Regulatory PathRegulatory requirements compared

Active substance

Filgrastim

Open in the medicines table

SFDA Saudi Arabia — SFDA human drug list

Trade nameStrengthForm · routePackPublic priceTypeCompanyStatus
Accofil 300 mcg/0.5 ml solution For injection/infusion300 µgSolution for injection/infusion · Intramuscular and intravenous use5 Pre-filled syringeSAR 554.75Biological · PrescriptionBoston Oncology ArabiaValid
Accofil 480 mcg/0.5 ml solution For injection/infusion480 µgSolution for injection/infusion · Intramuscular and intravenous use5 Pre-filled syringeSAR 850.60Biological · PrescriptionBoston Oncology ArabiaValid
NEUPOGEN 30 MU0.6 mg/mlSolution for injection in pre-filled syringe · Intravenous use1 Pre-filled syringeSAR 176.40Biological · PrescriptionKYOWA KIRIN LIMITEDValid
NEUPOGEN 30 MU0.3 mg/mlSolution for injection · Intravenous use5 VialSAR 843.70Biological · PrescriptionKYOWA KIRIN LIMITEDValid
NIVESTIM 600 mcg Solution for Injection/ Infusion600 µgSolution for injection/infusion · Intravenous use5 Pre-filled syringeSAR 315.55Biological · PrescriptionPfizer Europe MA EEIGValid
NIVESTIM 600 mcg Solution for Injection/ Infusion600 µgSolution for injection/infusion · Intravenous use5 Pre-filled syringeSAR 788.85Biological · PrescriptionPfizer Europe MA EEIGValid
NIVESTIM 960 mcg Solution for Injection/ Infusion960 µgSolution for injection/infusion · Intravenous use5 Pre-filled syringeSAR 1262.15Biological · PrescriptionPfizer Europe MA EEIGValid
ZARZIO 30 mU/0.5 mL solution for injection0.3 mgSolution for injection/infusion · Intravenous use5 Pre-filled syringeSAR 455.30Biological · PrescriptionSANDOZValid
ZARZIO 48 mU/0.5 mL solution for injection0.48 mgSolution for injection/infusion · Intravenous use5 Pre-filled syringeSAR 725.60Biological · PrescriptionSANDOZValid
NEUPOGEN 30 MU0.3 mg/mlSolution for injection · Intravenous use5 VialSAR 901.45Biological · PrescriptionAMGEN EUROPE B.V.Withdrawn by MAH · Not Marketed
NEUPOGEN 30 MU0.6 mg/mlSolution for injection in pre-filled syringe · Intravenous use1 Pre-filled syringeSAR 188.45Biological · PrescriptionAMGEN EUROPE B.V.Withdrawn by MAH · Not Marketed
NEUPOGEN 30 MU0.6 mg/mlSolution for injection in pre-filled syringe · Intravenous use5 Pre-filled syringeSAR 2471.90Biological · PrescriptionROCHEWithdrawn by MAH · Not Marketed
NEUPOGEN 30 MU0.3 mg/mlSolution for injection · Intravenous use1 VialSAR 459.75Biological · PrescriptionROCHEWithdrawn by MAH · Not Marketed
NEUPOGEN 48 MU480 µ/mlSolution · Intravenous use1 Pre-filled syringeSAR 735.65Biological · PrescriptionROCHEInvalid · Not Marketed
NEUPOGEN 48 MU480 µ/mlSolution · Intravenous use5 VialSAR 3955.10Biological · PrescriptionROCHEInvalid · Not Marketed
ZARZIO 30 mU/0.5 mL solution for injection0.3 mgSolution for injection/infusion · Intravenous use1 Pre-filled syringeSAR 91.05Biological · PrescriptionSANDOZWithdrawn by MAH · Not Marketed
ZARZIO 48 mU/0.5 mL solution for injection0.48 mgSolution for injection/infusion · Intravenous use1 Pre-filled syringeSAR 145.10Biological · PrescriptionSANDOZWithdrawn by MAH · Not Marketed
Indications — CHI Daman Drug Formulary

