Get the free Krystexxa (pegloticase) - Rocky Mountain Health Plans - rmhp

UNIFORM PHARMACY PRIOR AUTHORIZATION REQUEST FORM CONTAINS CONFIDENTIAL PATIENT INFORMATION Complete this form in its entirety and send to Rocky Mountain Health Plans at 8583572538 Initial Request

How to fill out krystexxa pegloticase - rocky

How to fill out Krystexxa Pegloticase - Rocky:

1. Ensure that you have received the necessary training from a healthcare professional on how to safely administer Krystexxa Pegloticase. This medication is typically administered intravenously.
2. Wash your hands thoroughly with soap and water before preparing the medication.
3. Carefully inspect the Krystexxa vial for any signs of damage or contamination. Do not use the medication if the vial is damaged or the solution appears cloudy or discolored.
4. Use an alcohol wipe to clean the rubber stopper on the vial. Allow it to dry before proceeding.
5. Draw up the correct dosage of Krystexxa Pegloticase into a syringe, following the instructions provided by your healthcare professional. Be sure to double-check the dosage to ensure accuracy.
6. Prepare the infusion site by cleaning it with an alcohol swab. Allow it to dry completely.
7. Attach the syringe containing Krystexxa to an IV line or infusion device, following the specific instructions given by your healthcare professional.
8. Slowly administer the medication into the infusion line according to the recommended rate provided by your healthcare professional. It is important to follow the specified infusion time to ensure proper absorption.
9. Once the infusion is complete, properly dispose of any unused medication and supplies according to local regulations.
10. After the infusion, it is important to monitor for any adverse reactions or side effects. Contact your healthcare professional immediately if you experience any unexpected symptoms or if you have concerns.

Who needs Krystexxa Pegloticase - Rocky:

1. Krystexxa Pegloticase is primarily used for the treatment of chronic gout in adult patients who have not responded well to other medications. It is specifically indicated for individuals with uncontrolled, symptomatic hyperuricemia (elevated uric acid levels) and evidence of tophus (deposits of uric acid crystals) on physical examination.
2. It is important to note that Krystexxa Pegloticase is not intended for use in the treatment of acute gout attacks or to lower uric acid levels in asymptomatic hyperuricemia. It should only be used in patients who meet the specific criteria and have not achieved adequate control with other gout medications.

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