Chemotherapy-induced neutropenia
Clinical criteria:
AND
-
Patient must be at greater than 20% risk of developing febrile neutropenia; OR
-
Patient must be at substantial risk (greater than 20%) of prolonged severe neutropenia
for more than or equal to seven days.
Note
Pharmaceutical benefits that have the forms filgrastim 480 microgram/0.5 mL injection,
10 x 0.5 mL syringes and filgrastim 480 microgram/0.5 mL injection, 5 x 0.5 mL syringes
are equivalent for the purposes of substitution.
Chemotherapy-induced neutropenia
Clinical criteria:
AND
Note
Pharmaceutical benefits that have the forms filgrastim 480 microgram/0.5 mL injection,
10 x 0.5 mL syringes and filgrastim 480 microgram/0.5 mL injection, 5 x 0.5 mL syringes
are equivalent for the purposes of substitution.
Mobilisation of peripheral blood progenitor cells
Clinical criteria:
Note
Pharmaceutical benefits that have the forms filgrastim 480 microgram/0.5 mL injection,
10 x 0.5 mL syringes and filgrastim 480 microgram/0.5 mL injection, 5 x 0.5 mL syringes
are equivalent for the purposes of substitution.
Mobilisation of peripheral blood progenitor cells
Clinical criteria:
Note
Pharmaceutical benefits that have the forms filgrastim 480 microgram/0.5 mL injection,
10 x 0.5 mL syringes and filgrastim 480 microgram/0.5 mL injection, 5 x 0.5 mL syringes
are equivalent for the purposes of substitution.
Assisting bone marrow transplantation
Clinical criteria:
Note
Pharmaceutical benefits that have the forms filgrastim 480 microgram/0.5 mL injection,
10 x 0.5 mL syringes and filgrastim 480 microgram/0.5 mL injection, 5 x 0.5 mL syringes
are equivalent for the purposes of substitution.
Assisting autologous peripheral blood progenitor cell transplantation
Clinical criteria:
Note
Pharmaceutical benefits that have the forms filgrastim 480 microgram/0.5 mL injection,
10 x 0.5 mL syringes and filgrastim 480 microgram/0.5 mL injection, 5 x 0.5 mL syringes
are equivalent for the purposes of substitution.
Severe congenital neutropenia
Clinical criteria:
AND
Note
Pharmaceutical benefits that have the forms filgrastim 480 microgram/0.5 mL injection,
10 x 0.5 mL syringes and filgrastim 480 microgram/0.5 mL injection, 5 x 0.5 mL syringes
are equivalent for the purposes of substitution.
Severe chronic neutropenia
Clinical criteria:
-
Patient must have an absolute neutrophil count of less than 1,000 million cells per
litre measured on 3 occasions, with readings at least 2 weeks apart; OR
-
Patient must have neutrophil dysfunction,
AND
-
Patient must have experienced a life-threatening infectious episode requiring hospitalisation
and treatment with intravenous antibiotics in the previous 12 months; OR
-
Patient must have had at least 3 recurrent clinically significant infections in the
previous 12 months.
Note
Pharmaceutical benefits that have the forms filgrastim 480 microgram/0.5 mL injection,
10 x 0.5 mL syringes and filgrastim 480 microgram/0.5 mL injection, 5 x 0.5 mL syringes
are equivalent for the purposes of substitution.
Chronic cyclical neutropenia
Clinical criteria:
AND
-
Patient must have experienced a life-threatening infectious episode requiring hospitalisation
and treatment with intravenous antibiotics; OR
-
Patient must have had at least 3 recurrent clinically significant infections in the
previous 12 months.
Note
Pharmaceutical benefits that have the forms filgrastim 480 microgram/0.5 mL injection,
10 x 0.5 mL syringes and filgrastim 480 microgram/0.5 mL injection, 5 x 0.5 mL syringes
are equivalent for the purposes of substitution.