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Urofollitropin

  • 2021 National Formulary 3Rd Quarter Edition

    2021 National Formulary 3Rd Quarter Edition

  • Performance Drug List Dispensing Limits

    Performance Drug List Dispensing Limits

  • Gonadotropin Therapy in Assisted Reproduction: an Evolutionary Perspective from Biologics to Biotech

    Gonadotropin Therapy in Assisted Reproduction: an Evolutionary Perspective from Biologics to Biotech

  • Infertility Therapy Reference Number: CP.CPA.261 Effective Date: 11.16.16 Last Review Date: 11.17 Line of Business: Medicaid – Medi-Cal Revision Log

    Infertility Therapy Reference Number: CP.CPA.261 Effective Date: 11.16.16 Last Review Date: 11.17 Line of Business: Medicaid – Medi-Cal Revision Log

  • 5.01.610 Pharmacologic Treatment of Infertility

    5.01.610 Pharmacologic Treatment of Infertility

  • Specialty Guideline Management

    Specialty Guideline Management

  • ART Drugs Page: 1 of 8

    ART Drugs Page: 1 of 8

  • Appendiks Til Marte Myhre Reigstad, Inger Kristin Larsen, Ritsa Storeng

    Appendiks Til Marte Myhre Reigstad, Inger Kristin Larsen, Ritsa Storeng

  • Pharmacy Prior Authorization Guideline

    Pharmacy Prior Authorization Guideline

  • ART Drugs Page: 1 of 6

    ART Drugs Page: 1 of 6

  • Standard Specialty PA and QL List January 2015

    Standard Specialty PA and QL List January 2015

  • Drugs Contraindicated in Pregnancy

    Drugs Contraindicated in Pregnancy

  • 2019 Clinically Preferred Drug List 4Th Quarter Edition

    2019 Clinically Preferred Drug List 4Th Quarter Edition

  • Medical/Specialty Pharmacy (Rx) Drugs Requiring Prior Auth July 2021

    Medical/Specialty Pharmacy (Rx) Drugs Requiring Prior Auth July 2021

  • ART / Infertility Drugs / Gender Dysphoria

    ART / Infertility Drugs / Gender Dysphoria

  • Allergen Extracts Prior Authorization Guidelines

    Allergen Extracts Prior Authorization Guidelines

  • Efficacy, Efficiency and Effectiveness of Gonadotropin Therapy for Infertility Treatment

    Efficacy, Efficiency and Effectiveness of Gonadotropin Therapy for Infertility Treatment

  • 2019 Table of Drugs

    2019 Table of Drugs

Top View
  • Federal Register/Vol. 85, No. 85/Friday, May 1, 2020/Notices
  • Follicle Stimulating Hormone (FSH) Gonadotropins
  • Prior Authorization — Select
  • International Nonproprietary Names for Biological and Biotechnological Substances: a Review17
  • ART Drugs Page: 1 of 7
  • Drug Coverage Guidelines – Oxford Clinical Policy
  • SAFE HANDLING of HAZARDOUS DRUGS Updated 5/22/2020
  • Management of Infertility Appendixes
  • Degarelix (Firmagon®) Vs Leuprolide (Lupron Depot®) in Patients with Advanced Prostate Cancer: Further Analysis from a Phase Iii Pivotal Trial
  • CP.PHAR.131 Infertility and Fertility Preservation
  • Alphabetical Listing by Name Dod UNIFORM OUTPATIENT
  • Infertility and Fertility Preservation
  • Colorado Commercial HMO Formulary
  • Pre - PA Allowance These Drugs Are Covered for Female Members Greater Than 50 Years of Age
  • Testosterone Levels After Treatment with Urofollitropin in Infertile Patients with Idiopathic Mild Reduction of Testicular Volume
  • Serve You Rx Prior Authorization Information and Drug List
  • Ovarian Stimulation with Urofollitropin (Ufsh)
  • Appendix A: Perioperative Medication Management


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