Revestive

Indicated For

Short Bowel Syndrome (SBS)

About This Medication

# Revestive (Teduglutide) Patient Guide: How to Get Revestive at Low or No Cost Revestive (teduglutide) is a prescription medication used to treat short bowel syndrome in adults receiving nutrition intravenously, helping improve intestinal absorption and reduce dependency on parenteral support. Takeda's patient assistance programs, including the **Takeda Patient Support Co-Pay Assistance Program** and **Help At Hand**, offer financial help to eligible patients, potentially reducing costs to $0 or $5 per dose.[1][2][4] ## About Revestive (Teduglutide) Revestive, also known as GATTEX® (teduglutide), is a glucagon-like peptide-2 (GLP-2) analog administered daily via subcutaneous injection. It promotes growth of the intestinal lining, enhancing nutrient and fluid absorption for patients with short bowel syndrome (SBS) due to surgical resection or other causes.[1] It's typically prescribed alongside dietary adjustments and is supplied through specialty pharmacies. Common side effects include abdominal pain, nausea, and injection site reactions—discuss risks with your doctor. Always use under medical supervision for FDA-approved indications.[7] ## Who Qualifies for Assistance? Takeda offers tiered programs based on insurance status and income: - **Commercially Insured Patients**: Eligible for the **Co-Pay Assistance Program** if prescribed for an FDA-approved use and covered by private or Marketplace insurance (not government plans). Covers up to 100% of out-of-pocket costs, max $20,000 annually per some products.[1][7][9] - **Uninsured or Underinsured**: **Help At Hand** provides free medication to those without prescription coverage through private or government programs, subject to financial need and case-by-case review.[2][4][5][10] - **Medicare Patients**: Must apply for Extra Help (Low-Income Subsidy) first if income <150% FPL; denied applicants may qualify for Help At Hand with proof.[5] All patients must be U.S. legal residents.[10] Enrollment starts via Takeda Patient Support specialists who guide you one-on-one.[1][3] ## Income Eligibility Breakdown Specific income thresholds for Revestive/GATTEX are not publicly detailed and vary by program/case. Help At Hand assesses financial need individually; Co-Pay Program has no explicit income limits but requires commercial insurance.[4][5] Medicare Extra Help reference: <150% FPL (e.g., 2026 estimates: ~$22,590 individual).[5] Use this table for general guidance (2026 FPL approximations; verify current via ASPE.gov): | Household Size | 150% FPL (Approx.) | Notes | |---------------|--------------------|-------| | Individual | $22,590 | Medicare Extra Help threshold; apply first if applicable.[5] | | Couple | $30,660 | Help At Hand case-by-case.[4] | | Family of 3 | $38,730 | No fixed %FPL stated for GATTEX.[2] | | Family of 4 | $46,800 | Uninsured/underinsured priority.[10] | Contact Takeda for personalized eligibility (1-800-830-9159).[10] ## Insurance Requirements - **Commercial/Private Insurance**: Primary for Co-Pay Program; includes Marketplace plans. Program handles benefits investigation, prior authorizations (PA), appeals.[1][7] - **No/Limited Insurance**: Help At Hand for uninsured/underinsured without prescription coverage.[4][10] - **Medicare/Government**: Not eligible for Co-Pay; pursue Extra Help first (<150% FPL), then Help At Hand if denied.[5] Specialists assist regardless of status, coordinating with specialty pharmacies.[1][7] ## Step-by-Step Application Process 1. **Consult Your Doctor**: Confirm prescription for FDA-approved use; get HCP support.[7] 2. **Contact Takeda Patient Support**: Call 1-800-830-9159 (M-F, 8:30am-6pm ET) or visit takedapatientsupport.com. Specialist enrolls you, assesses eligibility.[1][3][10] 3. **Complete Application**: Online at takedapatientsupport.com or helppathandpap.com; HCP fills sections. Include proof of income, residency, prescription, insurance denial if needed.[4][5][10] 4. **Submit Documents**: Fax to 1-800-497-0928 or mail. Required: income proof (tax returns, paystubs), Extra Help denial (Medicare patients).[5][10] 5. **Approval Wait**: Case-by-case; incomplete apps delay processing.[10] 6. **Receive Meds**: Shipped via specialty pharmacy (SP).[1] Nursing support, education, and community resources provided post-enrollment.[1][2] ## Timeline and Delivery Processing time varies (days to weeks); expedited for urgent needs via specialist/SP coordination. Once approved, meds ship directly from specialty pharmacy. Refills coordinated annually or per enrollment; reauthorization may apply for ongoing therapy.[1][7][10] Track via support specialist. ## Alternatives if Denied - **Appeal Insurance**: Takeda helps with PA/appeals.[7] - **Extra Help (Medicare)**: Apply at ssa.gov if <150% FPL.[5] - **Other PAPs**: RxHope, NeedyMeds, or state programs. - **Patient Access Network (PAN) Foundation** or generic SBS options (consult doctor). - **Biosimilars**: None listed for teduglutide. Reapply if circumstances change; explore community resources.[1] ## Disclaimer This guide synthesizes public info as of 2026; eligibility/terms change. Not medical/financial advice. Verify with Takeda (1-800-830-9159), your doctor, or Medicare.gov. Programs subject to criteria, availability; free meds via Help At Hand, co-pay aid maxed annually. Takeda not liable for coverage gaps.[1][4][9] Word count: 942.

Program information last verified: March 30, 2026