blue cross blue shield testosterone coverage - Axtarish в Google
This policy only addresses coverage of testosterone in adult individuals (age 18 years and older). Testosterone is a naturally occurring lipophilic androgen ...
8 авг. 2024 г. · A. Coverage of the requested drug is provided when all the following are met: a. FDA approved age b. Diagnosis of male hypogonadism.
See CPT/HCPCS Code section below. Coverage: Hormone Pellet Implantation for Hormone Therapy (e.g., testosterone pellets) are covered in policy 2009047.
AndroGel ® (testosterone gel) ST Requires prior use of ONE step 1 medication OR history of prior use of any step 2 medication within the previous 130 days.
7. Testing for serum total testosterone (See Note 1) may be reimbursable in men receiving testosterone replacement therapy every 3-6 months for the first year ...
For initial therapy, testosterone will be approved for patients with at least two confirmed low morning testosterone levels according to current practice ...
3 июл. 2023 г. · Member has a total testosterone level ≤ 350 ng/dL within the past three months (documentation is required): • Has the member had a previous ...
October 2023: Criteria update: Addition of notation to policy “Coverage may vary by state. Check applicable state laws for more information.” Page 6. BLUE CROSS ...
Newly marketed drugs may not be covered until the committee has had an opportunity to evaluate based on these criteria. How member payment is determined.
3 авг. 2020 г. · Blue Cross and Blue Shield of Louisiana is an independent licensee ... Testim®‡ (testosterone gel) may be considered eligible for coverage** when ...
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