WITH GLASSIA TREATMENT,

Find a variety of resources to help get your patients started.

Jump to Section

GLASSIA product-related resources

GLASSIA Brochure

Find information on Alpha-1 antitrypsin deficiency and liquid augmentation therapy with GLASSIA.

Download GLASSIA Brochure

GLASSIA Dosage and Administration Guide

Find dosing and ordering information and step-by-step details on GLASSIA administration for in-office or at-home infusions.

DOWNLOAD DOSAGE AND
ADMINISTRATION GUIDE

Specialty Pharmacy Ordering Sheet for GLASSIA

Use the ordering sheet as you work with your patients to determine a specialty pharmacy provider that supplies GLASSIA and is right for your patients.

DOWNLOAD SPECIALTY PHARMACY
ORDERING SHEET

What GLASSIA patients have to say

I choose to self-administer* at home
because I need to do the infusions
once a week on my schedule. I love
to travel so it’s important to be able
to infuse when I am away.^†

Linda

Real GLASSIA patient since 2011
Self-infuses at home

I choose to administer at home
with a nurse because I like having
someone who comes to my house
every week at the same time. She
comes in, we do the infusion, and I
get on with my day.

Shannon

Real GLASSIA patient since 2022
Infuses at home with a nurse

I choose to administer at an
infusion center because it’s
convenient for me. I can drop my
daughters off at school, go get my
treatment, and be home even
before they are.

Vanessa

Real GLASSIA patient since 2021
Infuses at the infusion center

Having the option to infuse at
home on my own* gives me the
flexibility to keep doing the things I
love, like spending time with my
grandchildren.

Trudy

Real GLASSIA patient since 2019
Self-infuses at home with caregiver

^*If self-administration is deemed appropriate, ensure that the patient/caregiver receives detailed instructions and adequate training on how to administer in the home or other appropriate setting and has demonstrated the ability to independently administer GLASSIA.

^†Store GLASSIA at 2 °C to 8 °C (36 °F to 46 °F). Do not freeze. GLASSIA may be stored at room temperatures not exceeding 25 °C (77 °F) for up to 1 month. Once removed from refrigeration, use within 1 month.

People shown are actual GLASSIA patients.
Individual results may vary.

GLASSIA coverage-related resources

Guide for Billing and Coding for GLASSIA

This guide helps support reimbursement of Takeda Alpha-1 augmentation therapies across different sites of care.

Download GLASSIA
Billing and Coding Guide

Sample Letter of Medical Necessity

Use this sample letter to help compile relevant information on why the recommended Takeda augmentation therapy is medically necessary for your patient.

Download medical
necessity letter

Getting your patients started on Takeda Patient Support

When you prescribe GLASSIA for your patient, Takeda Patient Support is here for them. We’ll work with their specialty pharmacy (or site of care) to help them get their Takeda treatment, review financial assistance options, and direct them to educational resources.

Insurance Coverage for Patients 65 and Older

This resource helps explain insurance options to your patients who are nearing age 65.

DOWNLOAD INSURANCE
COVERAGE OVER 65

A Guide and Checklist for Prior Authorization

Use this checklist for prior authorization and/or appeals for patients on a Takeda therapy for Alpha-1 antitrypsin deficiency.

DOWNLOAD PA AND
APPEAL CHECKLIST

Need to enroll your patient? Visit our convenient online enrollment portal here, or download and fax a printed start form to 1-866-861-1752. To learn more about Takeda Patient Support, visit www.takedapatientsupport.com/
hcp/glassia.