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pegfilgrastim
pegfilgrastim
| Drug Name | Form | Strength | Formulary Unrestricted | Formulary Restricted | Non-formulary | Interchange |
|---|---|---|---|---|---|---|
| Fulphila | INJECTION | 6mg/0.6ml prefilled syr | ||||
| Fylnetra | INJECTION | 6mg/0.6ml prefilled syr | ||||
| Neulasta | INJECTION | 6mg/0.6ml prefilled syr | ||||
| Nyvepria | INJECTION | 6mg/0.6ml prefilled syr | ||||
| Stimufend | INJECTION | 6mg/0.6ml prefilled syr | ||||
| Udenyca Prefilled Syringe | INJECTION | 6mg/0.6ml prefilled syr | ||||
| Ziextenzo | INJECTION | 6mg/0.6ml prefilled syr |
Last updated: Mar. 4, 2025
Pegfilgrastim is a RESTRICTED formulary medication. Use is RESTRICTED to out-patient locations with a PA approved for the specific biosimilar being procured. This product will only be procured for use in clinics when patient insurance will only cover product as "buy and bill."