Skip to content
The Policy VaultThe Policy Vault

PromactaMedica

Thrombocytopenia in a patient with chronic hepatitis C

Initial criteria

  • Patient has low platelet counts at baseline (pretreatment)
  • Patient will be receiving interferon-based therapy for chronic hepatitis C (e.g., pegylated interferon, Pegasys, PegIntron, Intron A)
  • Medication is prescribed by or in consultation with a gastroenterologist, hepatologist, or infectious disease specialist

Approval duration

1 year