NEUPOGEN

Generic: filgrastim

300 MCG/ML, 300MCG/0.5, 480MCG/0.8, 480MCG/1.6 — Solution

Also known as: NEUPOGEN SOLN 300MCG/ML; SOSY 300MCG/0.5ML, 480MCG/0.8ML NEUPOGEN SOLN 300MCG/ML,

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

1 plan

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 22 hours, 19 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Standard Option 2026	Tier 5 - Non-Preferred Specialty	✓	—	—	PA

3 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 22 hours, 19 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 80/20 Plus PPO 2026	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026	Not Covered	—	—	—	None
NC State Health Plan - HDHP 2026	Not Covered	—	—	—	None

1 plan

Source: Excel (XLSX) · Formulary date: Sep 23, 2026 · Checked: 22 hours, 19 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 3 - Non-Formulary	—	✓	—	ST Step therapy: NEUPOGEN, RELEUKO, NYPOZI WITHOUT PRIOR USE IN LAST 180D REQ PRIOR AUTH