Elitek

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

Dosage & administration

drug label

Elitek prescribing information

prior authorization

Elitek prior authorization resources

Most recent Elitek prior authorization forms

View By Payer
Verified: Feb 07, 2024Kaiser Foundation Health Plan - Chronic High-Dose Opioid Therapy Prior Authorization Form Washington
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Medical Injectable Specialty Drug Prior Authorization Form
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Outpatient Chemotherapy Prior Authorization Form (Medical Benefit)
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Specialty Drug Prior Authorization Form
Verified: Feb 01, 2024Highmark BCBS Northeastern NY - Non-Formulary Drug Coverage Prior Authorization Form

Most recent state uniform prior authorization forms

Verified: Jan 28, 2024Oregon - Uniform Prior Authorization Form
Verified: Jan 28, 2024Colorado - Uniform Prior Authorization Form
Verified: Jan 28, 2024Michigan - Uniform Prior Authorization Form
Verified: Jan 28, 2024Hawaii - Uniform Prior Authorization Form
Verified: Jan 28, 2024Minnesota - Uniform Prior Authorization Form
Verified: Jan 28, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Jan 28, 2024New Mexico - Uniform Prior Authorization Form
Verified: Jan 28, 2024Texas - Uniform Prior Authorization Form
Verified: Jan 28, 2024Louisiana - Uniform Prior Authorization Form
Verified: Jan 28, 2024Arizona - Uniform Prior Authorization Form
Verified: Jan 28, 2024Indiana - Uniform Prior Authorization Form
Verified: Jan 28, 2024Illinois - Uniform Prior Authorization Form
Complete Letter of Medical Necessity
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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Foundation programs

under insured
no insurance
goverment insurance
65+
CareAssist Enrollment Form
CareAssist Enrollment Form - Spanish
CareAssist Patient Assistance Program
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PubMed™ | Elitek

Elitek PubMed™ News

patient education

Elitek patient education

To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

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
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people also ask

Elitek FAQs

How is the dosage of Elitek?Elitek is available in 2 dosages, including 1.5 mg Injection and 7.5 mg Injection
What does Elitek treat?Elitek treats Tumor Lysis Syndrome and Hyperuricemia
What is Elitek made of?Elitek contains rasburicase which is a Uric Acid-specific Enzyme
How Is Elitek Administered?Elitek is administered as a Injectable
FAQ Data Source