FILGRASTIM
filgrastim 480 microgram/0.5 mL injection, 5 x 0.5 mL syringes
FILGRASTIM (2733W)
2733W
Body System:
Manner of administration:Injection
Restriction (Streamlined authority code: 8674)
Indication: Chemotherapy-induced neutropenia
Restriction (Streamlined authority code: 8667)
Indication: Chemotherapy-induced neutropenia
Restriction (Streamlined authority code: 8672)
Indication: Mobilisation of peripheral blood progenitor cells
Restriction (Streamlined authority code: 8668)
Indication: Mobilisation of peripheral blood progenitor cells
Restriction (Streamlined authority code: 8671)
Indication: Assisting bone marrow transplantation
Restriction (Streamlined authority code: 8696)
Indication: Assisting autologous peripheral blood progenitor cell transplantation
Restriction (Streamlined authority code: 8669)
Indication: Severe congenital neutropenia
Restriction (Streamlined authority code: 8670)
Indication: Severe chronic neutropenia
Restriction (Streamlined authority code: 8673)
Indication: Chronic cyclical neutropenia
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 4 | Max qty units: 20 | # of repeats: 11 | DPMQ: $400.56 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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