Aralast NP [Alpha1-Proteinase Inhibitor (Human)]
Order Form

ARALAST® NP [Alpha1-Proteinase Inhibitor (Human)]

ARALAST® NP [Alpha1-Proteinase Inhibitor (Human)] is a medicine made from human Alpha1-Proteinase Inhibitor (Alpha1-PI), which is also known as Alpha1-antitrypsin (AAT). It is used to treat adults with lung disease (emphysema) caused by severe Alpha1 antitrypsin (AAT) deficiency.

For more information, please refer to the Aralast NP website, full Prescribing Information, and Important Safety Information.

Note: Please speak with your healthcare provider for more information if you think this therapy might be right for you.

How do I make a referral or transition my treatment to Infusion Associates?

Customized Care

1. Ask your healthcare provider to fax us a completed order form for your medication, clinical notes, demographics and your insurance card to (833) 957-2188.

2. Providers can find order forms on our medications page.

On Staff Pharmacist

3. One of our intake specialists will contact you to confirm receipt of your referral.

4. We will then verify benefits, obtain any required prior authorizations, and contact you to schedule an appointment.