FDA-filed SPL labeling · retrieved through openFDA

Filgrastim Injection

Filgrastim injection is a man-made protein that stimulates white blood cell production, used to reduce infection risk during chemotherapy, support recovery after bone marrow transplantation, treat severe chronic neutropenia, help collect stem cells, and improve survival after radiation exposure.

Brand names GranixZarxioNeupogenNivestymReleuko +2 more
Drug class Leukocyte Growth Factor
Rx Form 1 Routes Intravenous; Subcutaneous · Intravenous, Subcutaneous
Dr. Brian Staiger, PharmD, BCPS
Reviewed by Last reviewed Jul 10, 2026
🧬 Where this information comes from Click to expand

The clinical label records used on this page are FDA-filed Structured Product Labeling (SPL) retrieved through openFDA. We identified 2 clinical label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. Forms, routes, brands, labelers, strengths, and NDC product-record counts are built separately from matching FDA National Drug Code Directory records. The linked DailyMed document is a representative official source for verification, not the page’s only clinical source. View the linked label on DailyMed →

At a glance
Linked label effectiveJul 23, 2026
Clinical labels in scope 2
AvailabilityRx
Earliest approval/marketing year 1991
FDA-listed product records 32
Boxed warningNone found in compared labels
How we combine label and product data →
No current FDA shortage listed · checked Sep 22, 2026
Filgrastim Injection at a glance The quick version — the full detail is in the Patient Information Guide below.
💊
HelloPharmacist Editorial Team Bottom Line
Filgrastim injection is a well-established treatment for dangerously low white blood cell counts caused by chemotherapy, bone marrow transplantation, or chronic neutropenia. It works by stimulating the bone marrow to produce more infection-fighting neutrophils. Bone pain is the most common side effect, but rare serious risks — including splenic rupture and severe allergic reactions — mean you should report any unusual symptoms to your care team right away.

📖 Filgrastim Injection: Patient Information Guide

A plain-language walkthrough of Filgrastim Injection — what it treats, how it works, how it’s taken, side effects, warnings and interactions. Tap any section to expand it.

🎯What it's used for

Filgrastim injection is approved for several conditions where the body's neutrophil (infection-fighting white blood cell) count is too low or needs to be boosted.

  • Reduces the risk of serious infection (febrile neutropenia) in people with non-myeloid cancers receiving myelosuppressive (bone marrow-suppressing) chemotherapy
  • Shortens the duration of low white blood cell counts and fever following induction or consolidation chemotherapy for acute myeloid leukemia (AML)
  • Reduces the duration of neutropenia after myeloablative (high-dose, marrow-destroying) chemotherapy followed by bone marrow transplantation in people with non-myeloid cancers
  • Mobilizes stem cells (hematopoietic progenitor cells) from the bone marrow into the bloodstream so they can be collected by a procedure called leukapheresis
  • Treats severe chronic neutropenia — including congenital neutropenia, cyclic neutropenia, and idiopathic neutropenia — to reduce the frequency and severity of infections
  • Neupogen is indicated to increase survival in patients acutely exposed to myelosuppressive doses of radiation (Hematopoietic Syndrome of Acute Radiation Syndrome)
⚙️How it works

Filgrastim is a man-made version of G-CSF (granulocyte colony-stimulating factor), a protein your body naturally makes. It attaches to receptors on immature cells in the bone marrow and signals them to grow, multiply, and mature into neutrophils — the white blood cells that seek out and destroy bacteria. When chemotherapy or radiation wipes out the bone marrow's ability to make these cells, filgrastim steps in to restart production and keep your immune defenses working.

The boost in neutrophil count happens relatively quickly after dosing, and counts return toward baseline within about 4 days of stopping the medication. The neutrophils produced are fully functional — capable of hunting down bacteria and fighting infection normally.

💊How it's taken

Filgrastim is always given by injection — either as a subcutaneous (under-the-skin) shot or as an intravenous (IV) infusion into a vein. The route and frequency depend on why you are taking it: some uses call for a once-daily injection, others require twice-daily dosing or continuous IV infusion. For chemotherapy patients, it is started at least 24 hours after a chemotherapy dose and is never given within 24 hours before the next dose.

