romiplostim
NowPatient helps you obtain your romiplostim prescription for free or at low-cost. Drug savings programs are suitable for individuals who are insured, don't have insurance or are underinsured and can't afford your medicine.
Manufactured by various FDA-approved generic manufacturers.
*You can pay as little as $0 per fill using Drug Coupons or Patient Assistance Programs. Subject to applicability & eligibility requirements.
This content is intended for US audiences only
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romiplostim key facts
What dosages is romiplostim available in?
romiplostim is available as a 125 mcg, 250 mcg or 500 mcg single-dose vial.
What is romiplostim used for?
romiplostim is a thrombopoietin receptor agonist and is used for the following:
- Low platelet levels in the blood caused by attacks from the immune system (immune thrombocytopenic purpura or ITP)
- Blood problems caused by too much radiation (hematopoietic syndrome of acute radiation syndrome).
How does romiplostim work?
romiplostim is a thrombopoietin receptor agonist. This means that it acts like the hormone thrombopoietin that’s responsible for the production of your platelets. Platelets are blood cells that help you form clots to prevent bleeds. When your platelet levels are too low, you’re at higher risk for bleeds. romiplostim is used to raise the amount of platelets in people with immune thrombocytopenia, a condition where your platelets are attacked by your immune system. romiplostim is also used to raise platelet levels in people whose platelets have been destroyed by too much radiation exposure. By raising the platelet levels, this medication helps lower the risk for bleeding.
How do I take romiplostim?
romiplostim is dosed as follows:
- This medication must be given by a healthcare provider. Your provider will determine your dose of romiplostim based on your weight
- ITP: The typical starting dose is 1 mcg/kg injected under the skin once weekly. Your provider will adjust your dose based on your platelet level
- Blood problems from too much radiation: The typical dose is 10 mcg/kg injected under the skin as a one-time dose by your provider
Is it safe for me to take romiplostim?
romiplostim is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you.
romiplostim Common Side Effects
Common side effects of romiplostim:
- Joint stiffness
- Dizziness
- Trouble sleeping
- Muscle pain
- Arm or leg pain
- Bruising
- Cough, runny nose, and other symptoms of an upper respiratory tract infection
- Mouth and throat pain
- Fever
- Diarrhea
- Rash
- Stomach pain
romiplostim Serious Side Effects
Serious side effects are rare with romiplostim. Contact your healthcare provider immediately if you experience any of the following.
- Serious allergic reaction: rash, hives, itching, red, swollen, blistered, or peeling skin with or without fever, wheezing, tightness in the chest or throat, trouble breathing, swallowing, or talking, unusual hoarseness, or swelling of the mouth, face, lips, tongue, or throat
- Blood clot in the liver: upper stomach pain, nausea, vomiting, diarrhea
- Other types of blood clots: legs or arms (swelling, redness, pain), lungs (difficulty breathing, chest pain), heart attack (chest pain, pain in the arms or shoulders, pain in the neck or jaw, shortness of breath), stroke (numbness, tingling feeling, difficulty speaking, confusion)
Effects of other drugs, drug classes and over-the-counter products on romiplostim
There are no major drug interactions listed for romiplostim. However, always let your physician and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking.
Who makes romiplostim?
Various FDA-approved generic manufacturers
Is romiplostim safe in pregnancy?
romiplostim may harm your unborn baby. Tell your healthcare provider if you become pregnant or think you may be pregnant during treatment with romiplostim.
The FDA's medical product safety reporting program for health professionals, patients and consumers.
Learn more about reporting side effects in the USDrug Savings Guide
A practical guide to saving money and receiving support with prescription costs
How can NowPatient help me to lower the cost of my romiplostim prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your romiplostim prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient romiplostim savings programs work?
After you have created your FREE account with NowPatient, you can access the various programs from your account dashboard. Each program has clear instructions on how to check your eligibility. You can see how the process works by clicking on the feature link below and seeing the ‘How it works’ steps.
Drug Coupon and Patient Assistance Programs require an eligibility quiz to be completed.
Are the NowPatient romiplostim savings programs suitable for everyone, regardless of insurance status?
