Granix

Indicated For

severe neutropenia

About This Medication

# GRANIX Patient Guide: How to Get Granix (tbo-filgrastim) at Low or No Cost Granix (tbo-filgrastim) is a prescription injection used to reduce the duration of severe neutropenia in patients receiving chemotherapy for non-myeloid cancers, helping to shorten the time neutrophils (key white blood cells that fight infection) are dangerously low.[2][10] This guide explains Teva Pharmaceuticals' **GRANIX Patient Savings Program**, a copay assistance option primarily for **commercially insured patients** facing high out-of-pocket costs, along with other pathways for broader access.[1][4] ## About Granix (tbo-filgrastim) **Granix** is a granulocyte colony-stimulating factor (G-CSF) that stimulates bone marrow to produce more neutrophils after chemotherapy damages it.[2][10] It's FDA-approved for adults and children 1 month and older with non-myeloid malignancies (cancers not originating in bone marrow, like breast, lung, or ovarian cancer) undergoing myelosuppressive chemotherapy. - **How it's given**: Subcutaneous injection, typically daily for a few days starting 24 hours after chemotherapy, until neutrophil counts recover. Dosage aims to keep absolute neutrophil count (ANC) from exceeding 10,000/mm³.[1][10] - **Why it's important**: Chemotherapy often causes neutropenia, increasing infection risk. Granix can shorten severe neutropenia by about 1 day, potentially reducing hospitalization needs.[10] **Key safety notes** (discuss with your doctor): - Contraindicated if allergic to filgrastim or pegfilgrastim.[1][2] - Rare but serious risks: splenic rupture (watch for upper abdominal/shoulder pain), sickle cell crises, aortitis, ARDS, or alveolar hemorrhage.[1][10] - Monitor blood counts twice weekly; effects reverse quickly upon stopping.[1] Granix is often administered in a doctor's office or hospital (medical benefit), not always retail pharmacy.[8] ## Who Qualifies for Assistance? Teva's **GRANIX Patient Savings Program** targets **commercially insured patients** (private insurance, not government plans like Medicare/Medicaid) with a valid Granix prescription.[1][4] It reduces copays but has limitations (e.g., no substitutions allowed).[4] - **Primary eligibility**: Commercial insurance covering Granix; high copays or deductibles.[1][4] - **Not for**: Uninsured, Medicare/Medicaid, or government-insured patients.[4][7] - **Income-based programs**: No specific Teva PAP with FPL thresholds listed; third-party options like Prescription Hope offer Granix for $70/month after pre-qualification (income/insurance reviewed).[6] Independent foundations (e.g., PAN Foundation, HealthWell) may help Medicare patients.[7][9] ## Income Eligibility Breakdown Teva's program lacks public income caps, focusing on insurance type.[4] For broader PAPs, eligibility often ties to **400% Federal Poverty Level (FPL)** or less. Here's a general table (2026 estimates; verify current FPL): | Household Size | 400% FPL Annual Income | Notes | |---------------|-------------------------|-------| | **1 (Individual)** | ~$60,000 | Commercial insurance primary; foundations for others. | | **2 (Couple)** | ~$81,000 | Third-party PAPs like Prescription Hope.[6] | | **3** | ~$102,000 | Medicare patients: Contact foundations.[7][9] | | **4** | ~$123,000 | Uninsured: Explore Safety Net-like programs (competitor model).[7] | *Table illustrative; Teva program income-agnostic for commercial patients. Always check program sites.[1][4][6]* ## Insurance Requirements - **Commercial insurance required** for Teva Savings Card; fills at pharmacy with card.[1][4] - **Medicare/Medicaid**: Ineligible for Teva program. Use independent copay foundations (e.g., Patient Access Network, HealthWell) or PAPs like Prescription Hope ($70/month).[6][7][9] - **No/low insurance**: Third-party services or competitor-inspired safety nets (e.g., Amgen model for Neupogen).[7] - Granix often medical benefit (in-office), so copays vary by plan.[8][9] ## Step-by-Step Application 1. **Get prescribed**: Confirm Granix suitability with oncologist.[2][10] 2. **Check eligibility**: Commercial? Download/print **GRANIX Savings Card** from granixrx.com/resources or granixhcp.com.[1][2][4] 3. **Fill prescription**: Take card to pharmacy. Pharmacist reviews terms.[4] 4. **For non-commercial**: Enroll in Prescription Hope (prescriptionhope.com; pre-qualify online/phone) or call foundations (e.g., 1-888-4ASSIST for Amgen Assist referrals).[6][7] 5. **Submit if needed**: No formal app for Teva card; instant at pharmacy. Others may require forms/docs.[5][6] ## Timeline and Delivery - **Teva Savings**: Immediate copay reduction at pharmacy fill.[1][4] - **Third-party PAPs**: Processing 1-4 weeks; delivery via mail or pharmacy.[5][6] - **Refills**: Use card each fill; reauthorization per treatment cycle (monitor ANC).[1][10] - Expect 1-2 day neutrophil drop if stopped; resume as prescribed.[1] ## Alternatives if Denied - **Switch biosimilars**: Zarxio (filgrastim-sndz), Nivestym, Releuko (some no PA).[8] - **Foundations**: PAN, HealthWell, Patient Advocate.[7][9] - **Other PAPs**: RxAssist.org lists forms; Prescription Hope ($70/mo).[5][6] - **Competitor programs**: Neupogen Safety Net (no-cost for qualifying uninsured).[7] - **GoodRx/copay cards**: Check for Granix discounts.[9] ## Disclaimer This guide synthesizes public info as of 2026; programs change. Not medical/financial advice. Consult doctor, pharmacist, or program directly (e.g., granixrx.com).[1][2][4] Teva not affiliated. Verify eligibility/terms. Risks exist; report side effects to FDA 1-800-FDA-1088.

Program information last verified: March 30, 2026