Product Details

Fulphila

Pegfilgrastim
10 mg/mL
Solution for Injection
Single-Dose 0.6-mL Prefilled Syringe (Preservative-Free)

DIN/PIN/NPN

02484153

Manufacturer

Biosimilar Collaborations Ireland Limited

Formulary Listing Date

2020-05-29

Unit Price

492.0000

Amount MOH Pays

492.0000

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

20:16:00 Hematopoietic Agents

Therapeutic Note

NO

ATC Code

L03AA13

Interchangeable Products

NO

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph