FillMapKP OR Bronze HSA 7100

Does KP OR Bronze HSA 7100 cover filgrastim?

KP OR Bronze HSA 7100
71287-71287OR0420016-0 · ACA · ACA Marketplace
filgrastim
filgrastimunder KP OR Bronze HSA 7100
Covered — some forms require prior authorization
12 of 14 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$0per 30-day fill

Your plan’s deductible comes first — you pay the full price until it is met.

This is the standard amount. If you qualified for a cost-sharing reduction when you enrolled, set your level above and this will follow it.

Amount limit applies — you can still fill it, but your plan caps how much you get at a time. This plan's drug list records the cap without stating the amount — your pharmacy can tell you when they fill it.
Tier
Non preferred brand
Approval first
Required
Try another first
No
Amount limit
Yes
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.

Covered forms and strengths (14)

  • 0.5 ML filgrastim 0.6 MG/ML Prefilled Syringe [Neupogen]Approval firstAmount limit
  • 0.5 ML filgrastim-aafi 0.6 MG/ML Prefilled Syringe [Nivestym]Approval firstAmount limit
  • 0.5 ML filgrastim-laha 0.6 MG/ML Prefilled Syringe [Filkri]
  • 0.5 ML filgrastim-sndz 0.6 MG/ML Prefilled Syringe [Zarxio]Approval firstAmount limit
  • 0.5 ML tbo-filgrastim 0.6 MG/ML Prefilled Syringe [Granix]Approval first
  • 0.8 ML filgrastim 0.6 MG/ML Prefilled Syringe [Neupogen]Approval firstAmount limit
  • 0.8 ML filgrastim-aafi 0.6 MG/ML Prefilled Syringe [Nivestym]Approval firstAmount limit
  • 0.8 ML filgrastim-laha 0.6 MG/ML Prefilled Syringe [Filkri]
  • 0.8 ML filgrastim-sndz 0.6 MG/ML Prefilled Syringe [Zarxio]Approval firstAmount limit
  • 0.8 ML tbo-filgrastim 0.6 MG/ML Prefilled Syringe [Granix]Approval first
  • 1 ML filgrastim 0.3 MG/ML Injection [Neupogen]Approval firstAmount limit
  • 1 ML filgrastim-aafi 0.3 MG/ML Injection [Nivestym]Approval firstAmount limit
  • 1.6 ML filgrastim 0.3 MG/ML Injection [Neupogen]Approval firstAmount limit
  • 1.6 ML filgrastim-aafi 0.3 MG/ML Injection [Nivestym]Approval firstAmount limit

← All coverage for filgrastim