No. Each program has its own eligibility and applicability requirements. The table below shows if a program is available to you, based on your insurance status.
| Rx Advantage Card* for romiplostim | Canadian Prescription Savings* for romiplostim | romiplostim Drug Coupon* | romiplostim Patient Assistance Program* | |
| Insured (federal, state or government) | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured (Commercial or Private) | Available | Available | Available If Offered by Pharmaceutical Company | Available If Offered by Pharmaceutical Company |
| Uninsured | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured but without pharmacy benefit or drug coverage | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
*This is not insurance.
Are the NowPatient drug savings programs suitable for brand and generic versions of romiplostim?
No. Each program has applicability requirements. Please see below
| Rx Advantage Card* for romiplostim | Canadian Prescription Savings* for romiplostim | romiplostim Drug Coupon* | romiplostim Patient Assistance Program* | |
| Brand | Yes | Yes | Yes, If Offered by Pharmaceutical Company | Yes, If Offered by Pharmaceutical Company |
| Generic | Yes | Yes | No | No |
*This is not insurance.
If you have Medicare Part D or Medicare Advantage and none of the romiplostim savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the romiplostim drug savings options are not applicable to you and still remain unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
The government site is easy to use and after you have selected your state, it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.
People who qualify for both Medicare and Medicaid are called ‘dual eligibles’.
If you are denied Medicaid for romiplostim, and you are still unable to afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you may be eligible for a federal support program like Low Income Subsidy. To be eligible for Low Income Subsidy, you need to be a resident in one of the 50 States or the District of Columbia. You can check eligibility online at SSA Medicare D Extra Help. You can also call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).
I am uninsured or underinsured and none of the romiplostim prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, romiplostim is not covered by your plan) and the drug savings options are not applicable or still unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.
If you are denied and all else fails, and if you have been prescribed romiplostim for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.
I am commercially or privately insured and none of the romiplostim prescription saving options are applicable or affordable for me, what can I do?
If your medication is not covered by your plan, you can appeal your insurance company’s decision. Sometimes, a formal appeal can result in the drug being covered if it is deemed medically necessary.
If you cannot afford your copay contribution, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
However, being privately insured might complicate your eligibility for Medicaid, as having private insurance may be considered in the financial eligibility assessment.
The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. If you qualify, state Medicaid may cover the full cost of your medication.
If I have federal, state or commercial insurance and none of the romiplostim prescription saving options are applicable or affordable for me, are there any other support organisations that can help me with my co-insurance or copay contributions?
If you have already tried Medicaid and received a denial letter or if you are insured with Medicare and have been denied Low-Income Subsidy, then you can try one of the following organizational support programs:
1. Patient Access Network Foundation (PAN) assistance for romiplostim
If you are having trouble paying for your romiplostim medication due to unaffordable copays or deductibles, the Patient Access Network Foundation (PAN), may be able to assist you. To qualify for PAN assistance for romiplostim you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- romiplostim is prescribed for an approved FDA indication
- You live in and receive treatment in the United States or U.S. territories, even if you do not have U.S. citizenship
- You have Medicare insurance coverage that covers romiplostim
- If romiplostim is listed on PAN’s list of covered medications
You can check the Patient Access Network Foundation Website for more information.
2. HealthWell Foundation Copay Program for romiplostim
If you are having trouble paying for your romiplostim medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for romiplostim you will need to meet the following criteria:
- You live in and are being treated in the United States
- You are insured and your plan covers romiplostim
- If romiplostim is listed on the HealthWell Foundation’s list of covered medications
You can check the HealthWell Foundation Website for more information.
3. Patient Advocate Foundation Co-Pay Relief Program for romiplostim
Patient Advocate Foundation’s Co-Pay Relief program exists to help reduce the financial distress you or your family may face when paying for your romiplostim treatment. If you qualify and can demonstrate the need, the foundation will provide you with direct payment covering co-pays, co-insurance, and deductibles. To qualify for assistance for romiplostim you will need to meet the following criteria:
- You must be currently insured and have coverage for romiplostim
- You must have a confirmed diagnosis and treatment plan
- You must reside and receive treatment in the United States
- Your Income must fall at or below 300% or 400% of the Federal Poverty Guideline (FPG) with consideration for the Cost of Living Index (COLI) and number in the household
- Applications can also be completed by contacting the program sponsor, toll-free at 866-512-3861.
You can check the Patient Advocate Foundation Website for more information.
Medical Disclaimer
NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.
The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.
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