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ALPHA1PROTEINASE INHIBITORS
PRIOR APPROVAL REQUEST
Additional information is required to process your claim for prescription drugs. Please complete the cardholder portion, and have the prescribing
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What is alpha 1 -proteinase inhibitors?
Alpha 1-proteinase inhibitors are medications used to treat Alpha-1 Antitrypsin Deficiency, a genetic condition that can lead to lung and liver disease.
Who is required to file alpha 1 -proteinase inhibitors?
Patients prescribed alpha 1-proteinase inhibitors are required to file the medication with their healthcare provider.
How to fill out alpha 1 -proteinase inhibitors?
Alpha 1-proteinase inhibitors are typically administered via injections, so patients must follow the instructions provided by their healthcare provider.
What is the purpose of alpha 1 -proteinase inhibitors?
The purpose of alpha 1-proteinase inhibitors is to augment the levels of alpha 1-proteinase in the body to help protect the lungs from damage.
What information must be reported on alpha 1 -proteinase inhibitors?
Information such as dosage, frequency of administration, and any side effects experienced must be reported on alpha 1-proteinase inhibitors.
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