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Request for Prior Authorization ALPHA1PROTEINASE INHIBITOR ENZYMES (PLEASE PRINT ACCURACY IS IMPORTANT)IA Medicaid Member ID #Patient name FAX Completed Form To 1 (800) 6014829 Provider Help Desk
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To fill out alpha1-proteinase inhibitor enzymes, follow these steps:
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Gather all necessary materials and tools.
03
Prepare a clean and sterile work area.
04
Ensure you have the correct dosage and type of alpha1-proteinase inhibitor enzyme.
05
Wash your hands thoroughly with soap and warm water.
06
Remove the cap from the vial containing the alpha1-proteinase inhibitor enzyme.
07
Wipe the rubber stopper on the vial with an alcohol swab.
08
Attach a sterile needle to the syringe.
09
Draw air into the syringe equal to the dosage of the alpha1-proteinase inhibitor enzyme.
10
Insert the needle into the rubber stopper of the vial, and inject the air into the vial.
11
Turn the vial upside down, making sure the needle tip is submerged in the protein solution.
12
Slowly withdraw the desired dosage of the alpha1-proteinase inhibitor enzyme into the syringe.
13
Remove any air bubbles from the syringe by tapping it and pushing the plunger slightly.
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Carefully remove the needle from the vial, taking care not to touch the needle tip.
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Dispose of the needle properly in a sharps container.
16
Administer the alpha1-proteinase inhibitor enzyme as directed by a healthcare professional.

Who needs alpha1-proteinase inhibitor enzymes?

01
Alpha1-proteinase inhibitor enzymes are needed by individuals who have alpha-1 antitrypsin deficiency, a genetic disorder that can lead to lung and liver diseases.
02
These enzymes help manage the symptoms and slow down the progress of these conditions.
03
Patients with severe alpha-1 antitrypsin deficiency may require alpha1-proteinase inhibitor enzyme replacement therapy to supplement the low levels of alpha-1 antitrypsin protein in their body.
04
Only individuals diagnosed with alpha-1 antitrypsin deficiency should use alpha1-proteinase inhibitor enzymes under the supervision of a healthcare professional.
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Alpha1-proteinase inhibitor enzymes are proteins that help protect tissues in the body from being damaged by enzymes released during inflammation.
Medical professionals and researchers who work with alpha1-proteinase inhibitor enzymes may be required to file reports with regulatory agencies.
Alpha1-proteinase inhibitor enzymes reports can typically be filled out online through a secure portal provided by the relevant regulatory agency.
The purpose of alpha1-proteinase inhibitor enzymes is to maintain the balance of enzyme activity in the body and prevent excessive tissue damage.
Information such as the source of the enzymes, the methods of production, and any adverse effects observed during research or medical use may need to be reported.
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