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Last Published 10.01.2025 Effective Date: 10.01.2025 This policy addresses the use of white blood cell colony stimulating factors (CSFs), including the drug products Fulphila, Fylnetra, Granix, Leukine, Neulasta, Neupogen, Nivestym, Nyvepria, Releuko, Rolvedon, Stimufend, Udenyca, Zarxio, and Ziextenzo

Treatment often requires addressing these biopsychosocial factors with a combination of medication, therapy, and 12-step programs (hence why its so complex), and its estimated that two-thirds of people relapse within the first six months

However, the changes are usually subtle and are unlikely to move a healthy person into a "diseased" range, but they are important for those on the borderline

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