filgrastim-laha

300MCG/0.5, 480MCG/0.8 — Prefilled Syringe

WHITE BLOOD CELL STIMULANTS

Also known as: FILKRI
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Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: Excel (XLSX)  ·  Formulary date: Oct 29, 2026  ·  Checked: 10 hours, 15 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via Filkri 		Tier 3 - Non-Formulary ✓ — — PA PA: TPA - SELECT DRUGS REQUIRES PRIOR AUTHORIZATION (NEW TO MARKET DRUGS)
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