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Prescription medicine

Filgrastim

Drug class: Leukocyte Growth Factor

The FDA’s “Established Pharmacologic Class”: the group of medicines that work in a similar way.

Official FDA data, not advice

Everything here comes from the U.S. Food and Drug Administration (FDA): the drug label, the NDC Directory, Drugs@FDA, recall reports and the drug shortage list. Each fact shows its source and date.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

In an emergency, call 911. If someone may have taken too much of a medicine, call Poison Help: 1‑800‑222‑1222.

Quick answers

What is Filgrastim used for?
The FDA-approved label (Neupogen, Amgen, Inc, July 23, 2026) says: “NEUPOGEN is a leukocyte growth factor indicated to Decrease the incidence of infection, as manifested by febrile neutropenia, in patients with nonmyeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a significant incidence of severe neutropenia with fever Reduce the time to neutrophil recovery and the duration of fever, following induction or consolidation chemotherapy treatment of …” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Does Filgrastim have a boxed warning?
No. None of the 7 FDA labels we found for this medicine has a boxed warning.
Is there a shortage of Filgrastim?
No current shortage is listed by the FDA for the products of this medicine (FDA data from October 30, 2026).
Has Filgrastim been recalled?
FDA enforcement reports list 3 recalls of products of this medicine; the newest started February 27, 2025 (Class II). A recall usually concerns specific lots, not every product.
Who makes Filgrastim?
8 companies list prescription products of Filgrastim in the FDA NDC Directory, including Pfizer Laboratories Div Pfizer Inc, Amneal Pharmaceuticals LLC and Amgen, Inc.

What Filgrastim is used for

Quoted from the “Indications and Usage” section of the FDA-approved label.

NEUPOGEN is a leukocyte growth factor indicated to Decrease the incidence of infection, as manifested by febrile neutropenia, in patients with nonmyeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a significant incidence of severe neutropenia with fever Reduce the time to neutrophil recovery and the duration of fever, following induction or consolidation chemotherapy treatment of …

— FDA label: Neupogen, Amgen, Inc, effective July 23, 2026. Read the full label on DailyMed →

The FDA has 7 labels for products of this medicine (different makers and forms); uses can differ between them. Check the label that comes with your own medicine.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

Conditions named on the label

These condition names appear word for word in the label’s “Indications and Usage” text (matched with a reviewed table). Each page lists hospitals whose own websites name the condition.

Related medical specialties

Boxed warning

A boxed warning (“black box”) is the FDA’s strongest warning on a drug label, for serious or life-threatening risks.

The label quoted above has no boxed warning.

0 of 7 FDA labels for this medicine have a boxed warning.

Forms and how it is given

Dosage formsInjection, solution · Injection
RouteSubcutaneous · Intravenous
Prescription products24 in the FDA NDC Directory
Brand namesNivestym, Releuko, Neupogen, Granix, Zarxio, Nypozi, Filkri, Nypozi Txid

What pharmacies pay (NADAC)

The National Average Drug Acquisition Cost (NADAC) is the average price U.S. retail pharmacies paid to buy one unit of a medicine (one tablet, one mL or one gram), from a monthly survey of pharmacy invoices by the Centers for Medicare & Medicaid Services (CMS). State Medicaid programs use it to pay pharmacies.

This is not the price you pay. What you pay depends on your insurance (copay or coinsurance), your pharmacy and any discounts, and pharmacies also charge for filling a prescription. Ask your pharmacist or your health plan what your price will be.

NADAC per unit for Filgrastim, by strength and form
Strength and formGeneric or brandPharmacies pay
filgrastim 300 ug/0.5 mL
injection, solution
Brand: Neupogen $650.05 per mL
filgrastim 300 ug/0.5 mL
injection, solution
Brand: Zarxio $531.66 per mL
filgrastim 300 ug/mL
injection, solution
Brand: Neupogen $304.09 per mL
filgrastim 480 ug/0.8 mL
injection, solution
Brand: Zarxio $533.41 per mL

NADAC list of November 4, 2026; these prices took effect between December 17, 2025 and October 21, 2026. Shown only where a package’s NDC code matches the NADAC list exactly, and only for that exact strength and form: nothing is averaged across strengths. Strengths and forms not listed here have no NADAC price.

Source: NADAC (National Average Drug Acquisition Cost) 2026, data.medicaid.gov (CMS) →

Companies that list this medicine

Labelers in the FDA NDC Directory: the company named on the package (maker or distributor), with the number of prescription products.

