Effective November 1, 2022, the following long-acting colony-stimulating factors are designated as preferred products for members enrolled in Independence Administrators commercial programs and Independence Blue Cross commercial and Medicare Advantage programs:
- Fulphila® (pegfilgrastim-jmdb)
- Neulasta® (pegfilgrastim)
- Ziextenzo® (pegfilgrastim-bmez)
All other long-acting colony-stimulating factors are considered nonpreferred, including:
- Fylnetra® (pegfilgrastim-pbbk)
- Nyvepria® (pegfilgrastim-apgf)
- Rolvedon™ (eflapegrastim-xnst)
- Stimufend® (pegfilgrastim-fpgk)
- Udenyca® (pegfilgrastim-cbqv)
The following medical policies are being updated to address these preferred and nonpreferred designations: