Approved Formulary
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Approved Formulary
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romiPLOStim

romiPLOStim
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-formulary Interchange
Nplate POWDER FOR RECONSTITUTION 125 mcg vial      


Comments:

Romiplostim is a RESTRICTED formulary medication.  Use of romiplostim is restricted to patients with:

1. refractory immune thrombocytopenic purpura (ITP) or
2. ITP having a severe bleeding episode or
3. a solid tumor and prolonged chemotherapy induced thrombocytopenia.

All other use requires approval by pharmacy leadership.


Last updated: Aug. 6, 2024


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Pharmacy Phone Numbers:
Inpatient Pharmacy: 205-638-9641
IV Room: 205-638-9716
Pharmacy Offices: 205-638-9718

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