Elitek

(rasburicase)
rasburicase 1.5 MG Injection [Elitek]rasburicase 7.5 MG Injection [Elitek]

Dosage & administration

drug label

Elitek prescribing information

Have more Elitek questions?

Submit MSL Request
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Need to report an Elitek issue?

ONLINE FORM
Report adverse event
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prior authorization

Elitek Prior authorization resources

Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request
Coverage Authorization Appeals
Letter of Medical Exception
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Benefits investigation

CareAssist Enrollment Form
CareAssist Enrollment Form - Spanish
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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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financial assistance

Elitek Financial assistance options

Co-pay savings program

commercial only
CareAssist Enrollment Form
CareAssist Enrollment Form - Spanish
Enroll in Patient Savings Program
Reimbursement Request (For Out of Pocket Claims)
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Bridge program

commercial only
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Foundation programs

under insured
no insurance
goverment insurance
65+
CareAssist Enrollment Form
CareAssist Enrollment Form - Spanish
CareAssist Patient Assistance Program
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patient education

Elitek Patient education

Getting started on Elitek

NOT PROVIDED BY BRAND
Instructions For Use: Management of Plasma Uric Acid Levels In Patients with Leukemia, Lymphoma, and Solid Tumor Malignancies

Patient toolkit

CareAssist Patient Support Program Overview
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
CareAssist Patient Support Program Overview - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
CareAssist Resource Navigation Flashcard
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

Can't find what you're looking for?

Our trained staff can help you:
Please note:
  • Access to a Field Reimbursement Manager (FRM) or Medical Science Liaison (MSL) varies by brand and may require talking with your rep first.
  • Samples are provided at the discretion of the brand.
  • We are unable to collect Protected Health Information (PHI), fill out forms, or submit them on your behalf.