Granix Patient assistance program

If you are eligible to receive your Granix prescription through the patient assistance program, your medication will be free. We charge a flat monthly price of $49 per medication to cover the cost of our services.

To be eligible for the Granix patient assistance program, you will need to meet specific eligibility criteria set by the pharmaceutical company. At NiceRx, we review each Granix enrollment application individually. The main factors considered are:

• I am a permanent, legal resident of the United States or Puerto Rico
• I am uninsured or my insurance doesn’t cover my medication
• I meet certain income eligibility requirements

Applying for the Granix patient assistance program through NiceRx is simple. Begin by completing the enrollment application on our website. We will ask for details about your healthcare provider, your insurance plan, and your household income. This information is required by the pharmaceutical manufacturers that supply your medication. We may be able to help you access patient assistance for other medications as well as Granix, so please tell us about any medications that you have been prescribed.

If we determine that you may be eligible for Granix assistance, we will handle the full enrollment process on your behalf. We will work with your healthcare provider to prepare and submit all the documents required for you to enroll. If you are successfully enrolled in the Granix patient assistance program, we will also automatically request your Granix medication refills for up to 1 year. At the end of your enrollment period, we will contact you for updated details and seek to re-enroll you in the program.

NiceRx does not provide Granix coupons, discount cards or copay cards. We do not offer printable Granix manufacturer coupons, Granix discounts, rebates, Granix savings cards, trial offers, or free samples. We are a service provider that helps eligible individuals access patient assistance programs. Our service cost is $49 a month per medication, so you will likely save more on your Granix medication with NiceRx.

NiceRx may be able to help you access Granix patient assistance if:

• You have a high copay or coinsurance responsibility for Granix
• Your insurance company will not pay for your Granix prescription
• You do not have insurance

Complete your enrollment application online to find out more.

How much is Granix with insurance?

Your individual healthcare plan will determine the cost of Granix with insurance. To find out what you will need to pay, contact your pharmacist or insurance provider. They will be able to calculate your copay with your current insurance.

How much does Granix cost without insurance?

Granix prices without insurance will vary by retailer. As a guide, Granix subcutaneous solution (300 mcg/0.5 mL) will typically cost around $270 for 0.5 milliliters.

Granix contains the prescription medicine tbo-filgatrism, a man-made version of a substance that is naturally produced in the body called colony stimulating factor (CSF). CSF promotes the production of white blood cells that help your body fight against infection.

Granix is used to reduce the length of time you suffer from severe neutropenia, a lack of certain white blood cells caused by having chemotherapy with certain cancer medications. Granix is used for the treatment of adults and children at least 1-month-old.

Tbo-filgrastim is a human granulocyte colony stimulating factor (G-CSF),  produced using recombinant DNA technology. Colony-stimulating factor stimulates stem cells in the body to grow and develop into specific blood cells, usually white blood cells.  Tbo-filgrastim works by attaching to specific points on G-CSF receptors and stimulating the production of certain white blood cells known as neutrophils.

Granix is given as a subcutaneous injection under the skin. A healthcare professional may show you how to use the medication yourself. Your first dose of tbo-filgrastim is normally given within 24 hours after your chemotherapy. You will have daily injections until your blood cell counts return to normal. Granix should not be injected within 24 hours before your next chemotherapy. Treatment with Granix should not be stopped without consulting your doctor and you will need regular tests while using this medicine.

The most common side effects caused by Granix include:

• Bone pain

In rare instances, Granix can cause more serious side effects. These can include:

• Fever, difficulty breathing
• Redness or swelling
• Swelling of face or ankles, blood in your urine, little or no urination
• Feeling unwell, back pain, stomach pain, or upper stomach pain spreading to your left shoulder

Your doctor will assess the benefits of using Granix against your risk of side effects.

Granix can interact with other medications. These include:

• Treatments for cancer – abemaciclib, palbociclib, azacitidine, bosutinib, ibrutinib, cladribine, dactinomycin, fludarabine, lenalidomide, thalidomide
• Treatment of auto-immune diseases such as rheumatoid arthritis, Crohn’s disease, ulcerative colitis – ofatumumab, rituximab
• Treatment for mental health – lithium

This list is not exhaustive and other drugs may interact with Granix.

You should not use Granix if you:

• Are allergic to the active ingredient filgrastim or pegfilgrastim
• Are allergic to any of the other ingredients in Granix

Talk to your doctor before using Granix if you:

• Are taking any of the medications that could interact with Granix
• Have any blood disorders
• Have kidney disease
• Are due to have radiation treatment, a bone scan, or any other medical tests
• Are pregnant or are planning to become pregnant
• Are breastfeeding or are planning to breastfeed