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Doptelet tablet (avatrombopag)Highmark

Thrombocytopenia with chronic liver disease

Initial criteria

  • age ≥ 18 years
  • diagnosis of thrombocytopenia (ICD-10: D69.6) and chronic liver disease (ICD-10: K76.9)
  • scheduled procedure documented
  • platelet count < 50 x 10^9/L
  • platelet count < 40 x 10^9/L AND taking 60 mg once daily for 5 days OR platelet count 40 x 10^9/L to < 50 x 10^9/L AND taking 40 mg once daily for 5 days

Reauthorization criteria

  • diagnosis of thrombocytopenia (ICD-10: D69.6) and chronic liver disease (ICD-10: K76.9)
  • scheduled procedure documented
  • platelet count < 50 x 10^9/L
  • platelet count < 40 x 10^9/L AND taking 60 mg once daily for 5 days OR platelet count 40 x 10^9/L to < 50 x 10^9/L AND taking 40 mg once daily for 5 days

Approval duration

1 month