Hi Roddy,
Since I don't live in the US I can't answer your question about if Medicare will cover Promacta or Nplate (Romiplostim). I can only give you info about the latest results from a study about Promacta and MDS:
http://bloodjournal.hematologylibrar...ct/114/18/3899
Then there is a trial for MDS patients. If you look at clin trials gov you will find info about Promacta in patients with advanced MDS and a platelet count less than 30. Only the clinic in San Antonio, Texas, is recruiting patients but many other clinics (in California, Massachusetts, Kansas City, Philadelphia, Houston, New Braunfels) will recruit patients but we don't know when.
You know the FDA has a special warning about Nplate for MDS patients because patients with low risk MDs have transformed to AML. I think Promacta is the best drug for us today.
Kind regards
Birgitta-A
Last platelet count 37