1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen]
filgrastim
RxCUI: 1649964
What the CMS Formulary Data Shows for 1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen]
Per the CMS 2026 Part D formulary file, 1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen] (RxNorm concept RXCUI 1649964, generic name filgrastim) appears on 14 distinct formulary files spanning 269 Medicare Part D plan offerings - 5.3% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 5, with a cross-plan average of Tier 4.5.
Real-world access to 1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen] depends on utilization management as much as tier placement: 71.4% of covering formularies require prior authorization. 7.1% require step therapy. 0% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,092 Part D beneficiaries filled 1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen] in 2023, with total plan-and-beneficiary spending of $9,654,765 and an average per-beneficiary annual cost of $8,841.36. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen] today.
Coverage Details
- Formularies covering
- 14
- Plans covering
- 269
- Coverage rate
- 5.3%
- Tier range
- Tier 1 – Tier 5
- Average tier
- Tier 5, Specialty
Restrictions
- Prior authorization required
- 71.4% of formularies
- Step therapy required
- 7.1% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,092
- Total spending
- $9,654,765
- Avg per beneficiary
- $8,841.36
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering 1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen]
5 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| Anthem Full Dual Advantage (PPO D-SNP) | ANTHEM HEALTH PLANS, INC. | T5 | Yes | No | $0 | CT |
| Anthem Dual Advantage (PPO D-SNP) | ANTHEM HEALTH PLANS, INC. | T5 | Yes | No | $0 | CT |
| Anthem Kidney Care (HMO-POS C-SNP) | ANTHEM HEALTH PLANS, INC. | T5 | Yes | No | $0 | CT |
| Anthem Full Dual Advantage Select (HMO D-SNP) | ANTHEM HEALTH PLANS, INC. | T5 | Yes | No | $0 | CT |
| Anthem Dual Advantage (HMO D-SNP) | ANTHEM HEALTH PLANS, INC. | T5 | Yes | No | $0 | CT |
Medicare Advantage Plans (MA-PD) Covering 1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen]
95 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Platino Blindao (HMO D-SNP) | TRIPLE S ADVANTAGE, INC. | T1 | Yes | $0 | PR |
| Platino Enlace (HMO D-SNP) | TRIPLE S ADVANTAGE, INC. | T1 | Yes | $0 | PR |
| PLATINO ADVANCE (HMO D-SNP) | TRIPLE S ADVANTAGE, INC. | T1 | Yes | $0 | PR |
| PLATINO PLUS (HMO D-SNP) | TRIPLE S ADVANTAGE, INC. | T1 | Yes | $0 | PR |
| CalOptima Health OneCare Complete (HMO D-SNP) | ORANGE COUNTY HEALTH AUTHORITY | T2 | Yes | $0 | CA |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | NV |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T5 | Yes | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | UT |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | NV |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | UT |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | CO |
| Select Health Medicare Essential (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | CO |
| Select Health Medicare Flex (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | CO |
| Select Health Medicare + Kroger (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | CO |
| Select Health Medicare Active (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | CO |
| Select Health Medicare Dual (HMO D-SNP) | SELECTHEALTH, INC. | T5 | Yes | $0 | NV |
| Select Health Medicare Wellness (HMO) | SELECTHEALTH, INC. | T5 | Yes | $0 | NV |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T5 | Yes | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T5 | Yes | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T5 | Yes | $0 | CA |
