{"id":27851,"date":"2025-03-28T13:08:37","date_gmt":"2025-03-28T21:08:37","guid":{"rendered":"https:\/\/store.apotheraspecialtypharmacy.com\/?post_type=product&p=27851"},"modified":"2025-10-21T13:27:44","modified_gmt":"2025-10-21T21:27:44","slug":"nivestym-300mcg-injection-biosimilar-to-neupogen-300mcg-filgrastim-300mcg-injection-10-vials","status":"publish","type":"product","link":"https:\/\/store.apotheraspecialtypharmacy.com\/?product=nivestym-300mcg-injection-biosimilar-to-neupogen-300mcg-filgrastim-300mcg-injection-10-vials","title":{"rendered":"Nivestym 300mcg Injection (Biosimilar to Neupogen 300mcg) Filgrastim 300mcg Injection (ONE Vial)"},"content":{"rendered":"
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Drug Info: ApoThera Drug Disease Clinical Support App<\/em><\/a><\/strong><\/div>\n
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SC Administration<\/span><\/strong><\/div>\n
– May be administered SC (chemotherapy-induced neutropenia, peripheral blood progenitor cell collection, severe chronic neutropenia, hematopoietic radiation injury syndrome)<\/div>\n
– Administer into the outer upper arm, abdomen (except within 2 inches of navel), front middle thigh, or the upper outer buttocks area<\/div>\n
– Rotate injection site; do not inject into areas that are tender, red, bruised, hardened, or scarred, or sites with stretch marks.<\/div>\n
– Some patients (or caregivers) may be appropriate candidates for SC self-administration with proper training; patients\/caregivers should follow the manufacturer instructions for preparation and administration<\/div>\n
– Do not skip doses, change schedule, or discontinue without consulting with health care provider.<\/div>\n
– If filgrastim comes in contact with the skin, wash area thoroughly with soap and water; if eye contact occurs, flush exposed eye(s) with water.<\/div>\n<\/div>\n
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Storage<\/span><\/strong>
\n– Store prefilled syringes at 2\u00b0C to 8\u00b0C (36\u00b0F to 46\u00b0F)
\n– Protect from light
\n– Do not shake
\n– May be removed from 2\u00b0C to 8\u00b0C (36\u00b0F to 46\u00b0F) storage for a single period of up to 5 days between 23\u00b0C to 27\u00b0C (73\u00b0F to 81\u00b0F)
\n– If not used within 5 days, the product may be returned to 2\u00b0C to 8\u00b0C (36\u00b0F to 46\u00b0F) up to the expiration date
\n– Dispose of syringes if stored at room temperature for more than 5 days
\n– Exposure to -1\u00b0C to -5\u00b0C (23\u00b0F to 30\u00b0F) for up to 72 hours and temperatures as low as -15\u00b0C to -25\u00b0C (5\u00b0F to -13\u00b0F) for up to 24 hours do not adversely affect stability
\n– Discard unused product<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

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\u2013 Prescription Required<\/b><\/span><\/div>\n
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\u2013 Free Next Day Delivery to Anywhere in CA and NY<\/b><\/span><\/div>\n
\u2013 Free Same Day Delivery within 50-Mile Radius of ApoThera<\/b><\/span><\/div>\n<\/div>\n
\u2013 Annual Concierge Pharmacy Membership Fee: $300\/year<\/b><\/span><\/div>\n
–\u00a0 Same-Day Physician Appointments
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–\u00a0 Generic Medicines:\u00a0Just\u00a0$1 per Tablet\/Capsule
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\u2013 Accept Credit Cards, Apple Pay and Zelle<\/b><\/span><\/div>\n
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\u2013 Concierge Pharmacy; Do NOT Accept Insurance
