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Alunbrig 1Point

This program provides brand name medications at no or low cost

Provided by: Takeda Oncology

11800 Weston Parkway
Cary, NC 27513

TEL: 844-217-6468

FAX: 855-246-5197
Languages Spoken:


Program Website


Patient Assistance Applications

Alunbrig 1Point Enrollment Form

Alunbrig 1Point Patient Assistance Program Application


Brand Name Medications Covered

  • Alunbrig

Generic Name

  • brigatinib

Eligibility Requirements   

Insurance Status *Contact program for details.
Those with Part D Eligible? No
Income Not disclosed
Diagnosis/Medical Criteria FDA-approved diagnosis
US Residency Required? Not specified


Obtaining Call or download
Receiving Faxed or downloaded from website
Returning *See Additional Information section below
Doctor's Action Complete section, sign, attach required documents
Applicant's Action Complete section, sign, attach required documents
Decision Communicated Patient and Doctor are notified
Decision Timeframe 2-3 business days


Amount/Supply Up to 1 month supply
Sent To Patient's home, unless otherwise noted
Delivery Time Not specified
Refill Process Doctor/Doctor's office must contact the Program
Limit One year
Re-application Maximum is one year

Additional Information

*The physician must submit the ALUNBRIG 1Point Enrollment Form before applying for the Patient Assistance Program.

This program also provides copay assistance.

Updated June 20, 2018