Prolastin form
WebProlastin®-C is an alanine-stabilized formulation available in the form of a liquid (0.25 M). It is an alpha1 proteinase inhibitor (A1-PI) intended for maintenance therapy and chronic augmentation in adults with emphysema due to a severe hereditary deficiency of alpha-1 antitrypsin deficiency (AATD). Patients with AATD, also known as deficiency of A1-PI, …
Prolastin form
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WebProlastin ® Zemaira Glassia ... Please fax both pages of completed form to your drug therapy team at 866.233.7151. To reach your team, call toll-free 866.6ALPHA.1 or 866.625.7421. You can now monitor shipments and chat online if you have questions. Go to . MyAccredoPatients.com. WebProlastin-C Order Form Please fax completed form with patient demographic information, front and back of insurance card (s), recent lab results, and recent office visit notes …
WebClick the Get Form button to begin editing. Switch on the Wizard mode in the top toolbar to acquire more recommendations. Complete each fillable field. Ensure that the data you add to the Prolastin Enrollment Forms is updated and accurate. Include the date to the record using the Date tool. Click on the Sign tool and create an electronic signature. WebJul 1, 2024 · Prolastin-C LIQUID has a purity of ≥ 90% Alpha 1 -PI (Alpha 1 -PI protein/total protein). Prolastin-C LIQUID has a pH of 6.6–7.4, a sodium phosphate content of 0.013–0.025 M, and is stabilized with 0.20-0.30 M …
WebProlastin ®-C (alpha-1 proteinase inhibitor) ... New dosage form for Prolastin-C Liquid added 1.8 Effective Date: 02/08/2024 Annual review of Medical Policy 1.7 Effective Date: 07/05/2024 UM medical management system update for BCNA and MAPPO for Aralast, Glassia, and Prolastin-C : Line of Business PA Required in Medical WebPage 4 of 22 infusion if hypersensitivity symptoms occur and administer appropriate emergency treatment. Have epinephrine and/or other appropriate supportive therapy available for the treatment of
WebWhat is Prolastin-C: Uses, Warnings & Interactions. Prolastin-C is a Alpha-Proteinase Inhibitor (Human) class medicine made by Grifols Usa. The average retail price for Prolastin-C is $16,158.72 per 25248, 1000mg/20ml Solution. Prolastin-C is a trademarked medicine that uses the same ingredient as Alpha1-Proteinase Inhibitor (Human) - a generic ...
WebProlastin is prepared from pooled human plasma of normal donors by modification and refinements 1 Part of the fractionation may be performed by another licensed gwc illinoisWebFeb 1, 2024 · Prolastin; Prolastin-C; Zemaira; Descriptions. Alpha-1 proteinase inhibitor injection, also called alpha 1-PI, is used to treat a certain type of emphysema (a lung … gw eastarjetWebJul 5, 2024 · The recommended dose of PROLASTIN-C LIQUID is 60 mg/kg body weight administered intravenously once weekly. Dose ranging studies using efficacy endpoints have not been performed with any Alpha 1 -PI product. The carton and the label on each vial of PROLASTIN-C LIQUID show the actual amount of functionally active Alpha 1 -PI in … gwc taisilWebSep 27, 2024 · Glassia is a liquid form of alpha 1-proteinase inhibitor that is not mixed with a diluent. ... Store Aralast, Prolastin, or Zemaira at cool room temperature, away from moisture and heat. Use ... gwd joineryWebImportant Safety Information. PROLASTIN ®-C LIQUID is an alpha1-proteinase inhibitor (human) (alpha1-PI) indicated for chronic augmentation and maintenance therapy in adults with clinical evidence of emphysema due to severe hereditary deficiency of alpha1-PI (alpha1-antitrypsin deficiency).. Limitations of Use. The effect of augmentation therapy … gwb main tollWebSep 27, 2024 · Prolastin -C is a protein (alpha 1-antitrypsin) that occurs naturally in the body and helps prevent breakdown of tissues in the lungs. People who lack this protein … gw elliehausen tennisWebPROLASTIN®-C Order Form. ... Ask your healthcare provider to fax us a completed order form for your medication, clinical notes, demographics and your insurance card to (833) 996-4888. 2. Providers can find order forms on our medications page. 3. gw dokumentär