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AATmosphere iNSPIRATION Alpha-1 Program

This program provides brand name medications at no or low cost

Provided by: Shire Pharmaceuticals

AATmosphere
PO Box 231990
Centreville, VA 20120-1990

TEL: 866-272-5278


Languages Spoken:

English

Program Website

 

Patient Assistance Applications

AATmosphere iNSPIRATION Alpha-1 Program: Contact program

 

Brand Name Medications Covered

 
  • Aralast NP injection
  • Glassia injection
 

Generic Name

 
  • alpha1-proteinase inhibitor (human) injection
 

Eligibility Requirements   

Insurance Status Must be uninsured
Those with Part D Eligible? Not specified
Income Not disclosed
Diagnosis/Medical Criteria FDA-approved diagnosis
US Residency Required? Must be US citizen or permanent resident
   

Application

Obtaining Call
Receiving Faxed
Returning Fax
Doctor's Action Complete section, sign, attach required documents
Applicant's Action Call for information or inform doctor that he/she is in need
Decision Communicated Not specified
Decision Timeframe Not specified
   

Medication

Amount/Supply Not specified
Sent To Not specified
Delivery Time Not specified
Refill Process Not specified
Limit Not specified
Re-application Not specified
   

Additional Information


Updated August 14, 2017