Elitek (rasburicase)
ELITEK 1.5 MG Injection

Dosage & Administration

Dosage & Administration

drug label

Elitek Prescribing Information

prior authorization

Elitek Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Jun 26, 2024Arizona - Uniform Prior Authorization Form
Verified: Jun 26, 2024Colorado - Uniform Prior Authorization Form
Verified: Jun 26, 2024Hawaii - Uniform Prior Authorization Form
Verified: Jul 26, 2024Illinois - Uniform Prior Authorization Form
Verified: Jun 26, 2024Indiana - Uniform Prior Authorization Form
Verified: Jun 26, 2024Louisiana - Uniform Prior Authorization Form
Verified: Jun 26, 2024Minnesota - Uniform Prior Authorization Form
Verified: Jun 26, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Jun 26, 2024New Mexico - Uniform Prior Authorization Form
Verified: Jun 26, 2024Oregon - Uniform Prior Authorization Form
Verified: Jun 26, 2024Texas - Uniform Prior Authorization Form
Verified: Jul 07, 2024Washington - Uniform Prior Authorization Form
Verified: Jul 07, 2024Wisconsin - Uniform Prior Authorization Form
Complete Letter of Medical Necessity
Coverage Authorization Appeals
Letter of Medical Exception

Benefits investigation

CareAssist Enrollment Form
CareAssist Enrollment Form - Spanish

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

financial assistance

Elitek Financial Assistance Options

Copay savings program

CareAssist Enrollment Form
CareAssist Enrollment Form - Spanish
Enroll in Patient Savings Program
Reimbursement Request (For Out of Pocket Claims)
Learn More

Foundation programs

CareAssist Enrollment Form
CareAssist Enrollment Form - Spanish
CareAssist Patient Assistance Program
Learn More

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

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