FILGRASTIM

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

FILGRASTIM (5830W)

filgrastim 120 microgram/0.2 mL injection, 10 x 0.2 mL syringes
5830W
Body System:
Manner of administration:Injection
Private
S100 HSD Private
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 19398)

Indication: Chemotherapy-induced neutropenia

Restriction (Streamlined authority code: 19447)

Indication: Chemotherapy-induced neutropenia

Restriction (Streamlined authority code: 19339)

Indication: Mobilisation of peripheral blood progenitor cells

Restriction (Streamlined authority code: 19333)

Indication: Mobilisation of peripheral blood progenitor cells

Restriction (Streamlined authority code: 19399)

Indication: Assisting bone marrow transplantation

Restriction (Streamlined authority code: 19334)

Indication: Assisting autologous peripheral blood progenitor cell transplantation

Restriction (Streamlined authority code: 19395)

Indication: Severe congenital neutropenia

Restriction (Streamlined authority code: 19400)

Indication: Severe chronic neutropenia

Restriction (Streamlined authority code: 19330)

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: $266.82 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Nivestim