Mulpleta (lusutrombopag) — Blue Cross Blue Shield of Montana

Initial criteria

• Diagnosis of thrombocytopenia and chronic liver disease
• Baseline platelet count < 50 × 10^9/L prior to therapy
• Patient scheduled to undergo a procedure with risk of bleeding (e.g., gastrointestinal endoscopy, liver biopsy, bronchoscopy, dental procedure)
• Patient would require a platelet transfusion unless platelet counts are clinically increased from baseline