UNC Health Medication Formulary
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UNC Health Medication Formulary
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filgrastim

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

    • Releuko: recommended first line product
    • Nivestym: may be used inpatient in patients who require filgrastim administration via short or continuous intravenous infusion or those who require dosing not attainable via prefilled syringe
    • Zarxio: no inpatient use allowed

Outpatient

    • Releuko: recommended first line product
    • Nivestym: recommended first line product
    • Zarxio: may be used outpatient in patients with insurance restrictions that do not cover Releuko or Nivestym

UNC Health IV Compendium Guideline

Payer Policy Coverage: Filgrastim and Pegfilgrastim Coverage

Med Center

Rex
     Rex Hematology-Oncology Formulary Restrictions

Rockingham
     Therapeutic Interchange Policy

Wayne
     Wayne Therapeutic Interchange


Last updated: Jan. 7, 2026







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