Mulpleta (lusutrombopag) — Blue Cross Blue Shield of Texas

Initial criteria

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