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MulpletaPoint32Health

Thrombocytopenia in chronic liver disease

Initial criteria

  • Documented diagnosis of severe thrombocytopenia as indicated by a baseline platelet count less than 50,000/mcL
  • Patient age ≥ 18 years
  • Documentation the patient has chronic liver disease
  • Documentation the patient is scheduled to undergo a medical procedure
  • Prescribed by or in consultation with an appropriate specialist (e.g., hematologist, oncologist, immunologist, hepatologist, transplant specialist)
  • For Mulpleta (lusutrombopag), documented trial and failure or contraindication to Doptelet (avatrombopag)

Approval duration

1 month (one-time fill)