Glassia Patient Assistance Programs

Glassia: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Glassia. Review the information to see if you qualify. The applications are available in Adobe PDF format and should be mailed directly to the provider of the patient assistance program.

If you have any questions, please call the telephone number for the program (not PharmacyChecker.com) or go to the program website.

Looking for a different medication?

AATmosphere iNSPIRATION Alpha-1 Program

(Program 1 of 1 — Scroll down to see them all )

Provided by: Shire Pharmaceuticals
None
TEL: 888-229-8379
Languages Spoken:
English
Program Website
Medications
  • Glassia (alpha1-proteinase inhibitor (human))
Eligibility Requirements
  • Insurance Status Determined case by case
  • Those with Part D Elibible? No
  • Income Not disclosed
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? The patient must be a US citizen or permanent resident.
Application
  • Obtaining Call
  • Receiving Faxed to Doctor's office
  • Returning The completed application must be faxed back.
  • Doctor's Action Doctor/Doctor's office must call
  • Applicant's Action Inform Doctor that he/she is in need
  • Decision Communicated Patient notified
  • Decision Timeframe Varies
Medication
  • Amount/Supply Varies
  • Sent To Doctor's office or pharmacy
  • Delivery Time Not specified
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application Not specified
Additional Information
Resources for HEALTHCARE PROFESSIONALS ONLY. Physician must call to obtain an enrollment form. Free Trial Program: Contact Program for details
Updated September 19, 2018

Back to top