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Name: Group Health Member I.D. # Alpha1- Proteins Inhibitor (Prolactin C) Infusion Therapy Plan Orders Date of Birth Page 1 of 2 Instructions to Provider Review orders and note any changes. All orders
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Individuals with alpha-1 antitrypsin deficiency: Alpha1-proteinase inhibitor prolastin c is specifically used to treat individuals with alpha-1 antitrypsin deficiency. This hereditary condition can lead to various respiratory and liver problems due to a lack of a protein called alpha-1 antitrypsin.
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Alpha1-proteinase inhibitor Prolastin-C is a medication used to treat alpha-1 antitrypsin deficiency, a genetic condition that can cause lung and liver disease.
Healthcare providers or facilities prescribing or administering alpha1-proteinase inhibitor Prolastin-C are required to file the necessary documentation.
Alpha1-proteinase inhibitor Prolastin-C should be filled out according to the instructions provided by the prescribing healthcare provider or facility.
The purpose of alpha1-proteinase inhibitor Prolastin-C is to provide supplemental alpha-1 antitrypsin to individuals with alpha-1 antitrypsin deficiency.
The information reported on alpha1-proteinase inhibitor Prolastin-C may include dosage, administration frequency, and patient information.
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