eltrombopag olamine

12.5 mg, 25 mg, 50 mg, 75 mg — Powder

VITAMINS

Also known as: eltrombopag olamine powder pack for susp 25 mg (base equiv), 12.5 mg (base eq) eltrombopag olamine tab 12.5 mg (base equiv), 25 mg (base equiv), 50 mg (base equiv), 75 mg (base equiv)

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 4 hours, 54 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026 Unknown PA | QL
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