FormWeb • romiPLOStim

Henry Ford Health

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Brand name products with an equivalent generic may not be available to order at Henry Ford Health. For questions, contact inpatient pharmacy.

Henry Ford Health

Approved Hospital Formulary

FormWeb QuickStart Questions or Suggestions? Pharmacy Intranet

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romiPLOStim

romiPLOStim

Drug Name	Form	Strength	Clinic Use Only	Inpatient Restrictions	Outpatient Restrictions	Non-Formulary
Nplate	POWDER FOR INJECTION, SUBCUTANEOUS	125 mcg; 250 mcg

VIEW MORE coagulation modifiers, platelet-stimulating agents
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Last updated: Sep. 16, 2019

Look Alike Sound Alike Do not confuse romiPLOStim with romiDEPsin
Policy Tier 1: Criteria for Use of Romiplostim in the Inpatient Setting

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