filgrastim
Drug Name | Form | Strength | ARHS | Blue Ridge | Caldwell | Chatham | Johnston | Lenoir | Medical Center | Nash | Pardee | Rex | Rockingham | Southeastern | Wayne | Youth Behavioral Health |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Filgrastim-aafi (Nivestym) | SOLUTION, INJECTABLE | 300 mcg/mL (300 mcg/1 mL) | ||||||||||||||
Filgrastim-aafi (Nivestym) | SOLUTION, INJECTABLE | 300 mcg/mL (480 mcg/1.6 mL) | ||||||||||||||
Filgrastim-aafi (Nivestym) | SOLUTION, INJECTABLE | 600 mcg/mL (300 mcg/0.5 mL) | ||||||||||||||
Filgrastim-aafi (Nivestym) | SOLUTION, INJECTABLE | 600 mcg/mL (480 mcg/0.8 mL) | ||||||||||||||
Filgrastim-ayow (Releuko) | SOLUTION, INJECTABLE | 600 mcg/mL (480 mcg/0.8 mL) | ||||||||||||||
Filgrastim-ayow (Releuko) | SOLUTION, INJECTABLE | 600 mcg/mL (300 mcg/0.5 mL) | ||||||||||||||
Filgrastim-sndz (Zarxio) | SOLUTION, INJECTABLE | 600 mcg/mL (300 mcg/0.5 mL) | ||||||||||||||
Filgrastim-sndz (Zarxio) | SOLUTION, INJECTABLE | 600 mcg/mL (480 mcg/0.8 mL) |
UNC Health
System Formulary Restriction:
Inpatient use of Nivestym injection is restricted to patients who require filgrastim administration via short or continuous intravenous infusion or those who require dosing not attainable via prefilled syringe
Use of Zarxio injection is restricted to patients in outpatient or clinic encounters (ie, no inpatient use) who meet the following criteria:
UNC Health IV Compendium Guideline
Payer Policy Coverage: Filgrastim and Pegfilgrastim Coverage
Med Center
UNC Medical Center Formulary Restrictions
Rockingham
Therapeutic Interchange Policy
Wayne
Wayne Therapeutic Interchange