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Nivestym (Filgrastim)

Prescription medicineOnly Available By Prescription

What if I find a lower price with another pharmacy?

We guarantee the lowest price on all of our prescription products. If you find your medications cheaper at any other recognized licensed mail order pharmacy, we will not only match their price, we will beat it by 25% of the difference. It is our 125% price match guarantee!

Example: If you find a product on Canada Drugs Direct for $50.00 and find the same product for $40.00 at another mail order pharmacy, we will provide you with a $12.50 discount, bringing your total to $37.50.

To get the discount please make sure to mention the price match to the customer service team when they call to collect payment for your order. Or call toll free at 1-888-904-8467 to place the order through the phone.

Terms & Conditions of Program

  • Guaranteed lowest price is only valid at the time of sale.
  • We will only match the current advertised price.
  • Products must be identical and in stock at the time of placing an order with a licensed mail order pharmacy. They must be an online Canadian pharmacy with an address in Canada.
  • Products must be authentic in brand and size (same manufacturer, same country of manufacture, same pack size, same strength and same quantity).
  • Products must be new. We cannot match the price of any used, short expiry or expired product.
  • Price match can only be issued over the phone with our customer service team. Please note at this time we cannot offer price matching for the products Ozempic or Saxenda.
What is a Generic Drug?

A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (eg. different shape or color), as trademarks laws prevent a generic from looking exactly like the brand-name drug.

Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.


Your doctor may prescribe Nivestym for the treatment of many conditions, including to decrease the incidence of infection in patients with non-myeloid cancer receiving immunosuppressive drugs, acute myeloid leukemia (AML), bone marrow transplantation (BMT), peripheral blood stem cell (PBSC) collection, neutropenia.

Nivestym and the generic filgrastim are similar to colony-stimulating factors (CSF) that naturally occur in the body. Nivestym binds to stem cells in the bone marrow and causes them to grow and divide.


Nivestym is available in the following vials:

  • 300 mcg/mL
  • 480 mcg/1.5 mL

Nivestym is available in the following prefilled syringes:

  • 300 mcg/0.5 mL
  • 480 mcg/0.8 mL

Your doctor will determine the appropriate dosage of Nivestym for your condition and patient characteristics.


The active ingredient in Nivestym is filgrastim.


  • Nevstym has no known drug-drug interactions


Tell your doctor immediately if you experience abdominal pain or shoulder pain while taking this drug because it could be a symptom of impending splenic rupture, which is a medical emergency.

Stop this drug if you have trouble breathing. Tell your doctor if you have a history of Acute Respiratory Distress Syndrome (ARDS).

Tell your doctor if you have a history of sickle cell disease.

Nivestym may cause kidney damage in certain patients. Use caution if you have a history of kidney disease.

Do not use this drug if you have a history of serious allergic reactions to CSF products, filgrastim, or pegfilgrastim.

Side Effects

Common drug-drug interactions may include:

  • Alopecia
  • Anemia
  • Anaphylaxis
  • Bleeding from nose
  • Blood transfusion reaction
  • Bone pain
  • Capillary leak syndrome
  • Cough
  • Diarrhea
  • Dyspnea
  • Fever
  • Glomerulonephritis
  • Headache
  • Hepatosplenomegaly
  • Hypersensitivity reaction
  • Hypoesthesia
  • Leukocytosis
  • Myelodysplastic syndrome
  • Nausea
  • Pain
  • Pain in limb
  • Pulmonary hemorrhage
  • Rash
  • Rupture of spleen
  • Sepsis
  • Sickle cell anemia with crisis
  • Splenomegaly
  • Thrombocytopenia
  • Vasculitis of the skin


Nivestym [package insert]. Lake Forest, IL: Pfizer; July 2018.

IMPORTANT NOTE: The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

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