  • For stem cell mobilization (Releuko): given by daily subcutaneous injection for at least 4 days before the first collection procedure
  • For severe chronic neutropenia (Releuko): given by daily or twice-daily subcutaneous injection on an ongoing basis; the dose is adjusted based on blood count response
  • For radiation exposure (Releuko): started as soon as possible after exposure and continued until white blood cell counts recover

If you miss a dose, contact your healthcare provider — do not double up without guidance. Always follow the instructions from your prescribing team and the medication guide included with your product.

🤒Side effects — in detail

The most common side effects of filgrastim include:

  • Bone pain or muscle and joint aches — very common, especially during stem cell mobilization
  • Fever (pyrexia)
  • Headache
  • Skin rash
  • Fatigue
  • Nausea
  • Nosebleeds (epistaxis)
  • Enlarged spleen (splenomegaly), particularly with long-term use
  • Low platelet count (thrombocytopenia)

Serious reactions that require immediate medical attention include splenic rupture, acute respiratory distress syndrome (ARDS), severe allergic reactions (anaphylaxis), sickle cell crisis, kidney inflammation (glomerulonephritis), capillary leak syndrome, and aortitis (inflammation of the aorta). Contact your care team right away if you develop sudden abdominal or shoulder pain, difficulty breathing, or signs of a serious allergic reaction.

⚠️Warnings & precautions
  • Splenic rupture: The spleen can rupture — sometimes fatally — in patients taking filgrastim. Sudden pain in the left upper abdomen or left shoulder is a red flag; seek emergency care immediately.
  • Acute respiratory distress syndrome (ARDS): Filgrastim can cause ARDS, a severe lung condition. Tell your doctor right away if you develop fever with shortness of breath or lung problems.
  • Severe allergic reactions: Anaphylaxis (a life-threatening allergic reaction) has occurred, most often with the first dose. Filgrastim must be permanently stopped if this happens.
  • Sickle cell crisis: People with sickle cell disorders can experience severe, sometimes fatal, crises. Filgrastim should be stopped immediately if a crisis occurs.
  • MDS and AML risk: Patients with congenital neutropenia on long-term filgrastim treatment have an increased risk of developing MDS (myelodysplastic syndrome) or AML (acute myeloid leukemia). Patients with breast or lung cancer using filgrastim with chemotherapy or radiation should also be monitored.
  • Aortitis: Inflammation of the aorta (the body's main artery) has been reported, sometimes within the first week. Symptoms include fever, abdominal or back pain, and elevated inflammatory markers.
  • Do not give at the same time as chemotherapy: Filgrastim must not be given within 24 hours before or after cytotoxic chemotherapy.
🔀What it interacts with

The FDA label for filgrastim does not list specific drug-drug interactions by name, but there are important timing and clinical considerations to be aware of:

  • Cytotoxic chemotherapy: Filgrastim must not be given within the 24-hour window before or after chemotherapy — combining them can harm rapidly dividing bone marrow cells
  • Radiation therapy: Simultaneous use with radiation therapy has not been studied and is not recommended
  • Lithium: Not addressed in this label — always tell your prescriber about all medications, supplements, and herbal products you take

This is not a complete list of interactions. Always talk with your doctor or pharmacist before starting, stopping, or changing any medication.

📋Before taking it
  • Do not take filgrastim if you have had a serious allergic reaction to any filgrastim product or to pegfilgrastim — this is a contraindication (an absolute reason not to use it)
  • Tell your doctor if you have sickle cell disease — filgrastim can cause severe and potentially fatal crises
  • Tell your doctor if you have kidney disease — filgrastim is partly cleared by the kidneys; higher blood levels may occur with severe kidney impairment, though dose adjustment is generally not required
  • Liver disease: dose adjustment for hepatic (liver) impairment is not necessary based on available data
  • Pregnancy: available human data have not shown clear harm, but animal studies at high doses showed risks; discuss the benefits and risks with your doctor
  • Breastfeeding: filgrastim passes into breast milk in small amounts and is poorly absorbed by infants; discuss with your doctor whether to continue breastfeeding
  • Children: filgrastim is used in pediatric patients; for very small doses, the vial formulation should be used instead of the prefilled syringe to avoid dosing errors
  • Older adults (65+): no significant differences in safety or effectiveness have been observed compared to younger patients
🚑If you take too much

The maximum safe dose of Neupogen has not been formally established. In clinical trials, very high white blood cell counts (above 100,000/mm³) occurred in fewer than 5% of patients but were not associated with serious harmful effects. If you think too much has been given, contact the Poison Help line at 1-800-222-1222 or seek medical care promptly.

