FILGRASTIM

filgrastim 300 microgram/0.5 mL injection, 5 x 0.5 mL syringes

FILGRASTIM (2758E)

filgrastim 300 microgram/0.5 mL injection, 5 x 0.5 mL syringes
2758E
Body System:
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 19332)

Indication: Chemotherapy-induced neutropenia

Restriction (Streamlined authority code: 19403)

Indication: Chemotherapy-induced neutropenia

Restriction (Streamlined authority code: 19392)

Indication: Mobilisation of peripheral blood progenitor cells

Restriction (Streamlined authority code: 19325)

Indication: Mobilisation of peripheral blood progenitor cells

Restriction (Streamlined authority code: 19443)

Indication: Assisting bone marrow transplantation

Restriction (Streamlined authority code: 19340)

Indication: Assisting autologous peripheral blood progenitor cell transplantation

Restriction (Streamlined authority code: 19326)

Indication: Severe congenital neutropenia

Restriction (Streamlined authority code: 19397)

Indication: Severe chronic neutropenia

Restriction (Streamlined authority code: 19327)

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: $234.92 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Zarzio