Elitek

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

Dosage & administration

biomarker testing

Elitek clinical details

Genetic testing requirements were obtained from the NCCN guidelines for each cancer type.

drug label

Elitek prescribing information

prior authorization

Elitek prior authorization resources

PDF
Complete Letter of Medical Necessity

PDF
Coverage Authorization Appeals

PDF
Letter of Medical Exception
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Benefits investigation

PDF
CareAssist Enrollment Form

PDF
CareAssist Enrollment Form - Spanish
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Reimbursement help (FRM)

OTHER
Receive Assistance from an FRM Regarding Reimbursement Information
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financial assistance

Elitek financial assistance options

Co-pay savings program

commercial only

PDF
CareAssist Enrollment Form

PDF
CareAssist Enrollment Form - Spanish
Enroll in Patient Savings Program

OTHER
Reimbursement Request (For Out of Pocket Claims)
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Foundation programs

under insured
no insurance
goverment insurance
65+

PDF
CareAssist Enrollment Form

PDF
CareAssist Enrollment Form - Spanish

OTHER
CareAssist Patient Assistance Program
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patient education

Elitek patient education

Getting started on Elitek

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

Patient toolkit

PDF
CareAssist Patient Support Program Overview
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
CareAssist Patient Support Program Overview - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

PDF
CareAssist Resource Navigation Flashcard
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

Other resources

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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