Krystexxa cost: Savings options and more
The cost of Krystexxa can vary based on several factors, including your insurance coverage. A program called Amgen By Your Side may be able to help lower the price you’ll pay for Krystexxa.
As with all medications, the cost of Krystexxa can vary. Factors that may affect the price you’ll pay for this drug include:
Krystexxa may need to be purchased through a specialty pharmacy authorized to carry specialty drugs. This type of drug may be costly or require help from healthcare professionals to be taken safely and effectively. For more details about how to obtain Krystexxa, talk with your doctor.
To find out what the cost of Krystexxa will be for you, talk with your doctor, pharmacist, or insurance provider.
Krystexxa contains the active ingredient pegloticase, and it’s available only as a brand-name biologic drug. It doesn’t come in a biosimilar version. A biosimilar medication is a drug that’s similar to a brand-name biologic drug (the reference drug) but tends to cost less.
Biologic drugs can be expensive because of the research needed to test their safety and effectiveness. The manufacturer of a biologic drug can sell it exclusively for up to
If you need financial support to pay for Krystexxa, or if you need help understanding your insurance coverage, help is available. For example:
You may want to consider the following information if you have insurance and receive Krystexxa.
Prior authorization: If you have insurance, your insurance company may require prior authorization before it covers Krystexxa. This means the company and your doctor will discuss Krystexxa in regard to your treatment. The insurance company will then determine whether the medication is covered.
If a drug requires prior authorization but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Krystexxa requires prior authorization.
Type of insurance coverage: Krystexxa is given by your doctor or another healthcare professional. If you have insurance, the price of your Krystexxa doses may be billed through your medical coverage instead of the prescription drug portion of your insurance plan. This depends on your specific insurance plan and where you receive your Krystexxa doses, such as at your doctor’s office, an infusion clinic, or a hospital.
If you have questions about this process, contact your doctor or your insurance provider.
Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.