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This document is a prior approval request form for the prescription drug KRYSTEXXA (pegloticase), requiring completion by both the cardholder and the prescribing physician to ensure proper processing
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How to fill out krystexxa

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How to fill out KRYSTEXXA

01
Consult your physician to determine if KRYSTEXXA is right for you.
02
Ensure that you are not allergic to any components of the medication.
03
Prepare for intravenous administration by having a healthcare professional ready for the infusion.
04
Follow the prescribed dosage and schedule provided by your healthcare provider.
05
Monitor for any side effects during and after the infusion.
06
Attend follow-up appointments to assess the effectiveness of the treatment.

Who needs KRYSTEXXA?

01
Patients with chronic gout who have not responded to conventional therapies.
02
Individuals experiencing high uric acid levels that lead to frequent gout attacks.
03
Patients who have joint damage caused by chronic gout.
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Find a gout specialist who understands and how it works differently to reduce uric acid crystal buildup, the underlying cause of gout flares and gouty lumps. starts working within 24 hours of the first treatment and can remove years of gout buildup in 6-12 months.
is the only gout treatment that controls chronic gout by changing uric acid into a water-soluble substance called allantoin that your body easily gets rid of through . After just 1 IV treatment, starts to lower your uric acid level enough to begin dissolving years of uric acid crystal buildup.
starts working within 24 hours of the first treatment and can remove years of gout buildup in 6-12 months. Optimal treatment duration with has not been established. Best results seen at 6 to 12 months. Individual results may vary.
Do not take any other uric acid lowering drug, such as , (Uloric), or probenecid, while receiving . is recommended to be given with another prescription medicine called methotrexate. may also be used alone.
® (pegloticase) is a prescription medicine used in adults to help reduce the signs and symptoms of gout that are not controlled by other treatments.
can prevent attacks of gout and control FMF only as long as you take the medication. Continue to take even if you feel well.
Gout medications (, Gloperba, Mitigare) reduces inflammation. (, Tivorbex) is a stronger NSAID pain reliever.

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KRYSTEXXA is a prescription medication used for the treatment of chronic gout in adult patients who have not responded adequately to other treatments.
Healthcare providers administering KRYSTEXXA are typically required to file for insurance reimbursement and record-keeping purposes.
To fill out KRYSTEXXA, healthcare providers must follow specific guidelines provided by the manufacturer, detailing dosage, administration, and patient information.
The purpose of KRYSTEXXA is to lower uric acid levels in the blood, which helps to reduce the frequency of gout flares in patients with chronic gout.
Information that must be reported includes patient demographics, treatment history, dosage administered, and any adverse reactions observed.
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