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\u2013 Do NOT\u00a0accept\u00a0manufacturer coupons<\/b><\/span><\/div>\n
\u00a0<\/b><\/i><\/div>\n
\u00a0<\/b><\/i><\/div>\n
1) Physicians may send E-Prescriptions (E-Scripts) to:<\/b><\/i><\/div>\n<\/div>\n
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ApoThera<\/span><\/b><\/div>\n
45 Post, 2nd Floor<\/span><\/b><\/em><\/div>\n
Irvine, CA 92618<\/span><\/b><\/em><\/div>\n
Phone: (949)387-7711<\/span><\/b><\/em><\/div>\n
Fax:\u00a0 \u00a0 \u00a0(949)387-7712<\/span><\/b><\/em><\/div>\n
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2) Alternatively, you may schedule an appointment with one of the physicians in the ApoThera Concierge Medicine Network.<\/b><\/div>\n
– Same-Day Physician Appointments:\u00a0<\/b><\/span>On-demand access to licensed physicians\u00a0in the ApoThera Concierge Network<\/div>\n
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Myelosuppressive Chemotherapy Recipients with Non-myeloid Malignancies<\/span><\/strong><\/div>\n
– 5 mcg\/kg IV\/SC daily<\/div>\n
– Doses may be increased by 5 mcg\/kg (for each chemotherapy cycle) according to the duration and severity of the neutropenia<\/div>\n
– Continue for up to 14 days until the absolute neutrophil count (ANC) reaches 10,000\/mm3<\/div>\n
– Discontinue if the ANC surpasses 10,000\/mm3 after the expected chemotherapy-induced neutrophil nadir.<\/div>\n
Severe Chronic Neutropenia<\/span><\/strong><\/div>\n
Congenital<\/strong><\/em><\/div>\n
Initial Dose<\/div>\n
– 6 mcg\/kg\/day SC in 2 divided doses<\/div>\n
Maintenance Dose<\/div>\n
– Adjust the dose based on ANC and clinical response<\/div>\n
– Mean Dose: 6 mcg\/kg\/day<\/div>\n
Idiopathic<\/strong><\/em><\/div>\n
Initial Dose<\/div>\n
– 5 mcg\/kg SC once daily<\/div>\n
Maintenance Dose<\/div>\n
– Adjust the dose based on ANC and clinical response<\/div>\n
– Total daily dose may be administered in 1 or 2 divided doses<\/div>\n
– Mean Dose: 1.2 mcg\/kg\/day<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n
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Manufacturer:\u00a0Pfizer<\/em><\/b><\/div>\n","protected":false},"featured_media":28006,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false},"product_cat":[3405],"product_tag":[48770,48772,48771,71258,71444,71351,71224,71410,71317,71225,71411,71318,71288,71473,71381,71226,71412,71319,71216,71402,66654,71309,71281,71466,71374,71227,71413,71320,71228,71414,71321,71277,71462,71370,71229,71415,71322,71270,71455,71363,80554,71267,71452,71360,71204,71390,66642,71297,79031,71219,71405,66657,71312,71262,71447,71355,80562,71261,71446,71354,71222,71408,66660,71315,79022,71230,71416,71323,71255,71441,71348,71290,71475,71383,71269,71454,71362,80563,71289,71474,71382,80549,71259,71213,71399,66651,71352,71306,71263,71448,71356,71271,71456,71364,80570,79019,71207,71393,66645,71300,71266,71451,71359,71273,71458,71366,79023,71292,71477,71385,71293,71478,71386,71241,71208,71427,71394,66646,71334,71301,71211,71397,66649,71304,71231,71417,71324,71232,71418,71325,71260,71445,71353,79025,71140,71284,71469,71377,80571,71234,71420,71327,71235,71421,71328,71286,71471,71379,71236,71422,71329,80559,71237,71423,71330,71238,71424,71331,71283,71468,71376,71239,71425,71332,80555,80556,80550,71240,71426,71333,71242,71428,71335,71278,71463,71371,79018,71214,71400,66652,71307,79029,71264,71449,71357,71243,71429,71336,71244,71430,71337,79024,71215,71401,66653,71308,80564,71218,71404,66656,71311,71245,71431,71338,71221,71407,66659,71314,71