ADULT ACUTE LYMPHOCYTIC LEUKEMIA (ALL); ADULT ACUTE MYELOID LEUKAEMIA (AML); BREAST CANCER EARLY HER-2 -VE -ADVERSE REACTION MANAGEMENT; BREAST CANCER HER-2 +VE-ADVERSE REACTION MANAGEMENT; BREAST CANCER MET.HER-2 +VE-ADVERSE REACTION MANAGEMENT; BREAST CANCER MET.HER-2 -VE-ADVERSE REACTION MANAGEMENT; PEDIATRIC ACUTE LYMPHOBLASTIC LEUKAEMIA (ALL); RENAL CELL CARCINOMA (RCC)-ADVERSE REACTION MANAGEMENT; SOFT TISSUE SARCOMA - LEIOMYOSARCOMA & LIPOSARCOMA-ADVERSE REACTION MANAGEMENT

US FDA United States — FDA approvals (Drugs@FDA)

ProductStrengthForm · routeApplicantStatusFirst approved
NEUPOGEN300MCG/1ML; 480MCG/1.6MLvialAMGENPrescription20 Feb 1991
NEUPOGEN300MGC/0.5ML; 480MCG/0.8MLsyringeAMGENPrescription20 Feb 1991
ZARXIO300 mcg/0.5 mL; 480 mcg/0.8 mLinjectable · injectionSANDOZ INCPrescription6 Mar 2015
NIVESTYM300MCG/ML; 480MCG/1.6MLvial · single-doseHOSPIRA INCPrescription20 Jul 2018
NIVESTYM300MCG/0.5ML; 480MCG/0.8MLinjectable · injectionHOSPIRA INCPrescription20 Jul 2018
RELEUKO300MCG/ML/VIAL; 480MCG/1.6ML/VIALsolution · intravenous, subcutaneousKASHIV BIOSCIENCES LLCPrescription25 Feb 2022
RELEUKO300MCG/0.5ML; 480MCG/0.8MLsolution · subcutaneousKASHIV BIOSCIENCES LLCPrescription25 Feb 2022
NYPOZI300MCG/0.5ML; 480MCG/0.8MLinjectable · injectionTANVEX BIOPHARMA USA INCPrescription28 Jun 2024
FILKRI300MCG/0.5ML; 480MCG/0.8MLinjectable · injectionACCORD BIOPHARMA INC.Prescription15 Jan 2026

EMA European Union — centrally authorised medicines

Ratiograstim Ratiopharm GmbH · Authorised · authorised 15 Sep 2008 · ATC L03AA02

Therapeutic indication (EMA)

Ratiograstim is indicated for the reduction in the duration of neutropenia and the incidence of febrile neutropenia in patients treated with established cytotoxic chemotherapy for malignancy (with the exception of chronic myeloid leukaemia and myelodysplastic syndromes) and for the reduction in the duration of neutropenia in patients undergoing myeloablative therapy followed by bone-marrow transplantation considered to be at increased risk of prolonged severe neutropenia. The safety and efficacy of filgrastim are similar in adults and children receiving cytotoxic chemotherapy. Ratiograstim is indicated for the mobilisation of peripheral blood progenitor cells (PBPC). In patients, children or adults, with severe congenital, cyclic, or idiopathic neutropenia with an absolute neutrophil count (ANC) of ? 0.5 x 109/l, and a history of severe or recurrent infections, long term administration of Ratiograstim is indicated to increase neutrophil counts and to reduce the incidence and duration of infection-related events. Ratiograstim is indicated for the treatment of persistent neutropenia (ANC ? 1.0 x 109/l) in patients with advanced HIV infection, in order to reduce the risk of bacterial infections when other options to manage neutropenia are inappropriate.

