FILGRASTIM

filgrastim 120 microgram/0.2 mL injection, 10 x 0.2 mL syringes

FILGRASTIM (5829T)

filgrastim 120 microgram/0.2 mL injection, 10 x 0.2 mL syringes
5829T
Body System:
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 7822)

Indication: Chemotherapy-induced neutropenia

Restriction (Streamlined authority code: 7843)

Indication: Chemotherapy-induced neutropenia

Restriction (Streamlined authority code: 6653)

Indication: Mobilisation of peripheral blood progenitor cells

Restriction (Streamlined authority code: 6654)

Indication: Mobilisation of peripheral blood progenitor cells

Restriction (Streamlined authority code: 6679)

Indication: Assisting bone marrow transplantation

Restriction (Streamlined authority code: 6655)

Indication: Assisting autologous peripheral blood progenitor cell transplantation

Restriction (Streamlined authority code: 6680)

Indication: Severe congenital neutropenia

Restriction (Streamlined authority code: 6621)

Indication: Severe chronic neutropenia

Restriction (Streamlined authority code: 6640)

Indication: Chronic cyclical neutropenia
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 20 # of repeats: 11 DPMQ: $247.68 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Nivestim