📡Pharmacodynamics — effects in the body

After a dose of filgrastim, neutrophil counts in the blood rise in a dose-dependent way — meaning higher doses lead to higher counts. This effect is seen regardless of whether the drug is given intravenously or as a subcutaneous injection. When filgrastim is stopped, neutrophil counts return to pre-treatment levels in most patients within about 4 days. The neutrophils produced are fully functional, with normal ability to seek out and destroy bacteria.

🔬Pharmacokinetics — how your body processes it

Filgrastim is absorbed relatively quickly after a subcutaneous injection, reaching peak blood levels within 2 to 8 hours. After an intravenous dose, the drug has a half-life of roughly 3.5 hours — meaning the body clears about half of the drug in that time. The body processes filgrastim through two main pathways: receptors on white blood cells take up the drug (this pathway gets saturated at high levels), and the kidneys clear the remainder. Bioavailability (the fraction that reaches the bloodstream) after subcutaneous injection is 60–70%. The pharmacokinetics in children are similar to those in adults when doses are adjusted for body weight.

📦How to store it

Store NEUPOGEN vial refrigerated at 2°C to 8°C (36°F to 46°F) in the original carton to protect from light and physical damage. Avoid freezing NEUPOGEN vial; if frozen, thaw in the refrigerator before administration.

📄 Written from Filgrastim Injection’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Every point is grounded in that labeling — nothing is invented. How we use AI →

17

Supplements & herbs that interact with Filgrastim Injection

17 supplements and herbal products have documented interactions with Filgrastim Injection in the licensed clinical database we use. Most are manageable — but your pharmacist should know about everything you take, including vitamins and herbals.

Severity mix
  • Major · 1
  • Moderate · 7
  • Minor · 9
Every supplement checked against Filgrastim Injection — ranked by severity The full interaction hub: 1 major · 7 moderate · 9 minor · every one linked to its full report. Check Filgrastim Injection against your exact supplements

Educational information from a licensed clinical database (Natural Medicines) — see our data sources & update cadence. Not medical advice: an interaction being documented does not mean it will happen to you; do not start or stop medications or supplements without professional guidance.

🩺 Pharmacist Counseling Corner

Quick, plain-English answers to the questions patients ask most about Filgrastim Injection — the kind of thing our pharmacy team would talk through with you at the counter.

