Prolastin Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Prolastin medication with our help.Get started today
- Secure: Your personal and medical information is safe with us
- Convenient: We manage the whole process and we’re here to assist you
- Ongoing refills: We request your medication refills on your behalf
NiceRx works with your healthcare provider to help you access affordable medications directly from U.S. pharmaceutical companies.
An introduction to NiceRx(01:52)
Next steps after qualifying(00:38)
Uploading documents and billing(00:50)
SSN & billing information(00:33)
Medication delivery time(00:41)
How it works
Get started by filling out the online enrollment application to find out if you are eligible.
NiceRx verifies your eligibility for medication assistance and notifies you if you are qualified. The pharmaceutical company provides your medication for free and you only pay our service fee.
You may be required to submit further information and documents required by the pharmaceutical company which can be securely uploaded online.
Your application is created and sent to your doctor for signature. At this stage, you will be billed $49 and will not be billed again until you receive your first medication delivery.
Your application is sent to the pharmaceutical company. You will be billed again once you receive your medication. We handle the entire ordering process including requesting ongoing refills.
Your monthly Prolastin cost savings if eligible
If you are eligible to receive your Prolastin prescription through the patient assistance program, your medication will be free. We charge a flat monthly service fee of $49 per medication to cover the cost of our services.
Am I eligible for Prolastin patient assistance?
To be eligible for the Prolastin patient assistance program, you will need to meet specific eligibility criteria set by the pharmaceutical company. At NiceRx, we review each Prolastin enrollment application individually. The main factors considered are:
- I am a permanent, legal resident of the United States or Puerto Rico
- I am uninsured or my insurance doesn’t cover my medication
- I meet certain income eligibility requirements
How do I apply for the Prolastin patient assistance program?
Applying for the Prolastin patient assistance program through NiceRx is simple. Begin by completing the enrollment application on our website. We will ask for details about your healthcare provider, your insurance plan, and your household income. This information is required by the pharmaceutical manufacturers that supply your medication. We may be able to help you access patient assistance for other medications as well as Prolastin, so please tell us about any medications that you have been prescribed.
If we determine that you may be eligible for Prolastin assistance, we will handle the full enrollment process on your behalf. We will work with your healthcare provider to prepare and submit all the documents required for you to enroll. If you are successfully enrolled in the Prolastin patient assistance program, we will also request your Prolastin medication refills on your behalf for up to 1 year. At the end of your enrollment period, we will contact you for updated details and seek to re-enroll you in the program.
Is NiceRx a Prolastin coupons provider?
NiceRx does not provide Prolastin coupons, discount cards, or copay cards. We do not offer printable Prolastin manufacturer coupons, Prolastin discounts, rebates, Prolastin savings cards, trial offers, or free samples. We are a service provider that helps eligible individuals access patient assistance programs. Our service cost is $49 a month per medication, so you will likely save more on your Prolastin medication with NiceRx.
Can NiceRx help me get Prolastin if I have insurance?
NiceRx may be able to help you access Prolastin patient assistance if:
- You have a high copay or coinsurance responsibility for Prolastin
- Your insurance company will not pay for your Prolastin prescription
- You do not have insurance
Complete your enrollment application online to find out more.
How much does Prolastin cost without insurance?
Prolastin prices without insurance will vary by retailer. As a guide, Prolastin intravenous powder for injection human will typically cost around $10 for 1 powder for injection.
How much does Prolastin cost with insurance?
Your individual healthcare plan will determine the copay of Prolastin with insurance. To find out what you will need to pay, contact your pharmacist or insurance provider. They will be able to calculate your copay with your current insurance.
What is Prolastin?
Prolastin-C Liquid is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Grifols Therapeutics, Inc.
It is an Alpha1-Proteinase Inhibitor (Human) (Alpha1-PI) used for chronic augmentation and maintenance therapy in adults with clinical evidence of emphysema due to severe hereditary deficiency of Alpha1-PI (alpha1-antitrypsin deficiency). AAT deficiency is the number 1 known genetic risk factor for COPD and may be a contributing cause for up to 3% of COPD (chronic obstructive pulmonary disease) cases in the United States.
