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Pulmonology

Alpha-1 Augmentation (alpha-1 proteinase inhibitor)

Weekly IV replacement therapy for alpha-1 antitrypsin deficiency.

Duration: 30–60 minutes
Schedule: Once weekly, lifelong
Biosimilars / brands: Aralast NP, Prolastin-C, Glassia (interchangeable products)
Schedule Alpha-1 Augmentation For providers
Conditions

What Alpha-1 Augmentation treats.

  • Alpha-1 antitrypsin deficiency (genetic)
  • Alpha-1 related emphysema and chronic obstructive pulmonary disease
  • Slowing the progression of lung tissue damage in deficient patients
How it works

The mechanism.

Alpha-1 antitrypsin is a protein produced by the liver that protects lung tissue from damage caused by neutrophil elastase. Patients with alpha-1 antitrypsin deficiency don’t produce enough of this protective protein, leading to early-onset emphysema. Augmentation therapy replaces the missing protein with weekly IV infusions of human-derived alpha-1 antitrypsin, raising blood and lung levels into the protective range.

What to expect

Your Alpha-1 Augmentation infusion experience.

Alpha-1 augmentation is a weekly IV infusion typically lasting 30 to 60 minutes depending on dose and product. Treatment is lifelong — the goal is to slow lung function decline rather than reverse damage that has already occurred. Brand-name products (Aralast NP, Prolastin-C, Glassia) are clinically equivalent; your prescribing pulmonologist may select based on availability or insurance preference. Many patients work or run errands the same day.

Insurance & cost

Insurance & out-of-pocket cost.

Alpha-1 Augmentation is covered by most commercial insurance and Medicare Part B when prescribed by your physician for an FDA-approved indication. We verify your benefits before your first infusion and handle prior authorization on your behalf. Most commercially insured patients pay only their standard specialty copay — typically $20–$100 per visit. Manufacturer copay assistance programs may further reduce your cost.

This page is for educational purposes only. Information about Alpha-1 Augmentation (alpha-1 proteinase inhibitor) is provided for general patient information and does not replace medical advice. Alpha-1 Augmentation requires a physician’s prescription and is administered based on your physician’s orders, your diagnosis, and your individual clinical picture. Talk with your prescribing physician about whether Alpha-1 Augmentation is right for you, what side effects to watch for, and how it fits into your overall treatment plan.

Ready to start

Begin your Alpha-1 Augmentation infusion at Arbor.

Ask your physician to refer you, or contact us directly. We coordinate with your provider and handle the insurance work on your behalf.