Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  
 

AATmosphere iNSPIRATION Alpha-1 Program

For Healthcare Professionals Only

Provided by: Shire Pharmaceuticals


TEL: 888-229-8379


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 Determined case by case
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 to Doctor's office
Returning Fax
Doctor's Action Complete section, sign, attach required documents
Applicant's Action 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

Resources for HEALTHCARE PROFESSIONALS ONLY.

Free Trial Program: Contact Program for details


Updated February 27, 2018