The effect of augmentation therapy with any Alpha1-PI on pulmonary exacerbations and on the progression of emphysema in Alpha1-PI deficiency has not been conclusively demonstrated in randomized, controlled clinical trials. Prolastin-C Liquid is not recommended for lung disease in patients in whom severe Alpha1-PI deficiency has not been found.
What doses of Prolastin are available?
Prolastin is available in injection form, in the following doses: approximately 1,000 mg in a single-use vial containing 20 mL of solution for injection.
The recommended dose of Prolastin-C Liquid is 60 mg/kg body weight, given intravenously once per week.
Prolastin is a liquid version 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 and use within 3 hours after mixing.
Store Prolastin in the refrigerator. Take the medicine out of the refrigerator and let it reach room temperature before preparing your dose. Once Prolastin has reached room temperature, you must use it within 1 month. Do not return it to a refrigerator.
Read the prescribing information and all medication guides or instruction sheets. Use the medicine exactly as directed. Always speak with your healthcare provider about any changes to your dose so they can monitor and evaluate your condition.
Prolastin active ingredients
Prolastin contains the active ingredient Alpha-1-proteinase inhibitor. It is used to replace an enzyme in patients with lung problems caused by low levels of alpha-1 antitrypsin.
Prolastin side effects
The most common side effects of Prolastin in clinical trials include:
- Tiredness, weakness
- Symptoms of a cold
- Headache, joint pain
- Bruising or bleeding where the injection was given
In rare instances, Prolastin can cause more serious adverse effects. These can include:
- Difficulty breathing, chest pain
- Sudden numbness or weakness, problems with vision or balance, slurred speech
- Severe hypersensitivity – stop Prolastin and initiate emergency treatment if hypersensitivity reactions occur
Because Prolastin is made from human plasma there is a very small chance it may carry infectious agents and you could get infections (including viral infections such as hepatitis, parvovirus B19, CJD), even though careful screening of donors, special manufacturing processes, and many tests are used to reduce this risk.
Your doctor will assess the benefits of using Prolastin against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Prolastin to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Prolastin drug interactions
Currently, no interactions are listed with other medications. Tell your healthcare provider about all other medicines you use, including prescription drugs and over-the-counter medicines, vitamins, herbal products, and supplements.
You should not use Prolastin if you:
- Have a history of anaphylaxis or other severe systemic reaction to Alpha-1-proteinase inhibitor
- Are allergic to any of the other ingredients in Prolastin
- Have an IgA (immunoglobulin A) deficiency or antibody against IgA
Talk to your doctor before using Prolastin if you:
- Are taking any of the medications that could interact with Prolastin
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
Prolastin is the trademark brand name for Alpha-1-proteinase inhibitor manufactured by Grifols Therapeutics, Inc. A generic version of the Alpha-1-proteinase inhibitor is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Prolastin savings through NiceRx.
*Qualifying persons may obtain medications directly from patient assistance programs without any out-of-pocket cost (or for less than $49 per medication). However, our monthly flat rate of just $49 per medication spares you the hassle of tracking down the different programs and filling out all the required paperwork for each program.
Enrollees enjoy a full-service solution, as NiceRx assists them and their physicians with the entire process. We prepare all required documents for the physician to sign, help enrollees manage all prescription refills, monitor eligibility criteria, and maintain enrollment.
**If you do not receive medications because you were determined to be ineligible for the prescription assistance by the applicable pharmaceutical companies and you have a letter of denial, we will refund any fees you paid toward medications for which you did not qualify to receive prescription assistance (“Refund”).
To receive a refund, you must send the letter of denial to us by fax to 888-517-7444, or by e-mail to [email protected] within 30 days of your receipt of such letter. The Refund is your sole and exclusive remedy for any fees you may wish to dispute.
The content on this website is intended for information purposes only. It does not constitute medical advice. The information on this website should not be relied upon and is not a substitute for professional medical advice. You should always speak to your doctor regarding the risks and benefits of any treatment.