Why has my doctor prescribed filgrastim — what does it actually do for me?
Filgrastim tells your bone marrow to make more neutrophils, which are the white blood cells that fight off bacterial infections. When chemotherapy or a condition like chronic neutropenia knocks your counts dangerously low, you become vulnerable to serious infections. Filgrastim helps bring those counts back up and keep you protected during that vulnerable window. Your doctor has weighed the benefits for your specific situation, whether that's getting through chemotherapy more safely or managing a chronic condition.
What side effects are most likely, and are they serious?
The most common one is bone pain — it can range from mild achiness to more noticeable discomfort, especially in your back, hips, or legs, and it's more pronounced when filgrastim is used for stem cell collection. Fever, headache, rash, and fatigue are also fairly common. Most of these are manageable. That said, there are rare but serious risks — like splenic rupture (a tear in the spleen), severe allergic reactions, and lung problems — so your care team will be monitoring you closely. Don't push through sudden left-sided abdominal or shoulder pain; call your doctor right away.
How do I give myself the injection at home, and does it need to be refrigerated?
Yes — filgrastim needs to be kept in the refrigerator. Before your injection, take it out and let it warm up for at least 30 minutes, but don't leave it out for more than 24 hours. Common injection sites include your abdomen, outer thigh, upper arm, or upper outer buttock — rotate spots to avoid soreness. Your healthcare team will walk you through the technique before you go home, and if you're unsure about measuring the right amount, using the vial rather than the prefilled syringe gives you more control. Never reuse a vial or syringe.
Is it safe to take during pregnancy or while breastfeeding?
Human studies in pregnant women with chronic neutropenia haven't shown a clear increase in birth defects or miscarriage, but the evidence is limited. Animal studies at high doses did show some risks. If you're pregnant or trying to become pregnant, make sure your doctor knows — together you can weigh whether the benefits outweigh the unknowns for your situation. As for breastfeeding, filgrastim does pass into breast milk in small amounts, but infants don't absorb it well from the gut. Your doctor can help you decide what's safest for you and your baby.
Are there any medications or treatments I need to avoid while taking filgrastim?
The most important rule is timing around chemotherapy — filgrastim should never be given within 24 hours before or after a chemotherapy dose, because giving them too close together can actually damage your bone marrow cells. Filgrastim is also not recommended during radiation therapy. Always give your entire medication list to your oncology team — including any supplements — so they can flag anything that might be a concern.
Is there anything special I should watch for that would mean I need to call my doctor or go to the ER?
Yes — a few red flags to take seriously. Sudden sharp pain in your left upper abdomen or left shoulder could signal a ruptured spleen, which is a medical emergency. Difficulty breathing, fever with chest symptoms, or a sudden severe allergic reaction (hives, throat swelling, fainting) also need immediate attention. If you develop back pain, abdominal pain, or fever in the first week or two of treatment and your doctor isn't sure why, mention filgrastim — rarely it can cause inflammation of the aorta (aortitis). When in doubt, call your care team first.
Is Filgrastim Injection available over the counter?
Filgrastim Injection is dispensed by prescription according to its FDA labeling, so it isn't sold over the counter. Your prescriber and pharmacist will determine if it's appropriate for you.
When was Filgrastim Injection first available?
Filgrastim Injection has been available in the United States since at least 1991, based on FDA approval history (Drugs@FDA) and product marketing records.
Who makes Filgrastim Injection?
Filgrastim Injection is supplied by 3 manufacturers listed in the FDA NDC Directory, including Amgen, Inc, Amneal Pharmaceuticals LLC, Amgen Inc.

💬 Answers drafted from Filgrastim Injection’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Grounded in that labeling — nothing is made up. How we use AI →

🧰 Keep exploring

💊 How Filgrastim Injection comes

Filgrastim Injection is available in 1 form. Different forms and brands can have different approved uses, doses, schedules, and directions. Follow the instructions for your exact product, and do not switch forms without guidance from your prescriber or pharmacist.

Injection

Into a vein · Under the skin
Brands Neupogen Releuko
How this form is used
What it may be used for
  • Used to reduce the risk of febrile neutropenia (fever caused by dangerously low white blood cells) in people with cancer receiving myelosuppressive chemotherapy
  • Used to shorten the period of low white blood cell counts after bone marrow transplantation or AML chemotherapy
  • Neupogen is indicated to increase survival in patients acutely exposed to myelosuppressive doses of radiation
  • Used long-term in patients with severe chronic neutropenia (congenital, cyclic, or idiopathic) to reduce infections
Important instructions
  • Releuko and Neupogen may be given by subcutaneous (under-the-skin) injection or by intravenous infusion, depending on the condition being treated — follow your prescriber's specific instructions
  • Releuko: remove the vial or prefilled syringe from the refrigerator at least 30 minutes before injecting; do not leave it at room temperature for more than 24 hours
  • Releuko prefilled syringe: direct administration of less than 0.3 mL is not recommended due to risk of dosing errors — use the Releuko single-dose vial for smaller doses
  • Subcutaneous injections may be given in the outer upper arm, abdomen, thigh, or upper outer buttock — rotate sites and follow your healthcare provider's training before self-injecting
Available strengths 4 strengths
32 FDA-listed product records

📊 Filgrastim Injection across the U.S. market

How Filgrastim Injection appears in the FDA’s National Drug Code Directory — including its dosage forms, strengths, brand names, manufacturers, and FDA-listed product records. These are directory records, not sales or prescription volume.

1
Dose forms
3
Manufacturers
2
Brand names
32
FDA-listed product records
1991
First marketed
Amgen, Inc38%
Amneal Pharmaceuticals LLC38%
Amgen Inc25%

Share of FDA-listed product records by manufacturer — FDA National Drug Code Directory. Record counts are not sales or prescription volume.

📈 How widely Filgrastim Injection is used

A general measure of how commonly Filgrastim Injection is prescribed, based on Medicaid — one of the largest public drug programs. The figure below is prescriptions filled in Q1–Q4 2025, summed across every form and brand of the drug.

