adolescents with hereditary angioedema (HAE). It belongs to the drug class known as C1 esterase inhibitors (human), derived from human plasma. The FDA has approved Cinryze specifically for prophylactic use in HAE patients, meaning it is given on a scheduled basis to help prevent episodes rather than treat them after they begin. Because Cinryze is a specialty biologic therapy requiring plasma-derived manufacturing, its list price can reach tens of thousands of dollars per month without insurance or assistance. There are currently no FDA-approved biosimilar alternatives available, which limits lower-cost substitution options for patients.
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Income Eligibility: Full Breakdown
Takeda Help at Hand uses income thresholds set at approximately 500% of the Federal Poverty Level (FPL). The table below shows the maximum annual income allowed based on your household size:
| Household Size | Maximum Annual Income |
|---|---|
| 1 person | $75,300 |
| 2 persons | $102,200 |
| 3 persons | $129,100 |
| 4 persons | $156,000 |
For households larger than four people, income limits continue to rise. Contact the program directly at (800) 830-7375 to ask about your specific household size.
Your income is typically verified using your most recent federal tax return, W-2 form, or three months of recent pay stubs. If your income fluctuates — for example, if you are self-employed or work seasonally — pay stubs from the past three months may give a more accurate picture of your current situation.
If your income falls above these limits, you may not qualify for the free medication program. However, you are not without options. Takeda may have other support resources, and RX Advantages can help you explore additional programs. Some patients just above the income cutoff have qualified after reporting changes in their financial circumstances, so it is worth applying even if you are close to the limit.
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Insurance Requirements Explained
Your insurance status plays a major role in whether you qualify. Here is how different situations are handled:
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Step-by-Step: How to Apply
Follow these steps to apply for Cinryze through Takeda Help at Hand:
1. Gather your documents. You will need: proof of income (most recent tax return, W-2, or three months of pay stubs), a completed application form signed by both you and your physician, and a valid prescription for Cinryze.
2. Get the application form. Download or complete the application online at takeda.com/en-us/what-we-do/patient-services/helpathand/. You can also call (800) 830-7375 to request a paper form be mailed to you.
3. Have your doctor sign the form. Your prescribing physician must complete and sign the physician section. Many offices are familiar with this process and can help move it forward quickly.
4. Submit your application. You may apply online through the link above, submit by fax to (866) 430-6816, or call the program directly to ask about mailing options.
5. Follow up after submission. Allow 7–10 business days for initial processing. If you have not heard back after 10 business days, call (800) 830-7375 to check your status.
6. Confirm your shipping address. Once approved, the program will need a verified delivery address to ship your medication.
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What to Expect: Timeline and Delivery
After submitting a complete application, most patients receive a decision within 7 to 10 business days. Takeda or a program representative will contact you — and typically your prescribing physician's office — to confirm approval. If approved, Cinryze is shipped directly to your home, so you do not need to pick it up at a pharmacy. You should confirm that someone will be available to receive the shipment, as specialty biologics often require a signature or specific storage conditions upon delivery. The program requires annual reauthorization, meaning you will need to reapply and resubmit income documentation once a year to continue receiving the medication at no cost.
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Alternatives If You Don't Qualify
If you do not qualify for Takeda Help at Hand, consider these options:
1. Biosimilars: There are currently no FDA-approved biosimilar alternatives to Cinryze, so this option is not available at this time.
2. Manufacturer savings card (insured patients): If you have commercial insurance, Takeda offers a savings card through OnePath that may reduce your out-of-pocket costs. Visit onepath.com/hae/cinryze-support.html for details.
3. State Pharmaceutical Assistance Programs (SPAP): Some states offer their own prescription drug assistance for residents who do not qualify for federal programs. Check with your state's health department or aging services office.
4. NeedyMeds.org: This free, nonprofit database at needymeds.org lists patient assistance programs, state programs, and disease-specific funds that may apply to your situation. It is a helpful starting point if other options have not worked out.
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*This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Takeda. Program terms may change — verify current requirements at [https://www.takedaassist.com](https://www.takedaassist.com) before applying.*
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Documents You'll Need
If You Don't Qualify for the Assistance Program
Manufacturer Savings Card (for insured patients)
Takeda offers a savings card that may reduce your out-of-pocket cost if you have commercial insurance. Ask your prescriber or pharmacist for current savings card details.
Common Questions
Most applications are reviewed within 7 to 10 business days after Takeda receives a complete application, including your signed form, proof of income, and valid prescription. Incomplete applications may take longer, so double-check that all documents are included before submitting.
If you are approved, Cinryze is shipped directly to your home address. You do not need to go to a pharmacy. Make sure someone is available to receive the delivery, as specialty medications may require a signature or special handling.
Takeda Help at Hand requires annual reauthorization. Before your current approval period expires, you will need to submit a new application with updated income documentation. It is a good idea to start the renewal process at least 30 days before your approval expires to avoid a gap in coverage.
Yes, you may still be eligible if you have Medicare Part D, as long as you meet the income requirements and are not receiving a low-income subsidy such as Extra Help. Takeda reviews Medicare Part D cases individually, so applying is the best way to find out if you qualify.
It is generally worth applying even if your income is close to the limit. If your financial situation has changed recently — such as a job loss, reduced hours, or large medical expenses — that context may be considered. Contact Takeda Help at Hand at (800) 830-7375 to discuss your specific circumstances before deciding not to apply.
Ready to Apply for Cinryze Assistance?
RX Advantages handles the entire Takeda Help at Hand application on your behalf — paperwork, physician coordination, and refill tracking. It takes about 15 minutes to get started.
No SSN required on the web form · From $49.95/month