Tevagrastim Teva GmbH · Authorised · authorised 15 Sep 2008 · ATC L03AA02

Therapeutic indication (EMA)

Tevagrastim is indicated for the reduction in the duration of neutropenia and the incidence of febrile neutropenia in patients treated with established cytotoxic chemotherapy for malignancy (with the exception of chronic myeloid leukaemia and myelodysplastic syndromes) and for the reduction in the duration of neutropenia in patients undergoing myeloablative therapy followed by bone-marrow transplantation considered to be at increased risk of prolonged severe neutropenia. The safety and efficacy of filgrastim are similar in adults and children receiving cytotoxic chemotherapy. Tevagrastim is indicated for the mobilisation of peripheral blood progenitor cells (PBPC). In patients, children or adults, with severe congenital, cyclic, or idiopathic neutropenia with an absolute neutrophil count (ANC) of 0.5 x 109/l, and a history of severe or recurrent infections, long term administration of Tevagrastim is indicated to increase neutrophil counts and to reduce the incidence and duration of infection-related events. Tevagrastim is indicated for the treatment of persistent neutropenia (ANC less than or equal to 1.0 x 109/l) in patients with advanced HIV infection, in order to reduce the risk of bacterial infections when other options to manage neutropenia are inappropriate.

Zarzio Sandoz GmbH · Authorised · authorised 6 Feb 2009 · ATC L03AA02

Therapeutic indication (EMA)

Reduction in the duration of neutropenia and the incidence of febrile neutropenia in patients treated with established cytotoxic chemotherapy for malignancy (with the exception of chronic myeloid leukaemia and myelodysplastic syndromes) and reduction in the duration of neutropenia in patients undergoing myeloablative therapy followed by bone-marrow transplantation considered to be at increased risk of prolonged severe neutropenia. The safety and efficacy of filgrastim are similar in adults and children receiving cytotoxic chemotherapy. Mobilisation of peripheral blood progenitor cells (PBPC). In children and adults with severe congenital, cyclic, or idiopathic neutropenia with an absolute neutrophil count (ANC) of ?0.5 x 109/l, and a history of severe or recurrent infections, long term administration of filgrastim is indicated to increase neutrophil counts and to reduce the incidence and duration of infection-related events. Treatment of persistent neutropenia (ANC ? 1.0 x 109/l) in patients with advanced HIV infection, in order to reduce the risk of bacterial infections when other therapeutic options are inappropriate.

Filgrastim Hexal Hexal AG · Authorised · authorised 6 Feb 2009 · ATC L03AA02

Therapeutic indication (EMA)

Reduction in the duration of neutropenia and the incidence of febrile neutropenia in patients treated with established cytotoxic chemotherapy for malignancy (with the exception of chronic myeloid leukaemia and myelodysplastic syndromes) and reduction in the duration of neutropenia in patients undergoing myeloablative therapy followed by bone-marrow transplantation considered to be at increased risk of prolonged severe neutropenia. The safety and efficacy of filgrastim are similar in adults and children receiving cytotoxic chemotherapy. Mobilisation of peripheral blood progenitor cells (PBPCs). In children and adults with severe congenital, cyclic, or idiopathic neutropenia with an absolute neutrophil count (ANC) of of ? 0.5 x 109/l, and a history of severe or recurrent infections, long-term administration of filgrastim is indicated to increase neutrophil counts and to reduce the incidence and duration of infection-related events. Treatment of persistent neutropenia (ANC ? 0.5 x 109/l), and a history of severe or recurrent infections, long-term administration of filgrastim is indicated to increase neutrophil counts and to reduce the incidence and duration of infection-related events. in patients with advanced HIV infection, in order to reduce the risk of bacterial infections when other therapeutic options are inappropriate.