Think of this as a proxy for how widely Filgrastim Injection is used, drawn from freely available public data. Medicaid is just one program — these numbers don’t include Medicare, other government coverage, or commercial and cash-pay prescriptions, so real-world use is higher than what’s shown here.

31,849
Medicaid prescriptions filled (Q1–Q4 2025)
$38.4M gross Medicaid reimbursement (before mandatory rebates — net cost is lower)

How commonly is Filgrastim Injection prescribed? Of the 1,596 medications we measure, Filgrastim Injection ranks #724 by Medicaid prescriptions — more than 55% of them.

Where Filgrastim Injection ranks among the drugs we measure · Q1–Q4 2025 · neighbors ±5

Utilization by Filgrastim Injection product

Pick a product to see its own Medicaid numbers. Each chip is one clinical product — a specific strength & dosage form as defined by RxNorm — with brand-name and generic versions combined.

The 0.8 mL / 0.6 mg/mL prefilled syringe is the most-dispensed Filgrastim Injection product — about 16% of these Medicaid prescriptions.

0.8 ML filgrastim-sndz 0.6 MG/ML Prefilled Syringe Most dispensed

5,202 Medicaid prescriptions (Q1–Q4 2025) 16% of Filgrastim Injection prescriptions shown $2.9M gross reimbursement (before rebates) ≈ $566 per prescription (gross)

Summed across the 2 of 6 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1605074

0.5 ML filgrastim-sndz 0.6 MG/ML Prefilled Syringe

4,361 Medicaid prescriptions (Q1–Q4 2025) 14% of Filgrastim Injection prescriptions shown $3M gross reimbursement (before rebates) ≈ $684 per prescription (gross)

Summed across the 2 of 6 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1605066

0.8 ML filgrastim-aafi 0.6 MG/ML Prefilled Syringe

3,822 Medicaid prescriptions (Q1–Q4 2025) 12% of Filgrastim Injection prescriptions shown $1.9M gross reimbursement (before rebates) ≈ $488 per prescription (gross)

Summed across the 2 of 2 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2057215

0.5 ML filgrastim-aafi 0.6 MG/ML Prefilled Syringe

3,136 Medicaid prescriptions (Q1–Q4 2025) 10% of Filgrastim Injection prescriptions shown $1.6M gross reimbursement (before rebates) ≈ $517 per prescription (gross)

Summed across the 2 of 2 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2057200

1 ML filgrastim 0.3 MG/ML Injection

3,042 Medicaid prescriptions (Q1–Q4 2025) 10% of Filgrastim Injection prescriptions shown $7.5M gross reimbursement (before rebates) ≈ $2,465 per prescription (gross)

Summed across the 1 of 3 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1649944

0.8 ML tbo-filgrastim 0.6 MG/ML Prefilled Syringe

3,038 Medicaid prescriptions (Q1–Q4 2025) 10% of Filgrastim Injection prescriptions shown $6.5M gross reimbursement (before rebates) ≈ $2,149 per prescription (gross)

Summed across the 4 of 7 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1433771

0.5 ML filgrastim 0.6 MG/ML Prefilled Syringe

2,468 Medicaid prescriptions (Q1–Q4 2025) 8% of Filgrastim Injection prescriptions shown $5.3M gross reimbursement (before rebates) ≈ $2,132 per prescription (gross)

Summed across the 2 of 4 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 727535

0.5 ML tbo-filgrastim 0.6 MG/ML Prefilled Syringe

2,362 Medicaid prescriptions (Q1–Q4 2025) 7% of Filgrastim Injection prescriptions shown $2.9M gross reimbursement (before rebates) ≈ $1,237 per prescription (gross)

Summed across the 4 of 7 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1433768

0.8 ML filgrastim 0.6 MG/ML Prefilled Syringe

1,554 Medicaid prescriptions (Q1–Q4 2025) 5% of Filgrastim Injection prescriptions shown $5.1M gross reimbursement (before rebates) ≈ $3,267 per prescription (gross)

Summed across the 2 of 4 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 727544

0.8 ML filgrastim-ayow 0.6 MG/ML Prefilled Syringe

956 Medicaid prescriptions (Q1–Q4 2025) 3% of Filgrastim Injection prescriptions shown $215,648 gross reimbursement (before rebates) ≈ $226 per prescription (gross)

