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filgrastim patient assistance

by Elise Lesch Published 2 years ago Updated 1 year ago
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Neupogen (filgrastim) patient financial assistance options Amgen Assist ® can help identify appropriate financial assistance options for your patients Commercially insured patients Amgen FIRST STEP ™ is a program available for eligible, commercially insured patients

Full Answer

What are the signs and symptoms of filgrastim toxicity?

Inflammation of the aorta (the large blood vessel which transports blood from the heart to the body) has been reported in patients who received filgrastim products. Symptoms may include fever, abdominal pain, feeling tired, and back pain. Call your healthcare provider if you experience these symptoms.

Can filgrastim cause inflammation of the aorta?

Inflammation of the aorta (aortitis). Inflammation of the aorta (the large blood vessel which transports blood from the heart to the body) has been reported in patients who received filgrastim products. Symptoms may include fever, abdominal pain, feeling tired, and back pain.

What are the white blood cell counts associated with filgrastim toxicity?

Leukocytosis: White blood cell counts of 100‚000/mm 3 or greater were observed in approximately 2% of patients receiving filgrastim products at dosages above 5 mcg/kg/day.

Can filgrastim cause glomerulonephritis?

Glomerulonephritis: Glomerulonephritis can occur in patients receiving filgrastim products. The diagnoses were based on azotemia, hematuria (microscopic and macroscopic), proteinuria, and renal biopsy. Generally, events of glomerulonephritis resolved after dose reduction or discontinuation of the filgrastim product.

What is Amgen Safety Net Foundation?

What is Amgen 360?

Does Amgen have a referral program?

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What is the cost of filgrastim?

About Filgrastim The lowest GoodRx price for the most common version of Neupogen is around $335.96, 32% off the average retail price of $497.76.

Is Neupogen covered by Medicare?

Do Medicare prescription drug plans cover Neupogen? No. In general, Medicare prescription drug plans (Part D) do not cover this drug.

How much does a shot of Neupogen cost?

One 6-milligram Neulasta injection will cost between $6,000 and $7,000, depending on the supplier. One 300-microgram Neupogen injection will cost between $300 and $350, depending on the supplier.

How do I get Neupogen?

The Safety Net Foundation provides NEUPOGEN at no cost to qualifying patients with no or limited drug coverage who meet income eligibility requirements. Patients and providers can contact the Safety Net Foundation directly or through Amgen Assist at 1-888-4ASSIST or visit www.AmgenAssistOnline.com.

Is Filgrastim covered by Medicare?

No. In general, Medicare prescription drug plans (Part D) do not cover this drug. Be sure to contact your specific plan to verify coverage information. A limited set of drugs administered in a doctor's office or hospital outpatient setting may be covered under Medical Insurance (Part B).

What drugs does Medicare not pay for?

Medicare does not cover:Drugs used to treat anorexia, weight loss, or weight gain. ... Fertility drugs.Drugs used for cosmetic purposes or hair growth. ... Drugs that are only for the relief of cold or cough symptoms.Drugs used to treat erectile dysfunction.More items...

Is there an alternative to filgrastim?

For a large healthcare system, the arrival of a cheaper alternative to filgrastim prompted the conversion to using tbo-filgrastim as the preferrred granulocyte-colony stimulating factor. The results were shared in a study published by the Journal of Managed Care & Specialty Pharmacy.

What foods to eat to increase white blood cells?

Vitamins B6, B12 & Folic Acid (Folate) Folic acid and vitamins B6 and B12 help to produce white blood cells in the body. Foods rich in vitamin B6 consist of sunflower seeds, chicken, turkey, dried nuts, avocados, spinach, and bananas.

Does low white blood count make you tired?

Can low white blood cells cause fatigue? Low white bloods cells likely aren't the cause of fatigue. If you have low WBC and are increasingly feeling fatigued, both are likely symptoms of an underlying issue.

Can filgrastim cause leukemia?

This medicine may cause blood or bone marrow problems (eg, myelodysplastic syndrome, acute myeloid leukemia) in patients with breast or lung cancer.

