Krystexxa is given by a doctor or nurse and billed by the clinic, not a pharmacy. Your care team and your insurance decide which product you get, so ask them what you’d pay.

How do you pay?

How to pay the least

Given by your care team

Billed by the clinic

Krystexxa is given by a doctor or nurse, not picked up at a pharmacy.

  1. Ask your care team or your plan what you’d pay before your visit.

Compare every option

Question
Brand nameKrystexxa
Authorized genericpegloticase
Regular genericpegloticase
What you’d pay
Cash priceAsk the pharmacy
Not soldThere isn’t one
Not soldAsk the pharmacy
Same as Krystexxa?
The original
–
–

Brand nameThe maker’s card

Amgen Commercial Co-Pay Program (Amgen By Your Side)

Savings card from Amgen

No insuranceNeeds insuranceNo cash price listed.
Insurance · as little as $0 an infusion

Sign up on amgenbyyourside.com 

See the offer on amgenbyyourside.com

In the maker’s words

“Eligible commercially insured patients may pay as little as $0 out-of-pocket for KRYSTEXXA and infusion costs through the Amgen Commercial Co-Pay Program.”

From the maker’s offer on amgenbyyourside.com, checked November 2, 2026. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

Authorized genericNot sold

There isn’t one. An authorized generic is Krystexxa itself, from the same company, sold without the brand name, and usually for less. For now Krystexxa is the only choice; its maker’s savings card can lower what you pay.

See the brand name →

Regular genericNot sold

Krystexxa is a biologic. Biologics don’t have generics, but some have biosimilars or an unbranded version from the same maker. Ask your pharmacist or prescriber whether one is sold. Generics usually come once the brand’s patents and exclusivity end. Until then, the maker’s savings card is the way to pay less.

See the brand name →

What it’s used for

What the FDA label says

KRYSTEXXA® (pegloticase) is a PEGylated uric acid specific enzyme indicated for the treatment of chronic gout in adult patients refractory to conventional therapy.

Limitations of Use: KRYSTEXXA is not recommended for the treatment of asymptomatic hyperuricemia.

Source: the FDA label for Krystexxa (Horizon Therapeutics USA, Inc.), July 9, 2026. Full label on DailyMed 

Good to know