Nivestim Pfizer Europe MA EEIG · Authorised · authorised 7 Jun 2010 · ATC L03AA02

Therapeutic indication (EMA)

Filgrastim is indicated for the reduction in the duration of neutropenia and the incidence of febrile neutropenia in patients treated with established cytotoxic chemotherapy for malignancy (with the exception of chronic myeloid leukaemia and myelodysplastic syndromes) and for the reduction in the duration of neutropenia in patients undergoing myeloablative therapy followed by bone-marrow transplantation considered to be at increased risk of prolonged severe neutropenia. The safety and efficacy of filgrastim are similar in adults and children receiving cytotoxic chemotherapy. Filgrastim is indicated for the mobilisation of peripheral blood progenitor cells (PBPCs). In patients, children or adults, with severe congenital, cyclic, or idiopathic neutropenia with an absolute neutrophil count (ANC) of ?0.5 x 109/l and a history of severe or recurrent infections, long-term administration of filgrastim is indicated to increase neutrophil counts and to reduce the incidence and duration of infection-related events. Filgrastim is indicated for the treatment of persistent neutropenia (ANC ?1.0 x 109/l) in patients with advanced HIV infection, in order to reduce the risk of bacterial infections when other options to manage neutropenia are inappropriate.

Accofil Accord Healthcare S.L.U. · Authorised · authorised 17 Sep 2014 · ATC L03AA02

Therapeutic indication (EMA)

Accofil is indicated for the reduction in the duration of neutropenia and the incidence of febrile neutropenia in patients treated with established cytotoxic chemotherapy for malignancy (with the exception of chronic myeloid leukaemia and myelodysplastic syndromes) and for the reduction in the duration of neutropenia in patients undergoing myeloablative therapy followed by bone marrow transplantation considered to be at increased risk of prolonged severe neutropenia. The safety and efficacy of Accofil are similar in adults and children receiving cytotoxic chemotherapy. Accofil is indicated for the mobilisation of peripheral blood progenitor cells (PBPCs). In patients, children or adults with severe congenital, cyclic, or idiopathic neutropenia with an absolute neutrophil count (ANC) of ? 0.5 x 109/L, and a history of severe or recurrent infections, long term administration of Accofil is indicated to increase neutrophil counts and to reduce the incidence and duration of infection-related events. Accofil is indicated for the treatment of persistent neutropenia (ANC less than or equal to 1.0 x 109/L) in patients with advanced HIV infection, in order to reduce the risk of bacterial infections when other options to manage neutropenia are inappropriate.

Zefylti CuraTeQ Biologics (Malta) Limited · Authorised · authorised 12 Feb 2025 · ATC L03AA02

Therapeutic indication (EMA)

Zefylti is indicated for the reduction in the duration of neutropenia and the incidence of febrile neutropenia in patients treated with established cytotoxic chemotherapy for malignancy (with the exception of chronic myeloid leukaemia and myelodysplastic syndromes) and for the reduction in the duration of neutropenia in patients undergoing myeloablative therapy followed by bone marrow transplantation considered to be at increased risk of prolonged severe neutropenia. The safety and efficacy of Zefylti are similar in adults and children receiving cytotoxic chemotherapy. Zefylti is indicated for the mobilisation of peripheral blood progenitor cells (PBPCs). In patients, children or adults, with severe congenital, cyclic, or idiopathic neutropenia with an absolute neutrophil count (ANC) of ≤ 0.5 x 109/L, and a history of severe or recurrent infections, long term administration of Zefylti is indicated to increase neutrophil counts and to reduce the incidence and duration of infection related events. Zefylti is indicated for the treatment of persistent neutropenia (ANC less than or equal to 1 x 109/L) in patients with advanced HIV infection, in order to reduce the risk of bacterial infections when other options to manage neutropenia are inappropriate.

Zefylti CuraTeQ Biologics s.r.o · Application withdrawn · ATC L03AA02

Therapeutic indication (EMA)

Zefylti is indicated for the reduction in the duration of neutropenia and the incidence of febrile neutropenia in patients treated with established cytotoxic chemotherapy for malignancy (with the exception of chronic myeloid leukaemia and myelodysplastic syndromes) and for the reduction in the duration of neutropenia in patients undergoing myeloablative therapy followed by bone marrow transplantation considered to be at increased risk of prolonged severe neutropenia.