| Anthem Medicare Advantage (HMO-POS) | BLUE CROSS OF CALIFORNIA | T5 | Yes | $0 | CA |
| Anthem Full Dual Advantage (HMO D-SNP) | ANTHEM INSURANCE COMPANIES, INC. | T5 | Yes | $0 | IN |
| Anthem I PathWays Dual Care Advantage (HMO D-SNP) | ANTHEM INSURANCE COMPANIES, INC. | T5 | Yes | $0 | IN |
| Anthem I PathWays Dual Care Advantage NFLOC (HMO D-SNP) | ANTHEM INSURANCE COMPANIES, INC. | T5 | Yes | $0 | IN |
| Wellpoint Full Dual Advantage (HMO-POS D-SNP) | WELLPOINT IOWA, INC. | T5 | Yes | $0 | IA |
| Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP) | WELLPOINT IOWA, INC. | T5 | Yes | $0 | IA |
| Wellpoint Full Dual Advantage (HMO D-SNP) | WELLPOINT WEST VIRGINIA , INC. | T5 | Yes | $0 | WV |
| Wellpoint Full Dual Advantage (HMO D-SNP) | WELLPOINT WASHINGTON, INC. | T5 | Yes | $0 | WA |
| Wellpoint Dual Advantage (HMO D-SNP) | WELLPOINT WASHINGTON, INC. | T5 | Yes | $0 | WA |
| Healthy Blue Dual Advantage (HMO D-SNP) | COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC. | T5 | Yes | $0 | LA |
| Healthy Blue Dual Advantage 2 (HMO D-SNP) | COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC. | T5 | Yes | $0 | LA |
| Anthem Dual Advantage (PPO D-SNP) | ANTHEM INSURANCE COMPANIES, INC. | T5 | Yes | $0 | VA |
| Wellpoint Medicare Advantage 2 (HMO-POS) | WELLPOINT TEXAS, INC. | T5 | Yes | $0 | TX |
| Wellpoint Kidney Care (HMO-POS C-SNP) | WELLPOINT TEXAS, INC. | T5 | Yes | $0 | TX |
| Wellpoint Dual Advantage 2 (HMO D-SNP) | WELLPOINT TEXAS, INC. | T5 | Yes | $0 | TX |
| Wellpoint Kidney Care (HMO-POS C-SNP) | WELLPOINT TEXAS, INC. | T5 | Yes | $0 | TX |
| Wellpoint Full Dual Advantage Aligned (HMO D-SNP) | WELLPOINT TEXAS, INC. | T5 | Yes | $0 | TX |
| Wellpoint Full Dual Advantage Aligned (HMO D-SNP) | WELLPOINT TEXAS, INC. | T5 | Yes | $0 | TX |
| Wellpoint Full Dual Advantage Aligned (HMO D-SNP) | WELLPOINT TEXAS, INC. | T5 | Yes | $0 | TX |
| Wellpoint Full Dual Advantage Aligned (HMO D-SNP) | WELLPOINT TEXAS, INC. | T5 | Yes | $0 | TX |
| Wellpoint Full Dual Advantage 2 (HMO D-SNP) | WELLPOINT TEXAS, INC. | T5 | Yes | $0 | TX |
| Wellpoint Full Dual Advantage 2 (HMO D-SNP) | WELLPOINT TEXAS, INC. | T5 | Yes | $0 | TX |
| Wellpoint Full Dual Advantage (HMO D-SNP) | WELLPOINT TEXAS, INC. | T5 | Yes | $0 | TX |
| Anthem I MyCare Ohio Full Dual Advantage (HMO D-SNP) | COMMUNITY INSURANCE COMPANY | T5 | Yes | $0 | OH |
| Anthem Full Dual Advantage (HMO D-SNP) | COMMUNITY INSURANCE COMPANY | T5 | Yes | $0 | OH |
| Anthem Full Dual Advantage 2 (HMO D-SNP) | COMMUNITY INSURANCE COMPANY | T5 | Yes | $0 | OH |
| Wellpoint Full Dual Advantage (HMO D-SNP) | WELLPOINT NEW JERSEY, INC. | T5 | Yes | $0 | NJ |
| Wellpoint Kidney Care (HMO-POS C-SNP) | WELLPOINT NEW JERSEY, INC. | T5 | Yes | $0 | NJ |
Frequently Asked Questions
Is 1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen] covered by Medicare Part D?
Yes, 1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen] is covered by 269 Medicare Part D plans (5.3% of all Part D formularies).
What tier is 1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen] on Medicare Part D plans?
1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen] averages Tier 4.5 across Part D plans, ranging from Tier 1 to Tier 5.
Does 1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen] require prior authorization?
71.4% of Part D formularies require prior authorization for 1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen]. Step therapy: 7.1%. Quantity limits: 0%.
How much does Medicare spend on 1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen]?
In 2023, total Medicare Part D spending on 1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen] was $9,654,765, covering 1,092 beneficiaries. The average spend per beneficiary was $8,841.36.
Read our methodology - how this data is sourced, computed, and verified.