Takeda's Anti-Drug Antibody and Biomarker (ADAB) Testing Program Attestation Statement
By participating in the Takeda Lysosomal Storage Disorder Anti-drug Antibody and Biomarker (ADAB) Testing Program, the healthcare provider ("You" or "Your") is responsible for ordering testing under this program in accordance with Your own medical judgment and applicable laws. You certify that you intend to prescribe or have prescribed the test-related drug for Your patient. You understand, and will inform the patient, that Takeda will cover the cost of testing under this program, and that patients and HCPs must not submit any claims to any insurance provider or government health care program for reimbursement of costs covered through the program. You understand the eligibility criteria set forth above and have determined that the patient meets those criteria. Patients and their healthcare providers ("HCPs”) are under no obligation to purchase, prescribe, order or use any Takeda or Labcorp products or services.
You understand that Labcorp may share with Takeda Your personal information and the personal health information of patients tested under the program. You are responsible for sharing with your patient the program-specific privacy notices that will be provided to you and informing them, in accordance with the program-specific privacy notice, that Labcorp may share patient health information with Takeda for assessing and reporting on the safety and effectiveness of Takeda’s enzyme replacement therapy (ERT) medications to regulatory authorities as may be required and managing risks related to these products. You are responsible for obtaining all appropriate patient consents and authorizations for processing of personal data by Takeda and Labcorp, which should include consent and authorization from non-US patients for transfer of samples and personal data to the United States for testing. For more information about how Takeda and Labcorp may process Your personal information, please review the applicable privacy notices: Website Privacy Statement | Takeda.com and Labcorp's privacy notices.