Filgrastim ratiopharm Ratiopharm GmbH · Withdrawn · authorised 15 Sep 2008 · ATC L03AA02

Therapeutic indication (EMA)

Filgrastim ratiopharm is indicated for the reduction in the duration of neutropenia and the incidence of febrile neutropenia in patients treated with established cytotoxic chemotherapy for malignancy (with the exception of chronic myeloid leukaemia and myelodysplastic syndromes) and for the reduction in the duration of neutropenia in patients undergoing myeloablative therapy followed by bone marrow transplantation considered to be at increased risk of prolonged severe neutropenia. The safety and efficacy of filgrastim are similar in adults and children receiving cytotoxic chemotherapy. Filgrastim ratiopharm is indicated for the mobilisation of peripheral blood progenitor cells (PBPC). In patients, children or adults, with severe congenital, cyclic, or idiopathic neutropenia with an absolute neutrophil count (ANC) of 0.5 x 109/l, and a history of severe or recurrent infections, long term administration of Filgrastim ratiopharm is indicated to increase neutrophil counts and to reduce the incidence and duration of infection-related events. Filgrastim ratiopharm is indicated for the treatment of persistent neutropenia (ANC less than or equal to 1.0 x 109/l) in patients with advanced HIV infection, in order to reduce the risk of bacterial infections when other options to manage neutropenia are inappropriate.

Biograstim AbZ-Pharma GmbH · Withdrawn · authorised 15 Sep 2008 · ATC L03AA02

Therapeutic indication (EMA)

Biograstim is indicated for the reduction in the duration of neutropenia and the incidence of febrile neutropenia in patients treated with established cytotoxic chemotherapy for malignancy (with the exception of chronic myeloid leukaemia and myelodysplastic syndromes) and for the reduction in the duration of neutropenia in patients undergoing myeloablative therapy followed by bone-marrow transplantation considered to be at increased risk of prolonged severe neutropenia. The safety and efficacy of filgrastim are similar in adults and children receiving cytotoxic chemotherapy. Biograstim is indicated for the mobilisation of peripheral blood progenitor cells (PBPC). In patients, children or adults, with severe congenital, cyclic, or idiopathic neutropenia with an absolute neutrophil count (ANC) of 0.5 x 109/l, and a history of severe or recurrent infections, long-term administration of Biograstim is indicated to increase neutrophil counts and to reduce the incidence and duration of infection-related events. Biograstim is indicated for the treatment of persistent neutropenia (ANC less than or equal to 1.0 x 109/l) in patients with advanced HIV infection, in order to reduce the risk of bacterial infections when other options to manage neutropenia are inappropriate.

Grastofil Accord Healthcare S.L.U. · Withdrawn · authorised 18 Oct 2013 · ATC L03AA02

Therapeutic indication (EMA)

Grastofil is indicated for the reduction in the duration of neutropenia and the incidence of febrile neutropenia in patients treated with established cytotoxic chemotherapy for malignancy (with the exception of chronic myeloid leukaemia and myelodysplastic syndromes) and for the reduction in the duration of neutropenia in patients undergoing myeloablative therapy followed by bone marrow transplantation considered to be at increased risk of prolonged severe neutropenia. The safety and efficacy of Grastofil are similar in adults and children receiving cytotoxic chemotherapy. Grastofil is indicated for the mobilisation of peripheral blood progenitor cells (PBPCs). In patients, children or adults with severe congenital, cyclic, or idiopathic neutropenia with an absolute neutrophil count (ANC) of ≤ 0.5 x 109/L, and a history of severe or recurrent infections, long term administration of Grastofil is indicated to increase neutrophil counts and to reduce the incidence and duration of infection-related events. Grastofil is indicated for the treatment of persistent neutropenia (ANC less than or equal to 1.0 x 109/L) in patients with advanced HIV infection, in order to reduce the risk of bacterial infections when other options to manage neutropenia are inappropriate.

