Krystexxa

Krystexxa (pegloticase) [Horizon]

  • Refractory chronic gout
    • 8mg IV q 2 weeks
  • Need serum uric acid 24-48 hours prior to each infusion and glucose 6-PD before initiation of therapy

Instructions

  1. Please open authorization forms at left. Fill out the forms on your computer, save and print.
  2. Open Physician Orders for the office of your choice (at left). Save to your computer, print and fill out.
  3. The following tests should be performed and test results faxed to Pacific Infusion before the patient’s first visit:
    Krystexxa – Uric acid, glucose 6-PD
  4. Fax the completed, signed forms and a copy of the patient’s insurance card to: Pacific Infusion Center (310) 297-9222.
  5. After the patient’s infusion appointment, one of our nurses will fax a copy of the infusion notes to your office.