Does filgrastim make you tired?

trouble breathing, coughing up blood. fever, abdominal pain, back pain, feeling unwell. swelling of stomach area or other swelling, decreased urination, trouble breathing, dizziness, tiredness.

How long can I take filgrastim?

Neupogen® is given by injection under the skin. For doctors, the treatment plan is to give Neupogen® daily for up to 2 weeks, by subcutaneous injection.

What is the generic name for Neupogen?

Neupogen, Granix and Zarxio are trade names for filgrastim. Granulocyte - colony stimulating factor (G-CSF) is another name for filgrastim. In some cases, health care professionals may use the trade name Neupogen, Granix or Zarxio when referring to the generic drug name filgrastim.

How often is Neupogen given?

Neupogen® is given by injection under the skin. For doctors, the treatment plan is to give Neupogen® daily for up to 2 weeks, by subcutaneous injection.

Is Neupogen FDA approved?

Neupogen is the first FDA-approved medical countermeasure to increase survival in patients exposed to myelosuppressive doses of radiation.

Does Medicare pay for Neulasta Onpro?

The majority of commercial and Medicare plans cover Neulasta® and Neulasta® Onpro.

What is Amgen Safety Net Foundation?

Amgen Safety Net Foundation is a nonprofit patient assistance program sponsored by Amgen that helps qualifying patients access Amgen medicines at no cost.

What is Amgen 360?

Amgen Assist 360™ can refer patients to independent nonprofit patient assistance programs that may be able to help them afford the co-pay costs for their prescribed medicine.

Does Amgen have a referral program?

Amgen has no control over these programs and provides referrals as a courtesy only. Terms, conditions, and program maximums apply. This program is not open to patients receiving prescription reimbursement under any federal, state, or government-funded healthcare program. Not valid where prohibited by law.

How long does it take for filgrastim to recur?from zarxio.com

Provide symptomatic treatment for allergic reactions. Allergic reactions, including anaphylaxis, in patients receiving filgrastim products can recur within days after the discontinuation of initial anti-allergic treatment.

Who administers ZARXIO?from zarxio.com

ZARXIO may be administered by you, a caregiver, or a healthcare professional.

Is ZARXIO contraindicated?from zarxio.com

ZARXIO is contraindicated in patients with a history of serious allergic reactions to human granulocyte colony-stimulating factors such as filgrastim or pegfilgrastim products.

Can you have a sickle cell crisis with ZARXIO?from zarxio.com

Sickle cell crises. You may have a serious sickle cell crisis if you have a sickle cell disorder and take ZARXIO. Serious sickle cell crisis has happened in people with sickle cell disorders receiving filgrastim that has sometimes led to death. Call your doctor right away if you have symptoms of sickle cell crisis such as pain or difficulty breathing.

Does filgrastim cause MDS?from zarxio.com

Abnormal cytogenetics and MDS have been associated with the eventual development of myeloid leukemia . The effect of filgrastim products on the development of abnormal cytogenetics and the effect of continued filgrastim administration in patients with abnormal cytogenetics or MDS are unknown.

Does Sandoz One Source have in-home visits?from zarxio.com

In the event that you're injecting at home, Sandoz One Source offers in-home visits where a nurse trainer provides eligible patients with detailed instructions on the administration of ZARXIO. †

Can you take Zarxio at a reduced dose?from zarxio.com

ZARXIO may be started at a reduced dose when the symptoms resolve and the ANC has decreased. The possibility that ZARXIO acts as a growth factor for any tumor type cannot be excluded. The safety of filgrastim products in chronic myeloid leukemia (CML) and myelodysplasia has not been established.

Important Note

The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

Uses

This medication stimulates the blood system (bone marrow) to make white blood cells. White blood cells help you fight infections. This medication is given to those whose ability to make white bloods cells has been reduced.

How To Use

This medication is given by injection usually once a day until the proper blood counts are reached. If you will be administering this at home, make sure you understand the correct technique for injection and properly dispose of needles, syringes and the medication.