Canada Canada — marketed products (Health Canada)

BrandDINStrengthForm · routeCompany
FILRA02556537300 MCG / 0.5 MLSOLUTION · INTRAVENOUS; SUBCUTANEOUSJAMP PHARMA CORPORATION
FILRA02556545480 MCG / 0.8 MLSOLUTION · INTRAVENOUS; SUBCUTANEOUSJAMP PHARMA CORPORATION
GRASTOFIL02441489300 MCG / 0.5 MLSOLUTION · SUBCUTANEOUS; INTRAVENOUSAPOTEX INC
GRASTOFIL02454548480 MCG / 0.8 MLSOLUTION · INTRAVENOUS; SUBCUTANEOUSAPOTEX INC
NEUPOGEN01968017300 MCG / MLSOLUTION · INTRAVENOUS; SUBCUTANEOUSAMGEN CANADA INC
NEUPOGEN02420104600 MCG / MLSOLUTION · SUBCUTANEOUS; INTRAVENOUSAMGEN CANADA INC
NEUPOGEN02420112600 MCG / MLSOLUTION · INTRAVENOUS; SUBCUTANEOUSAMGEN CANADA INC
NIVESTYM02485575300 MCG / 0.5 MLSOLUTION · SUBCUTANEOUS; INTRAVENOUSPFIZER CANADA ULC
NIVESTYM02485583480 MCG / 0.8 MLSOLUTION · INTRAVENOUS; SUBCUTANEOUSPFIZER CANADA ULC
NIVESTYM02485591300 MCG / MLSOLUTION · INTRAVENOUS; SUBCUTANEOUSPFIZER CANADA ULC
NIVESTYM02485656480 MCG / 1.6 MLSOLUTION · SUBCUTANEOUS; INTRAVENOUSPFIZER CANADA ULC
NYPOZI02520990300 MCG / 0.5 MLSOLUTION · INTRAVENOUS; SUBCUTANEOUSTANVEX BIOPHARMA USA, INC.
NYPOZI02521008480 MCG / 0.8 MLSOLUTION · INTRAVENOUS; SUBCUTANEOUSTANVEX BIOPHARMA USA, INC.

Prices — United States and England

SourceProduct as listedPriceUnit / packDate
US NADACNEUPOGEN 300 MCG/0.5 ML SYR$650.052per ML23 Sep 2026
US NADACNEUPOGEN 300 MCG/ML VIAL$304.0908per ML19 Aug 2026
US NADACZARXIO 300 MCG/0.5 ML SYRINGE$531.655per ML23 Sep 2026
US NADACZARXIO 480 MCG/0.8 ML SYRINGE$533.4125per ML17 Dec 2025
NHS Drug TariffFilgrastim 30million units/0.5ml solution for injection pre-filled syringes£250.755 pre-filled disposable injection1 Oct 2026
NHS Drug TariffFilgrastim 30million units/1ml solution for injection vials£263.525 vial1 Oct 2026

NADAC: average price US retail pharmacies pay to buy the medicine. NHS Drug Tariff Part VIIIA: basic price reimbursed to pharmacies in England and Wales.

WHO WHO Model List of Essential Medicines (2025)

  • 8.2.3. Immunomodulators · complementary
    Acquired neutropaenia
    Parenteral > General injections > SC: 120 µg per 0.2 mL in prefilled syringe; 300 µg per 0.5 mL in prefilled syringe; 480 µg per 0.8 mL in prefilled syringe; 300 µg per mL in 1 mL vial; 480 µg per 1.6 mL in 1.6 mL vial

Safety signals and safety-related labeling changes

All safety entries for filgrastim →

Values as published by each source: SFDA human drug list (4-2026, as published by the Council of Health Insurance; indications from the CHI Daman Drug Formulary), Drugs@FDA, EMA medicines data, Health Canada Drug Product Database (Open Government Licence – Canada), CMS NADAC, NHS Drug Tariff Part VIIIA (NHSBSA Copyright, Open Government Licence v3.0), WHO Model List of Essential Medicines (CC BY 3.0 IGO; regrouped by active substance, not created by WHO), EMA PRAC, US FDA safety-related labeling changes and MHRA Drug Safety Update (Open Government Licence v3.0). Sources and reuse. Not a substitute for the official registers or the product information.