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Collapse of membrane lipid asymmetry is a hallmark of blood coagulation.TMEM16F of the TMEM16 family that includes TMEM16A/B Ca2+-activated C1 channels (CaCCs) is linked to Scott syndrome with deficient Ca2+-dependent lipid scrambling.We generated TMEM 16F knockout mice that exhibit bleeding defects and protection in an arterial thrombosis model associated with platelet deficiency in Ca2+-dependent phosphatidylserine exposure and procoagulant activity and lack a Ca2+-activated cation current in the platelet precursor megakaryocytes.Heterologous expression of TMEM16F generates a small-conductance Ca2+-activated nonselective cation (SCAN) current with subpicosiemens single-channel conductance rather than a CaCC.