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Prolastin-C

Generic: alpha-1 proteinase inhibitor (human)

Manufacturer: Grifols  ·  Program: PROLASTIN DIRECT

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Eligibility Criteria

Insurance Requirement

Commercial insurance; not covered by Medicaid, Medicare, Medigap, VA, DoD, TRICARE, or any federal/state healthcare program

Residency

US resident

Financial assistance up to $10,000 per year for eligible patients; excludes Medicaid, Medicare, Medigap, VA, DoD, TRICARE, or other federal/state programs

Program Information

Processing Time

within 48 hours

Delivery Method

shipped to home or infusion center

Application Method

Fax

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • prescription
  • proof of diagnosis
  • insurance information
  • patient consent

Indicated For

alpha-1 antitrypsin deficiency

About This Medication

# PROLASTIN DIRECT Patient Guide: How to Get Prolastin-C at Low or No Cost ## About This Program PROLASTIN DIRECT is a comprehensive patient support program offered by Grifols, the manufacturer of Prolastin-C (alpha-1 proteinase inhibitor). This program helps eligible patients access Prolastin-C with financial assistance of up to $10,000 per year, making this critical medication more affordable for those who need it. ## About Prolastin-C Prolastin-C is a prescription medication used to treat alpha-1 antitrypsin (AAT) deficiency, a genetic condition that can lead to progressive lung disease and liver problems. By replacing the missing or deficient alpha-1 proteinase inhibitor, Prolastin-C helps slow disease progression and protect lung tissue. This is a specialized therapy that requires ongoing treatment, making access and affordability essential for patients managing this serious condition. ## Who Qualifies for PROLASTIN DIRECT To be eligible for PROLASTIN DIRECT, you must meet the following criteria: - Have a valid prescription for Prolastin-C from your healthcare provider - Have a confirmed diagnosis of alpha-1 antitrypsin deficiency - Have commercial insurance coverage - Not be enrolled in Medicaid, Medicare, Medigap, VA, DoD, TRICARE, or any other federal or state healthcare program - Meet the program's financial assistance criteria ## Income Eligibility PROLASTIN DIRECT provides financial assistance up to $10,000 per year for eligible patients. While specific income thresholds are not publicly listed, the program is designed to help patients who face financial barriers to accessing their medication. Contact the program directly at (833) 746-6321 to discuss your specific financial situation and determine your eligibility. ## Insurance Requirements PROLASTIN DIRECT is available only to patients with **commercial insurance**. The program explicitly does not cover patients enrolled in: - Medicaid - Medicare - Medigap - Veterans Affairs (VA) - Department of Defense (DoD) - TRICARE - Any other federal or state healthcare program If you have commercial insurance, you may still qualify even if your insurance does not fully cover Prolastin-C. The program can help bridge the gap between what your insurance covers and the full cost of your medication. ## How to Apply for PROLASTIN DIRECT Applying for PROLASTIN DIRECT is straightforward. Follow these steps: **Step 1: Gather Required Documents** Before applying, collect the following: - Your current prescription for Prolastin-C - Proof of your alpha-1 antitrypsin deficiency diagnosis (lab results or medical records) - Your insurance information (policy number, group number, and contact details) - Patient consent documentation (you may be asked to sign authorization forms) **Step 2: Submit Your Application** Fax your completed application and supporting documents to the PROLASTIN DIRECT program. You can request an application form or get assistance by calling (833) 746-6321. A program representative can help you gather the necessary documents and guide you through the process. **Step 3: Wait for Approval** The program typically processes applications within 48 hours. You will be notified of your approval status and next steps. **Step 4: Receive Your Medication** Once approved, your Prolastin-C will be shipped directly to your home or to your infusion center, depending on your preference and treatment setup. ## Timeline and Delivery - **Application Processing:** Within 48 hours - **Delivery:** Your medication will be shipped to your home or infusion center - **Financial Assistance:** Up to $10,000 per year in copay or coinsurance assistance The quick 48-hour processing time means you can often get your medication quickly, minimizing treatment delays. ## What If Your Application Is Denied If your application for PROLASTIN DIRECT is denied, don't lose hope. Possible reasons for denial include: - Enrollment in a federal or state healthcare program (Medicaid, Medicare, etc.) - Lack of commercial insurance - Incomplete application or missing documentation - Income exceeding program limits If denied, ask the program for specific reasons and whether you can reapply if your circumstances change. You may also explore: - Appealing the decision with additional documentation - Contacting your healthcare provider for alternative resources - Reaching out to patient advocacy organizations for alpha-1 antitrypsin deficiency - Asking your insurance company about coverage options or appeals ## Reauthorization and Ongoing Support Once enrolled in PROLASTIN DIRECT, you will receive ongoing support for your medication needs. The program is designed to provide continuous assistance as long as you remain eligible. Stay in contact with the program and keep them updated if your insurance or financial situation changes. ## Important Disclaimer This guide provides general information about PROLASTIN DIRECT based on program details current as of March 2026. Program eligibility, benefits, and requirements may change. Always verify current information by contacting the program directly at (833) 746-6321 or visiting the official Prolastin website. This information is not a guarantee of eligibility or assistance. Your healthcare provider and the PROLASTIN DIRECT program team are your best resources for personalized guidance about your specific situation. ## Contact Information **PROLASTIN DIRECT** - Phone: (833) 746-6321 - Application Method: Fax - Manufacturer: Grifols Don't let cost be a barrier to your treatment. Contact PROLASTIN DIRECT today to learn more about how this program can help you access the Prolastin-C you need.

Program information last verified: March 30, 2026

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