For adults living with severe alpha-1 antitrypsin deficiency and clinically evident emphysema, ongoing augmentation therapy requires reliable clinical support. TwelveStone Health Partners provides Aralast NP infusion treatment through a network of infusion centers and home infusion services across the Southeast. With coordinated scheduling, private treatment suites, experienced clinical teams, and insurance support, we help simplify long-term therapy management.
Why Patients and Providers Trust TwelveStone
Patients, caregivers, and referring physicians rely on TwelveStone for consistent infusion care, clinical coordination, and long-term therapy support. Our PharmD-led team works closely with prescribing providers to help ensure a smooth treatment experience from referral through ongoing maintenance therapy.
- Dedicated insurance coordination for commercial, Medicare, and Medicaid plans
- Access to 30+ infusion centers across Tennessee, Kentucky, Georgia, Mississippi, and Virginia
- More than 35 years of specialty pharmacy and patient care experience
- PharmD-led clinical oversight supported by specialty infusion nurses
- Private treatment suites with WiFi, television, and comfortable recliners
Understanding Aralast NP Treatment and Eligibility
Our clinical team works closely with your pulmonologist to coordinate Aralast NP infusion treatment and ongoing therapy management.
Aralast NP is indicated for chronic augmentation therapy in adults with clinically evident emphysema caused by severe congenital alpha-1 antitrypsin deficiency. The medication replaces alpha-1 proteinase inhibitor, a naturally occurring protein that helps protect lung tissue from damage caused by certain enzymes.
Who May Be Eligible for Treatment
Candidates for Aralast NP typically:
- Have severe alpha-1 antitrypsin deficiency
- Have clinically evident emphysema
- Have been evaluated by a pulmonologist or specialist
- Have received a prescription for augmentation therapy
Your physician will determine whether this treatment is appropriate for your condition and long-term care plan.
Setting Realistic Treatment Expectations
Clinical trials show that Aralast NP increases Alpha1-PI levels in the bloodstream. However, studies have not yet conclusively demonstrated that augmentation therapy slows emphysema progression or reduces exacerbations.
This distinction is common among therapies used to manage rare genetic conditions and reflects the challenges of conducting long-term clinical research in smaller patient populations.
Rather than focusing on a single outcome, treatment decisions should be made in partnership with your pulmonologist based on your overall condition, symptoms, and treatment goals.
You can also explore our emphysema resources and patient education materials to learn more about long-term disease management.
What to Expect During Your Weekly Infusion Visits
Weekly Aralast NP therapy follows a structured process designed to support safety, comfort, and consistency.
Your physician determines your dosage based on your weight and clinical needs. While the medication itself is typically administered in about 15 minutes, total appointment time varies depending on IV placement, prescribed infusion rate, pre-medications, and post-infusion observation requirements.
Our clinical team coordinates each step to keep your appointment on schedule:
- Check-in and placement in a private suite with a comfortable recliner.
- Vital sign assessment and a brief health check with your nurse.
- IV placement by an experienced clinical specialist.
- Monitored medication delivery at your prescribed, weight-based rate.
- A brief observation period followed by discharge instructions.
Throughout your visit, trained clinical staff monitor for adverse reactions and can adjust the infusion rate when medically appropriate. Be sure to report any new or worsening symptoms during or after treatment so your care team can respond promptly.
Choosing the Right Setting for Your Weekly Treatment
Weekly Aralast NP infusion treatment can occur in three distinct care settings, depending on your clinical needs and daily schedule.
Physician Offices
A familiar medical environment that may offer infusion services but can experience scheduling limitations due to general patient volume.
Outpatient Infusion Centers
Dedicated infusion settings with specialized staff, scheduled appointment times, and amenities designed to improve patient comfort.
Home Infusion
Allows treatment at home while requiring coordination among your physician, specialty pharmacy, and home infusion nursing team.
Home infusion can be a convenient option, but it requires additional planning before treatment begins. Medication delivery, nursing support, physician oversight, and supply management must all be coordinated in advance.
Factors such as overall health status, venous access, and physician recommendations help determine whether home infusion is appropriate.
TwelveStone supports both home infusion services and outpatient infusion centers throughout the Southeast. Our team can help you evaluate each option and identify the setting that best aligns with your clinical needs, lifestyle, and schedule.
Navigating Your Insurance and Infusion Costs
Before your first Aralast NP infusion treatment, our team works with your insurance provider to verify benefits and coordinate required approvals. We manage many of the administrative steps so you can focus on your care.
Our insurance-first workflow handles:
- Benefits verification: We confirm your specific plan benefits with your provider.
- Prior authorization: Our team works with your doctor to submit clinical documents.
- Clear scheduling: We book your first visit only after coverage is confirmed.
- Ongoing support: We coordinate renewals with your doctor to prevent therapy gaps.
Out-of-pocket costs vary by insurance plan and individual coverage. Manufacturer copay assistance programs are generally available only for eligible commercial insurance plans. Federal regulations prevent Medicare and Medicaid beneficiaries from participating in many manufacturer-sponsored copay programs, but alternative financial assistance options may be available through charitable foundations and grant programs.
While coverage approvals and assistance amounts cannot be guaranteed, our team helps patients navigate available resources and complete required paperwork.
To learn more about coverage requirements, treatment preparation, and ongoing infusion support, explore our patient resources or contact our team with questions about your insurance benefits.
Frequently Asked Questions About Aralast NP

Schedule Your Aralast NP Infusion Treatment
TwelveStone Health Partners provides Aralast NP infusion treatment through a growing network of infusion centers and home infusion services across the Southeast. From insurance coordination and scheduling to ongoing clinical support, our team helps simplify long-term augmentation therapy.
Whether you’re beginning treatment for the first time or transferring care from another provider, we’re here to help you get started.