206,71392,66644,71299,71205,71391,66643,71298,80553,71287,71472,71380,80551,71246,71432,71339,71279,71464,71372,71276,71461,71369,71209,71395,66647,71302,71210,71396,66648,71303,71247,71433,71340,79030,71256,71442,71349,71248,71434,71341,71249,71435,71342,71220,71406,66658,71313,80558,71294,71479,71387,71296,71481,71389,80557,80560,71212,71398,66650,71305,71268,71453,71361,79021,71250,71436,71343,71282,71467,71375,79028,80552,71251,71437,71344,79015,71275,71460,71368,80568,71252,71438,71345,71274,71459,71367,79027,79026,71285,71470,71378,71257,71443,71350,80567,80561,71223,71409,66661,71316,71265,71450,71358,71233,71419,71326,79020,71280,71465,71373,71217,71403,66655,71310,80569,80566,71253,71439,71346,71295,71480,71388,80548,71254,71440,71347,80565,71272,71457,71365,71291,71476,71384,57396,57361,57362,57364,57365,57366,57410,57407,57414,57402,57401,57367,57393,57409,57399,57403,57379,57411,57406,57413,57368,57369,57400,57370,57372,57373,57374,57375,57376,57377,57378,57380,57397,57404,57381,57382,57383,57384,57385,57394,57386,57387,57398,57408,57388,57389,57390,57395,57405,57469,57391,57392,57412,47789,47790,47791,47792,47793,47794,47795,47796,47797,47798,47799,47800,47801,47815,47802,47803,47804,47805,47806,47807,47808,47809,47810,47811,47812,47813,47814,57363,47816,47818,47819,47820,47817,47821,47822,47823,47824,47825,47826,47827,47828,47829,47830,47831,47832,47833,47596,48489,47835,47836,47837],"class_list":{"0":"post-27851","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-cancer-supportive-care","7":"product_tag-chronic-neutropenia-filgrastim-300mcg-in-stock-apothera-concierge-specialty-pharmacy-phone-949387-7711","8":"product_tag-chronic-neutropenia-neupogen-300mcg-in-stock-apothera-concierge-specialty-pharmacy-phone-949387-7711","9":"product_tag-chronic-neutropenia-nivestym-300mcg-in-stock-apothera-concierge-specialty-pharmacy-phone-949387-7711","10":"product_tag-concierge-medicine-atherton-filgrastim-single-dose-vial-injection-atherton-apothera-concierge-specialty-pharmacy-phone-949387-7711","11":"product_tag-concierge-medicine-atherton-neupogen-single-dose-vial-injection-atherton-apothera-concierge-specialty-pharmacy-phone-949387-7711","12":"product_tag-concierge-medicine-atherton-nivestym-single-dose-vial-injection-atherton-apothera-concierge-specialty-pharmacy-phone-949387-7711","13":"product_tag-concierge-medicine-avila-beach-filgrastim-single-dose-vial-injection-avila-beach-apothera-concierge-specialty-pharmacy-phone-949387-7711","14":"product_tag-concierge-medicine-avila-beach-neupogen-single-dose-vial-injection-avila-beach-apothera-concierge-specialty-pharmacy-phone-949387-7711","15":"product_tag-concierge-medicine-avila-beach-nivestym-single-dose-vial-injection-avila-beach-apothera-concierge-specialty-pharmacy-phone-949387-7711","16":"product_tag-concierge-medicine-balboa-island-filgrastim-single-dose-vial-injection-balboa-island-apothera-concierge-specialty-pharmacy-phone-949387-7711","17":"product_tag-concierge-medicine-balboa-island-neupogen-single-dose-vial-injection-balboa-island-apothera-concierge-specialty-pharmacy-phone-949387-7711","18":"product_tag-concierge-medicine-balboa-island-nivestym-single-dose-vial-injection-balboa-island-apothera-concierge-specialty-pharmacy-phone-949387-7711","19":"product_tag-concierge-medicine-balboa-peninsula-filgrastim-single-dose-vial-injection-balboa-peninsula-apothera-concierge-specialty-pharmacy-phone-949387-7711","20":"product_tag-concierge-medicine-bal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