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

 

Program Applications and Forms

AATmosphere iNSPIRATION Alpha-1 Patient Assistant Application

 

Medications

  • Aralast NP injection (alpha1-proteinase inhibitor (human))
 

Eligibility Requirements   

Insurance Status Determined case by case
Those with Part D Eligible? No
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 Doctor/Doctor's office must call
Applicant's Action Inform Doctor that he/she is in need
Decision Communicated Patient notified
Decision Timeframe Varies
   

Medication

Amount/Supply Varies
Sent To Doctor's office or pharmacy
Delivery Time Not specified
Refill Process Not specified
Limit Not specified
Re-application Not specified
   

Additional Information

Resources for HEALTHCARE PROFESSIONALS ONLY.

Physician must call to obtain an enrollment form.

Free Trial Program: Contact Program for details


Updated September 19, 2018