Product Details

Nypozi

Filgrastim
300 mcg/0.5 mL (600 mcg/mL)
Solution for Injection
0.5-mL Single-Use Prefilled Syringe (Preservative-Free)

DIN/PIN/NPN

02520990

Manufacturer

Tanvex BioPharma USA, Inc.

Formulary Listing Date

2024-01-31

Unit Price

105.6798

Amount MOH Pays

105.6798

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

20:16:00 Hematopoietic Agents

Therapeutic Note

NO

ATC Code

L03AA02

Interchangeable Products

NO

LU Clinical Criteria

NO

Requirements

EAP Criteria

NO

Product Monograph