FDA approval history

  • BLA: Biologics License Application: how a biologic medicine (made from living cells) is approved.
Brand and biologic applications
ApplicationSponsorApprovedLater changes approved
BLA103353
NEUPOGEN
AmgenFebruary 20, 1991 23, latest July 16, 2026
2026: Labeling · 2025: Labeling · 2023: Labeling
BLA125294
GRANIX
Sicor BiotechAugust 29, 2012 8, latest November 21, 2023
2023: Labeling · 2019: Labeling · 2019: Labeling
BLA125553
ZARXIO
Sandoz IncMarch 6, 2015 9, latest August 21, 2025
2025: BIOSIMILAR · 2025: Manufacturing (CMC) · 2024: Labeling
BLA761027
FILKRI
Accord Biopharma Inc.January 15, 2026 —
BLA761080
NIVESTYM
Hospira IncJuly 20, 2018 3, latest February 16, 2024
2024: Labeling · 2023: Labeling · 2021: Labeling
BLA761082
RELEUKO
Kashiv Biosciences LLCFebruary 25, 2022 3, latest April 29, 2025
2025: BIOSIMILAR · 2023: BIOSIMILAR · 2022: Labeling
BLA761126
NYPOZI
Tanvex Biopharma USA IncJune 28, 2024 —

Shortage status

The FDA drug shortage list does not show these products.

FDA Drug Shortages database →

Recalls

From FDA enforcement reports, matched by the product’s NDC code. A recall usually covers specific lots only: check the lot number on your package and ask your pharmacist. Do not stop a medicine on your own.

  1. February 27, 2025 · Class II · Ongoing · D-0285-2025

    Stability data does not support expiry: the products have the potential to be out of specification at the time of expiry of 36-months.

    Neupogen (filgrastim) For Injection, 300mcg/1 mL, 1 mL Single Dose Vials, Rx Only, For Subcutaneous or Intravenous Use Only, Sterile Solution - No Preservative, Amgen Inc., Thousand Oaks, CA 91320, NDC 55513-530-01 (vial — Amgen, Inc.

  2. February 27, 2025 · Class II · Ongoing · D-0286-2025

    Stability data does not support expiry: the products have the potential to be out of specification at the time of expiry of 36-months.

    Neupogen (filgrastim) For Injection, 480 mcg/1.6 mL (300 mcg/1 mL), 1.6 mL single Dose Vial, Rx Only, For Subcutaneous or Intravenous Use Only, Sterile Solution - No Preservative, Amgen Inc. Thousand Oaks, CA 91320, NDC — Amgen, Inc.

  3. January 10, 2025 · Class II · Ongoing · D-0218-2025

    Failed Stability Specifications - 12-month stability test result for one of the known peptides is below the specification limit

    Granix (tbo-filgrastim) Injection 300 mcg/0.5 mL, Single Dose prefilled syringe, packaged as a) 1 syringe in 1 CARTON, NDC 63459-910-11, Blister NDC 63459-910-12; (b)10 syringes in 1 CARTON, NDC 63459-910-15, Blister NDC — Teva Pharmaceuticals USA, Inc

What do the recall classes mean?

Class I: The most serious type: there is a reasonable chance that using the product will cause serious health problems or death.
Class II: Using the product may cause temporary or medically reversible health problems, or the chance of serious problems is remote.
Class III: Using the product is not likely to cause health problems (for example a labeling or packaging issue).

Official identifiers

RxCUI (RxNorm)727535, 727537, 727544, 727545, 1605066, 1605071, 1605074, 1605075, 1649944, 1649946 … (+10)
SPL set ID of the quoted label97cc73cc-b5b7-458a-a933-77b00523e193
FDA labels (SPL)7
FDA applicationsBLA103353, BLA125294, BLA125553, BLA761027, BLA761080, BLA761082, BLA761126
Active ingredients (FDA)FILGRASTIM

Sources

  1. FDA-approved label on DailyMed (National Library of Medicine) — Neupogen, Amgen, Inc, effective July 23, 2026; via openFDA, FDA data exported October 30, 2026, retrieved October 31, 2026
  2. NDC Directory (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  3. Drugs@FDA (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  4. Drug recall enforcement reports (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 27, 2026, retrieved October 31, 2026
  5. Drug shortages (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026

openFDA data is provided by the FDA as is; it may be incomplete. Always rely on the label that comes with your medicine. FDA Enforcement Report search →

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