filgrastim

300 mcg/0.5 mL, 300 mcg/mL, 480 mcg/0.8 mL, 480 mcg/1.6 mL — Prefilled Syringe

Also known as: NEUPOGEN

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 3 hours, 28 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 3 - Non-Formulary	✓	—	—	PA