Ziextenzo savings card: $0 a dose with commercial insurance

How to pay the least

Ask for the cash price

Ziextenzo

Ziextenzo is a biologic. Biologics don’t have generics, but some have biosimilars or an unbranded version from the same maker. Ask your pharmacist or prescriber whether one is sold.

Ask your pharmacy for Ziextenzo’s cash price, and one or two other pharmacies too.
Ziextenzo’s savings card works only with insurance from a job or one you bought.

Compare every option

Brand nameZiextenzo

Authorized genericpegfilgrastim-bmez

Regular genericpegfilgrastim-bmez

What you’d pay

Cash priceAsk the pharmacy

Not soldThere isn’t one

Not soldAsk the pharmacy

Same as Ziextenzo?

The original

–

Brand nameThe maker’s card

ZIEXTENZO Co-Pay Program (Sandoz One Source)

Savings card from Sandoz

No insuranceNeeds insuranceNo cash price listed.

Insurance $0 a dose

From the maker’s offer on ziextenzo.com, checked November 2, 2026. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

Maker’s card or discount card?

A discount card like GoodRx lowers the pharmacy’s cash price, but for a brand-name drug that price often stays high. Compare it with the maker’s card above. You can usually use one or the other on a fill, not both.

Authorized genericNot sold

There isn’t one. An authorized generic is Ziextenzo itself, from the same company, sold without the brand name, and usually for less. For now Ziextenzo is the only choice; its maker’s savings card can lower what you pay.

See the brand name →

Regular genericNot sold

Ziextenzo is a biologic. Biologics don’t have generics, but some have biosimilars or an unbranded version from the same maker. Ask your pharmacist or prescriber whether one is sold. Generics usually come once the brand’s patents and exclusivity end. Until then, the maker’s savings card is the way to pay less.

See the brand name →

What it’s used for

Lowering the risk of infection during chemotherapy
Improving survival after high-dose radiation exposure

What the FDA label says

ZIEXTENZO is a leukocyte growth factor indicated to

Decrease the incidence of infection, as manifested by febrile neutropenia, in patients with non-myeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a clinically significant incidence of febrile neutropenia.
Increase survival in patients acutely exposed to myelosuppressive doses of radiation (Hematopoietic Subsyndrome of Acute Radiation Syndrome).

Limitations of Use

ZIEXTENZO is not indicated for the mobilization of peripheral blood progenitor cells for hematopoietic stem cell transplantation.

Source: the FDA label for Ziextenzo (Sandoz Inc), May 14, 2026. Full label on DailyMed

Good to know

“Commercial insurance” means a plan from a job, from the marketplace, or one you buy yourself. A retiree plan that’s part of Medicare counts as Medicare. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.
Most cards need a sign-up on the maker’s site, and many work only if your plan covers the drug. Then give the card’s details to your pharmacy.
Don’t stop or change a medicine without talking to your pharmacist or prescriber.

Prices checked November 2, 2026. Prices change: confirm with the pharmacy before you fill. drugalt.com/drug/ziextenzo/