No prior authorization required for:
- Emergency room
- Skilled nursing facility
For further information, please see the Injectable Drugs page
- For treatment of chronic immune (idiopathic) thrombocyctopenia (ITP).
- Starting dose 1 mcg/kg SC weekly. Median dose to achieve response: 2-3 mcg/kg weekly. Max dose 10 mcg/kg weekly. Dose to achieve platelet count above 50 x 109/L (not to normal platelet levels).
Length of initial authorization: 4 injections.
Length of continuation authorization: If platelet count increases to a level sufficient to avoid clinically important bleeding, approved for an additional 4 injections