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Promacta (eltrombopag)

Blue Cross & Blue Shield of Mississippi·MS · Hematology, Gastroenterology, Infectious Disease·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Blue Cross Blue Shield of Mississippi updated their prior authorization policy for Promacta (eltrombopag), a medication used to treat low platelet counts in immune thrombocytopenia, hepatitis C-related thrombocytopenia, and severe aplastic anemia. The policy requires prior authorization with specific medical criteria including failed trials of other therapies and specialist consultation.

Action Required

Action needed
Immediately: Billing team must ensure prior authorization is obtained for all Promacta (eltrombopag) prescriptions for BCBSMS patients. Providers must document specific medical criteria including diagnosis, platelet counts, failed trials of corticosteroids/IVIG/rituximab (for ITP), and specialist consultation. Update encounter forms to remind providers of PA requirement. Claims will be denied without proper authorization.
Promacta (eltrombopag) | Blue Cross & Blue Shield of Mississippi | PolicyChanges.app