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FILGRASTIM

All injection strengths: general benefit

Other products in the same Health Canada class (L03AA) — coverage varies; not interchangeable

  • Pegfilgrastim (Lapelga): general benefit

Nivestym · DIN 02485656 · 480mcg/1.6mL · injection solution-1.6mL vial

General benefitMarketed · checked 2026-09-20
StatusGeneral benefit
Write on scriptno code needed
Patient paysPatient pays: program not supplied; amount cannot be determined.
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
No interchangeable product listed in the Ontario extract
Nivestym · DIN 02485656 Manufacturer: Pfizer Canada Inc.; listing date 2020-07-31 Health Canada: Marketed since 2020-06-10 · brand NIVESTYM · ATC L03AA02 FILGRASTIM · form Solution · route Subcutaneous, Intravenous · ingredients FILGRASTIM 480 MCG/1.6ML · company Pfizer canada ulc · schedule Prescription, Schedule d
Check this DIN again · Health Canada product record

Nivestym: Formulary list price $169.0872/unit (unit not stated in source; not the patient's cost)

Ministry pays: $169.0872 per source unit.

Source explanation: The formulary price is what ODB pays; the cash price at the counter is set by the pharmacy.

Formulary data: Ontario extract of Aug 26, 2026 · Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=97588 · Verify on the e-Formulary ↗ (DIN 02485656)

Source record
DIN 02485656: Nivestym Raw flags: sec3=Y Item: 201600059; group id 269; item number 0550; lccId None; manufacturer id PFI Source form: Inj Sol-1.6mL Vial Pk; strength: 480mcg/1.6mL Recorded listing: General benefit Source prices (unrounded): $169.0872; ministry $169.0872 Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02485656 Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=97588
Shortage status: not checked (no credentials)
Other drugs in the same formulary class (20:16 Hematopoietic Agents) and how they are covered

Matched class: 20:16 Hematopoietic Agents

Drug-class inventory only. Lists recorded Ontario formulary products, not every Canadian medication; does not recommend treatment. Covered without a code on the Ontario formulary: PEGFILGRASTIM 20:16 Hematopoietic Agents

PEGFILGRASTIM

· 7 products · General benefit · strengths: 6mg/0.6mL, 10mg/mL · Inj Sol-0.6mL Pref Autoinj (Preservative-Free), Inj Sol-0.6mL Pref Syr (Preservative-Free), Inj Sol-0.6mL Pref Syr Pk (Preservative-Free), Inj Sol-Pref Syr, Inj Sol-Pref Syr - 0.6mL Pk (Preservative Free)

DARBEPOETIN ALFA

· 4 products · Limited Use, codes 420 · strengths: 150mcg/0.3mL, 200mcg/0.4mL, 300mcg/0.6mL, 500mcg/1.0mL · Pref Syr-0.3mL Pk, Pref Syr-0.4mL Pk, Pref Syr-0.6mL Pk, Pref Syr-1.0mL Pk

EPOETIN ALFA

· 3 products · Limited Use, codes 420 · strengths: 10,000IU/mL, 40,000IU/mL, 20,000IU/0.5mL · Pref Syr - 1mL Pk, Pref Syr-0.5mL Pk

ELTROMBOPAG OLAMINE

· 4 products · Off-Formulary Interchangeable, not an ODB benefit · strengths: 25mg, 50mg · Tab Source: formulary-ed43-front-matter.txt Part V; ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26; class 20:16
Full class listing Related classes: 20:04 Antianemia Drugs, 20:12 Coagulants and Anti-Coagulants, 20:24 Hemorrheologic Agents Same formulary class, not same indication: class membership alone does not establish equivalent uses.
What the Health Canada label says it is for
1. Indications Grastofil® (filgrastim injection) is indicated for: • Cancer Patients Receiving Myelosuppressive Chemotherapy Grastofil® is indicated to decrease the incidence of infection, as manifested by febrile neutropenia, in patients with non-myeloid malignancies (see 7.1 Special Populations, Patients with Acute Myeloid Leukemia) receiving myelosuppressive anti-neoplastic drugs. Grastofil® is indicated in adult and pediatric patients with cancer receiving myelosuppressive chemotherapy. A complete blood count (CBC) and platelet count should be obtained prior to chemotherapy, and twice per week (see 7 Warnings and Precautions, Monitoring and Laboratory Tests) during Grastofil® therapy to avoid leukocytosis and to monitor the neutrophil count. In phase 3 clinical studies, Grastofil® therapy was discontinued when the ANC was > 10 x 109/L after expected chemotherapy-induced nadir. • Patients with Acute Myeloid Leukemia Grastofil® is indicated for the reduction in the duration of neutropenia, fever, antibiotic use and hospitalization, following induction and consolidation treatment for acute myeloid leukemia. • Cancer Patien… https://pdf.hres.ca/dpd_pm/00083708.PDF PM date: 2026-02-24 Source product: GRASTOFIL; DIN 02441489; fetched 2026-09-10 Product monograph posted by Health Canada; excerpt for lookup only.