Krystexxa(pegloticase)
Krystexxa 8 MG in 1 ML Injection

Dosage & Administration

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See your patient's specific prior authorization requirements including coverage restrictions and step therapies
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Krystexxa Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Sep 24, 2024Arizona - Uniform Prior Authorization Form
Verified: Sep 24, 2024Colorado - Uniform Prior Authorization Form
Verified: Sep 24, 2024Hawaii - Uniform Prior Authorization Form
Verified: Sep 24, 2024Illinois - Uniform Prior Authorization Form
Verified: Sep 24, 2024Indiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Louisiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Minnesota - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Mexico - Uniform Prior Authorization Form
Verified: Sep 24, 2024Oregon - Uniform Prior Authorization Form
Verified: Sep 24, 2024Texas - Uniform Prior Authorization Form
Verified: Oct 05, 2024Washington - Uniform Prior Authorization Form
Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form
Complete Letter of Medical Necessity
PA Guide

Benefits investigation

Krystexxa Patient Enrollment Form
Krystexxa Patient Enrollment Form - Online

Krystexxa Preferred Pharmacy

Pharmacy List

Krystexxa Financial Assistance Options

Copay savings program

Krystexxa Patient Enrollment Form
Krystexxa Patient Enrollment Form - Online
Enroll in Patient Savings Program
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Krystexxa PubMed™ News

Krystexxa 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

About Krystexxa
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects
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Scan QR Code & Tap Link
Patient Stories
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Scan QR Code & Tap Link
Receiving Krystexxa
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Open Camera on Phone
Scan QR Code & Tap Link
Doctor Discussion Guide
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Gout & Your Diet Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Krystexxa FAQs

How is the dosage of Krystexxa?
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FAQ Data Source