Summed across the 2 of 2 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2595961

0.5 ML filgrastim-ayow 0.6 MG/ML Prefilled Syringe

719 Medicaid prescriptions (Q1–Q4 2025) 2% of Filgrastim Injection prescriptions shown $72,163 gross reimbursement (before rebates) ≈ $100 per prescription (gross)

Summed across the 2 of 2 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2595944

1 ML filgrastim-aafi 0.3 MG/ML Injection

676 Medicaid prescriptions (Q1–Q4 2025) 2% of Filgrastim Injection prescriptions shown $903,326 gross reimbursement (before rebates) ≈ $1,336 per prescription (gross)

Summed across the 1 of 2 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2057209

1.6 ML filgrastim 0.3 MG/ML Injection

217 Medicaid prescriptions (Q1–Q4 2025) <1% of Filgrastim Injection prescriptions shown $318,201 gross reimbursement (before rebates) ≈ $1,466 per prescription (gross)

Summed across the 1 of 3 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1649963

1 ML filgrastim-ayow 0.3 MG/ML Injection

108 Medicaid prescriptions (Q1–Q3 2025) <1% of Filgrastim Injection prescriptions shown $3,114 gross reimbursement (before rebates) ≈ $29 per prescription (gross)

Summed across the 1 of 2 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2595953

1.6 ML filgrastim-aafi 0.3 MG/ML Injection

85 Medicaid prescriptions (Q1–Q4 2025) <1% of Filgrastim Injection prescriptions shown $111,405 gross reimbursement (before rebates) ≈ $1,311 per prescription (gross)

Summed across the 1 of 2 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2057218

1 ML tbo-filgrastim 0.3 MG/ML Injection

76 Medicaid prescriptions (Q1–Q4 2025) <1% of Filgrastim Injection prescriptions shown $43,762 gross reimbursement (before rebates) ≈ $576 per prescription (gross)

Summed across the 1 of 2 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2101456

1.6 ML tbo-filgrastim 0.3 MG/ML Injection

27 Medicaid prescriptions (Q1–Q4 2025) <1% of Filgrastim Injection prescriptions shown $16,083 gross reimbursement (before rebates) ≈ $596 per prescription (gross)

Summed across the 1 of 2 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2101464

Shares are of the Medicaid prescriptions shown here. Product grouping follows RxNorm (the National Library of Medicine’s drug terminology), so “one product” means one strength & dosage form regardless of manufacturer. Dollar figures are gross Medicaid reimbursement before mandatory rebates — rebates (often large, especially for brand-name drugs) are confidential, so actual net cost to Medicaid is lower than shown.

Source: Medicaid State Drug Utilization Data (CMS), aggregated by generic ingredient — summed across every NDC (all brands, strengths, salt forms and dosage forms) of Filgrastim Injection, and across all states and both fee-for-service and managed-care claims. A general popularity signal; it excludes Medicare, commercial insurance and cash prescriptions, so it is not total U.S. use. Based on the 31 of 58 listed Filgrastim Injection NDCs with Medicaid activity.

🔍 Compare Filgrastim Injection products

A representative set of FDA-listed product records for Filgrastim Injection — across manufacturers, strengths, and dosage forms, grouped by form with each product’s manufacturer and how the FDA approved it. The same medicine may be made and packaged by different companies, so a single drug can have many directory entries. (It’s also why a refill can look different — a new shape, color, or box — even though it contains the same medication.)

Showing 32 of 32 products — FDA National Drug Code Directory. See every product, package size and price: browse all 32 Filgrastim Injection NDCs →

RxNorm Concept Web — From Ingredient to Every Form and Strength

This page starts with one ingredient concept (IN). The branches below show its dose-form concepts (SCDF), then the available clinical drug and strength concepts (SCD). Combination products remain separate concepts with their own pages.

