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Data on short-acting recombinant granulocyte colony-stimulating factor (G-CSF) biosimilar utilization from claims data in the USA are limited. The objective was to evaluate patient baseline characteristics and utilization patterns for short-acting G-CSF products with a particular focus on the assessment of filgrastim biosimilar usage relative to the originator product. We examined filgrastim, filgrastim-sndz, and tbo-filgrastim use among adult patients between January 2012 and March 2019 across the five health-plan research partners in the BBCIC Distributed Research Network. The publicly available Sentinel System analytic toolkit was used to perform the distributed analyses.