Quantification of plasma microRNAs (miRNAs) as non-invasive disease biomarkers is subject to multiple technical variabilities. This study aimed to develop an optimized protocol for miRNA quantification from rodent plasma. We hypothesized that a fixed small RNA concentration input for reverse transcription (RT) reaction will provide better miRNA quantification than a fixed RNA volume input. For this, tail-vein plasma was collected from 30 naïve, adult male Sprague-Dawley rats. Plasma hemolysis was measured with NanoDrop-1000 and Denovix DS-11 spectrophotometers. Plasma was then pooled, and RNA was extracted from 50-μl, 100-μl or 200-μl pool aliquots. Small RNA concentration was measured with Qubit miRNA assay. A fixed RNA volume (un-normalized) or a fixed small RNA concentration was used for RT (concentration-normalized). The method was setup with miR-23a-3p and validated with miR-103a-3p and miR-451a. Hemolysis measurements from Denovix and NanoDrop strongly correlated. Qubit revealed increased small RNA concentrations with increasing starting plasma volumes. With concentration-normalization, miRNA levels from 100-µl and 200-µl plasma volume groups mostly normalized to the level of the 50-µl in ddPCR. Our results indicate that miRNA quantification with ddPCR should be performed with small RNA concentration-normalization to minimize variations in eluted RNA concentrations occuring during RNA extraction. MicroRNAs (miRNAs) are small non-coding RNAs (~22 nucleotides long) that regulate the expression of protein-coding genes through translational repression 1. Dysregulation of miRNA levels is observed in many disease conditions, both in the affected tissue and the circulation 2-5. Circulating serum/plasma miRNAs are extremely stable under appropriate sampling and storage conditions 6-10 , and are a potential source of non-invasive diagnostic, prognostic, and predictive biomarkers of disease states 11,12. Despite the stability of circulating plasma miRNAs, there are several challenges associated with their reliable and reproducible quantification as biomarkers. First, hemolysis in plasma impairs the detection of circulating cell-free miRNAs 6,9,13. Second, the total amount of small RNA in the plasma is usually low, making it challenging to obtain accurate concentration measurements using common methods like the NanoDrop or Agilent Bioanalyzer 14. Third, there are no endogenous normalizer miRNAs that can be used as an internal standard 15. Some attempts have been made to overcome these challenges. For example, multiple methods are proposed for detecting plasma hemolysis 16-18. The need to carefully report the protocols used for blood collection, centrifugation, storage, and handling of plasma has been emphasized, because these factors profoundly affect circulating miRNA levels, and the harmonization of these techniques is important for standardizing plasma biomarker research across laboratories 18-22. The addition of carrier RNAs and synthetic spike-ins during RNA extraction and reverse transcription-quantitative polym...