Nesina

Indicated For

type 2 diabetes

About This Medication

# Takeda Help At Hand Patient Guide: How to Get Nesina (alogliptin) at Low or No Cost Nesina (alogliptin) is a prescription medication used to help control blood sugar levels in adults with **type 2 diabetes**, often alongside diet and exercise. The **Takeda Help At Hand** program offers Nesina at no cost to eligible uninsured or underinsured U.S. residents through a straightforward application process.[1][2][4] ## About Nesina (alogliptin) **Nesina** is a **DPP-4 inhibitor** that works by increasing insulin release and decreasing sugar production in the liver after meals. It's typically taken once daily and helps lower A1C levels when used with metformin, sulfonylureas, or insulin. Common side effects include headache, upper respiratory infections, and low blood sugar (hypoglycemia) when combined with other diabetes drugs. Always follow your doctor's instructions and report side effects to your healthcare provider or the FDA at 1-800-FDA-1088.[1] This guide explains how **Takeda Help At Hand** can provide free Nesina to those who qualify, saving patients hundreds of dollars monthly since retail prices can exceed $500 without insurance. ## Who Qualifies for Takeda Help At Hand? The program is designed for patients who **lack sufficient insurance coverage** to afford their Takeda medications like Nesina. Key eligibility criteria include:[1][2][4][6] - Prescribed Nesina by a **U.S.-licensed physician** practicing in the U.S. or its territories. - **U.S. resident** (including territories). - **No health coverage** or **insufficient coverage** to obtain the medication. - No access to other funding sources. - All applications are **reviewed case-by-case**; there's no strict income limit like Federal Poverty Level (FPL) percentages, making it flexible for various financial situations.[1][2] **Income Eligibility Breakdown** Unlike many programs with fixed FPL thresholds (e.g., 400-500% FPL), Takeda Help At Hand evaluates income **individually**. You must provide proof of income, but approval isn't automatic based on numbers alone—it's holistic.[1][3] | Household Size | Typical Income Consideration | Notes | |---------------|------------------------------|-------| | Individual | Case-by-case; provide recent pay stubs, tax returns | No fixed threshold; focus on ability to pay[1] | | Couple | Case-by-case; include spouse income | Household total assessed[9] | | Family of 3 | Case-by-case; all dependents counted | Proof required for all earners[3] | | Family of 4+ | Case-by-case; full household disclosure | Social Security Disability may require IRS Form 4506T if <2 years[9] | Submit documents like W-2s, 1099s, pay stubs, or unemployment statements. If on SSDI less than 2 years, include IRS Form 4506T.[1][9] ## Insurance Requirements You must have **no health coverage** or **not enough coverage** to get Nesina. This includes: - Uninsured patients. - Underinsured (e.g., high copays/deductibles exceed what you can afford). - **Medicare patients** may qualify if Part D doesn't cover adequately or if denied—include denial letter.[1][8] - **No government programs** like Medicaid that fully cover; program excludes those with viable alternatives.[2][6] If insured but denied coverage, attach the **pre-decisional notice or denial letter**.[1] ## Step-by-Step Application Process Applying is free and takes about 30-60 minutes with your doctor. Multiple methods: fax, mail, or call for help.[1][2][7] 1. **Download the application**: Visit helpathandpap.com or call **1-800-830-9159** (Mon-Fri, 8am-8pm ET) to get a PDF mailed/faxed.[2][7] 2. **Complete patient sections** (1, 2, 5, 6): Personal info, income proof, signatures. Attach income docs.[1][3] 3. **Doctor completes sections** (3, 4, 7): Prescription (original mailed), signature (no stamps).[3] 4. **Submit**: - **Fax**: 1-800-497-0928 (from doctor's office preferred).[5][7] - **Mail**: Takeda Help At Hand, P.O. Box 5727, Louisville, KY 40255-0727.[2] 5. **Follow up**: If missing info, they'll contact via call/text/letter/DocuSign (from dse_NA4@docusign.net).[1][3] **Required Documents**: - Prescription from U.S.-licensed physician. - Completed, signed application. - Proof of income. - Insurance denial (if applicable).[1][3] ## Timeline and Delivery - **Review**: 3-5 business days (up to 7 days per some sources); complete apps process faster.[1][5][7] - **Notification**: Letter, call, email, or DocuSign.[1] - **If approved**: Medication shipped free to **your home or doctor's office**. Covers **12 months**, then reapply.[8] - **Reauthorization**: Required annually; new app/financials every 12 months.[8] ## Alternatives if Denied - **Appeal**: Call 1-800-830-9159 for clarification; resubmit with more docs.[1] - **Other PAPs**: Check RxAssist.org or NeedyMeds for generics DPP-4 inhibitors like linagliptin (Trajenta) programs.[8] - **Co-pay cards**: Takeda's co-pay program for commercially insured (as low as $5).[10] - **Patient Access Network (PAN) Foundation** or state programs for diabetes meds. - **Generic alogliptin** if available; discuss with doctor. - **90-day supply** via Costco/Walmart low-cost generics if partially insured. No biosimilars for Nesina listed.[provided] ## Important Disclaimer This guide is for informational purposes based on publicly available program details as of latest updates. Eligibility, processes, and availability can change; always verify with Takeda at 1-800-830-9159 or helpathandpap.com. Not affiliated with Takeda. Consult your doctor before starting Nesina. Program doesn't guarantee approval—decisions are case-by-case. Income docs must be current; falsification leads to denial. For emergencies, seek immediate medical help. Word count: 1028.

Program information last verified: March 30, 2026