Ingredient (IN) Filgrastim Injection RxCUI 68442 2 dose forms · 22 strengths
  1. Dose form (SCDF) Prefilled Syringe RxCUI 727534 No current FDA listing
    Clinical drug / strength (SCD) 0.5 ML filgrastim 0.6 MG/ML RxCUI 727535 0.5 ML filgrastim-aafi 0.6 MG/ML RxCUI 2057200 0.5 ML filgrastim-ayow 0.6 MG/ML RxCUI 2595944 0.5 ML filgrastim-laha 0.6 MG/ML RxCUI 2747351 0.5 ML filgrastim-sndz 0.6 MG/ML RxCUI 1605066 0.5 ML filgrastim-txid 0.6 MG/ML RxCUI 2700369 0.5 ML tbo-filgrastim 0.6 MG/ML RxCUI 1433768 0.8 ML filgrastim 0.6 MG/ML RxCUI 727544 0.8 ML filgrastim-aafi 0.6 MG/ML RxCUI 2057215 0.8 ML filgrastim-ayow 0.6 MG/ML RxCUI 2595961 0.8 ML filgrastim-laha 0.6 MG/ML RxCUI 2747360 0.8 ML filgrastim-sndz 0.6 MG/ML RxCUI 1605074 0.8 ML filgrastim-txid 0.6 MG/ML RxCUI 2700378 0.8 ML tbo-filgrastim 0.6 MG/ML RxCUI 1433771

Look up RxCUI 68442 in the RxCUI Atlas →

RxNorm is the U.S. National Library of Medicine’s normalized drug vocabulary. Its concept hierarchy can include forms that are not currently marketed; the status on each branch compares that concept with current FDA listings. RxCUIs identify vocabulary concepts, not individual packages or manufacturers.

🏷️ Sold under these brand names

Granix Zarxio Neupogen Nivestym Releuko Nypozi Filkri

🏭 Manufacturers & labelers

Amgen, Inc 12 Amneal Pharmaceuticals LLC 12 Amgen Inc 8

RxNorm drug class

Filgrastim Injection belongs to the Leukocyte Growth Factor class.

Pharmacologic class Leukocyte Growth Factor
Drug family (ATC) Colony stimulating factors

Classified by RxNorm RxClass — the U.S. National Library of Medicine's standardized drug-classification service (Established Pharmacologic Class from the FDA, the ATC drug family from the WHO, and mechanism of action). Reference only, not medical advice.

🔬 Where this comes from

Core label, product, RxNorm, safety, and utilization data on this page come from the sources identified below. AI-written, editorial, and licensed sections are labeled separately.

📄
FDA-filed drug labels (SPL) Uses, dosing, warnings & side effects from SPL records retrieved through openFDA; the linked representative set can be verified on DailyMed. ✓ Linked label effective Jul 23, 2026
🏭
Forms, brands & labelersAggregated from ingredient-matched FDA National Drug Code Directory product records for Filgrastim Injection.
📈
Real-world reportsThe FDA Adverse Event Reporting System (FAERS), served through openFDA.
🚨
Recalls & shortagesopenFDA drug-enforcement reports and the FDA drug-shortage database.
🧾 Clinical label set — FDA-filed SPL labels retained for Filgrastim Injection after exact ingredient or ingredient-combination matching and applicable route/form matching
Clinical labels in scope
2
NDC products indexed
32
Distinct labelers/manufacturers represented
3
Linked representative label
Amgen Inc
Linked label effective
Jul 23, 2026
Composite sections available
22
Linked SPL Set ID
97cc73cc-b5b7-458a-a933-77b00523e193
Linked SPL Document ID
7cedb5f4-cfdd-46a5-836d-e5384c65a224
Open the linked representative label on DailyMed ↗

How we combine label and product data

HelloPharmacist combines public FDA and NLM records; we don’t author the underlying clinical facts. We identified 2 FDA-filed SPL label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. The representative label is the starting point for the displayed reference monograph; the 12 largest stored in-scope SPL records, which may include that representative, are compared section by section, and the longest available version of each section is retained. Forms, routes, brands, labelers, product-listed strengths, and product-record counts are aggregated separately from ingredient-matched FDA NDC Directory records; package records listed above are associated with the linked SPL; and the normalized concept hierarchy comes from NLM RxNorm.

Where a section is identified as AI-written, its plain-language text is generated from bounded label evidence. New draft drug pages remain in the admin review queue before first publication. Amgen Inc is the representative DailyMed label linked for verification and dates; it is not the sole source used for the page.

This is general education, not medical advice — always consult your doctor or pharmacist about your medications and any medical condition. For the exact wording of the linked representative label, view that label on DailyMed; some displayed composite sections may come from other in-scope SPL labels. Learn how we use AI and our data sources & update cadence.