This medication is Inpatient Formulary with Restrictions.  Criteria for use:

• • Ordered by a hematologist/oncologist
  • Time to treatment escalation for treating ITP:
    • At least 3 days of steroids prior to escalation (unless previously documented failure)
    • At least 2 doses of IVIG prior to escalation (unless previously documented failure)

UNLESS:

• • Patient is experiencing bleeding or is considered at critical/severe risk of bleeding (platelets < 20,000/mm³)

• • RomiPLOStim additional criteria: Unable to take PO medication (if able to take PO, preferentially utilize eltrombopag)
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  • NOTE: Optimize vial size when utilizing romiPLOStim.  Ie: a 125 mcg vial plus a 250 mcg vial is more cost effective than a 500 mcg vial.

• Micromedex
• CareNotes
• UpToDate
• Facts & Comparisons
• MedLinePlus (Patient Information)