Precautions

Tell your doctor if you have any pre-existing conditions, such as: heart disease, any allergies. This medication should be used only if clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known if this medication appears in breast milk. Consult your doctor about breast-feeding.

Drug Interactions

Tell your doctor of any over-the-counter or prescription medication you may take. Do not start or stop any medicine without doctor or pharmacist approval.

Overdose

If overdose is suspected, contact your local poison control center or emergency room immediately.

Notes

This medication must be taken under close medical supervision so your blood counts can be monitored. Laboratory tests will be done periodically to be sure the drug is working properly and to monitor for possible side effects.

How to contact Amgen Assist?

Patients and providers can contact the Safety Net Foundation directly or through Amgen Assist at 1-888-4ASSIST or visit www.AmgenAssistOnline.com.

How to enroll in Amgen First Step?

To enroll your patient into the Amgen FIRST STEP ™ Program call 1-888-65-STEP1 ( 1-888-657-8371) or visit u0003www.AmgenFIRSTSTEP.com

Is reinfusion of tumor cells well studied?

The effect on reinfusion of tumor cells has not been well studied, and the limited data available are inconclusive

Do patients with symptoms need to be closely monitored?

Patients with symptoms should be closely monitored and receive standard symptomatic treatment, which may include the need for intensive care

Is filgrastim safe for CML?

The safety of filgrastim in chronic myeloid leukemia (CML) and myelodysplasia has not been established

What is Pfizer Oncology Together?

At Pfizer Oncology Together, our Care Champions, who have social work experience, can connect patients prescribed our medications to resources that may help with some of their daily needs.

How much does Nivestym cost?

Eligible patients may pay as little as $0 for each NIVESTYM treatment.

What is the amount of any benefit?

The amount of any benefit is the difference between your co-pay and $0.

How to apply for Pfizer Oncology Together?

To apply, download the Pfizer Oncology Together enrollment form and fill out the required fields.

Does Nivestym require private insurance?

Patient must have private insurance with coverage of NIVESTYM.

Does Pfizer have social work experience?

At Pfizer Oncology Together, our Care Champions, who have social work experience, can provide you resources that may help with some of your day-to-day challenges ||:

Does granulocyte colony stimulate tumor growth?

Potential for tumor growth stimulatory effects on malignant cells: The granulocyte colony-stimulating factor (G-CSF) receptor, through which GRANIX acts, has been found on tumor cell lines. The possibility that GRANIX acts as a growth factor for any tumor type, including myeloid malignancies and myelodysplasia, diseases for which GRANIX is not approved, cannot be excluded.

Is GRANIX contraindicated?

Contraindication: GRANIX is contraindicated in patients with a history of serious allergic reactions to filgrastim or pegfilgrastim products. Fatal Splenic Rupture: Splenic rupture, including fatal cases, can occur following the administration of filgrastim products.

Can filgrastim cause aortitis?

Aortitis: Aortitis has been reported in patients receiving another filgrastim product. It may occur as early as the first week after start of therapy. Manifestations may include generalized signs and symptoms such as fever, abdominal pain, malaise, back pain, and increased inflammatory markers (e.g., c-reactive protein and white blood cell count). Consider aortitis in patients who develop these signs and symptoms without known etiology. Discontinue GRANIX if aortitis is suspected.

Can you use granix with radiation?

Simultaneous Use with Chemotherapy and Radiation Therapy Not Recommended: The safety and efficacy of filgrastim products, including GRANIX, given simultaneously with cytotoxic chemotherapy have not been established. Because of the potential sensitivity of rapidly dividing myeloid cells to cytotoxic chemotherapy‚ do not use GRANIX in the period 24 hours before through 24 hours after the administration of cytotoxic chemotherapy. The safety and efficacy of GRANIX have not been evaluated in patients receiving concurrent radiation therapy. Avoid the simultaneous use of GRANIX with chemotherapy and radiation therapy.

Can glomerulonephritis be diagnosed with filgrastim?

