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PROMACTA

PROMACTA Patient Support Program Registration

 

Taking medicine is an important part of managing your condition. In addition, getting the right support and resources may help you stay on track and keep a positive outlook. Created with your needs in mind, the PROMACTA® (eltrombopag) Patient Support Program is designed to assist patients who have been prescribed PROMACTA.

 

Sign up to learn more about

  • Living with chronic immune thrombocytopenia (ITP)
  • Finding a dosing schedule that works for you
  • Communicating with your health care team
  • Ways to help manage the emotional impact of chronic ITP

 

Enrollment is simple

Please complete the questions below to confirm your program enrollment.

 

  1. 1/2:Enter your information
  2. 2/2:Review and submit
*Required field.
 

Responses to the following will help us customize our communications to you.

My health is something that I myself am in charge of. *

The status of my physical health is determined largely by what I do (and don't do). *

How confident are you that you can ask your doctor about concerns that are related to your chronic ITP and PROMACTA? *

I have received previous treatment for my condition (select all that apply). *

Are you currently taking PROMACTA? *

Nplate (romiplostim) is a trademark of Amgen, Inc. Rituxan (rituximab) is a trademark of Biogen Inc. WinRho SDF is a trademark of Aptevo BioTherapeutics, LLC. 

Please complete all required fields.