Glomerulonephritis: Glomerulonephritis can occur in patients receiving filgrastim products. The diagnoses were based on azotemia, hematuria (microscopic and macroscopic), proteinuria, and renal biopsy. Generally, events of glomerulonephritis resolved after dose reduction or discontinuation of the filgrastim product. If glomerulonephritis is suspected, evaluate for cause. If causality is likely, consider dose-reduction or interruption of GRANIX.

Can you get a reaction to granix?

Serious Allergic reactions: Serious allergic reactions, including anaphylaxis, can occur in patients receiving GRANIX. Reactions can occur on initial exposure. The administration of antihistamines‚ steroids‚ bronchodilators‚ and/or epinephrine may reduce the severity. Permanently discontinue GRANIX in patients with serious allergic reactions. Do not administer GRANIX to patients with a history of serious allergic reactions to filgrastim or pegfilgrastim.

Can you get ARDS from granix?

Acute respiratory distress syndrome (ARDS): ARDS can occur in patients receiving filgrastim products. Evaluate patients who develop fever and lung infiltrates or respiratory distress after receiving GRANIX, for ARDS. Discontinue GRANIX in patients with ARDS.

What is Pfizer Oncology Together?from nivestym.pfizerpro.com

At Pfizer Oncology Together, our Care Champions, who have social work experience, can connect patients prescribed our medications to resources that may help with some of their daily needs.

How much does Nivestym cost?from nivestym.pfizerpro.com

Eligible patients may pay as little as $0 for each NIVESTYM treatment.

What is the amount of any benefit?from nivestym.com

The amount of any benefit is the difference between your co-pay and $0.

Does Pfizer have social work experience?from nivestym.com

At Pfizer Oncology Together, our Care Champions, who have social work experience, can provide you resources that may help with some of your day-to-day challenges ||:

Does filgrastim cause glomerulonephritis?from nivestym.pfizerpro.com

Glomerulonephritis has occur red in patients receiving filgrastim products. The diagnoses were based upon azotemia, hematuria (microscopic and macroscopic), proteinuria, and renal biopsy. Generally, events of glomerulonephritis resolved after dose reduction or discontinuation of filgrastim products. If glomerulonephritis is suspected, evaluate for cause. If causality is likely, consider dose-reduction or interruption of NIVESTYM®.

Does Nivestym require private insurance?from nivestym.com

Patient must have private insurance with coverage of NIVESTYM.

Can nivesym be used to mobilize PBPC?from nivestym.pfizerpro.com

When NIVESTYM® is used to mobilize PBPC, tumor cells may be released from the marrow and subsequently collected in the leukapheresis product. The effect of reinfusion of tumor cells has not been well studied, and the limited data available are inconclusive.

What is the Amgen Safety Net Foundation?

Since 2001, the Amgen Safety Net Foundation (ASNF) has helped hundreds of thousands of patients with financial need gain access to Amgen medicines at no cost. This is a modal window.

Does Amgen charge for patient assistance?

Check the status of your patient's application. Provider Access. Amgen Safety Net Foundation does not charge patients a fee for its assistance. Amgen Safety Net Foundation is not affiliated with third parties who charge a fee for assistance with enrollment or medication refills.

Is Amgen Safety Net Foundation billed monthly?

If you are being charged a monthly fee for support from the Amgen Safety Net Foundation, the organization billing you is not the Amgen Safety Net Foundation and you are being charged for support that the Amgen Safety Net Foundation can provide to you directly at no cost.

What is Amgen Safety Net Foundation?

Amgen Safety Net Foundation is a nonprofit patient assistance program sponsored by Amgen that helps qualifying patients access Amgen medicines at no cost.

What is Amgen 360?

Amgen Assist 360™ can refer patients to independent nonprofit patient assistance programs that may be able to help them afford the co-pay costs for their prescribed medicine.

Does Amgen have a referral program?

Amgen has no control over these programs and provides referrals as a courtesy only. Terms, conditions, and program maximums apply. This program is not open to patients receiving prescription reimbursement under any federal, state, or government-funded healthcare program. Not valid where prohibited by law.

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