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Urofollitropin
2021 National Formulary 3Rd Quarter Edition
Performance Drug List Dispensing Limits
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
5.01.610 Pharmacologic Treatment of Infertility
Specialty Guideline Management
ART Drugs Page: 1 of 8
Appendiks Til Marte Myhre Reigstad, Inger Kristin Larsen, Ritsa Storeng
Pharmacy Prior Authorization Guideline
ART Drugs Page: 1 of 6
Standard Specialty PA and QL List January 2015
Drugs Contraindicated in Pregnancy
2019 Clinically Preferred Drug List 4Th Quarter Edition
Medical/Specialty Pharmacy (Rx) Drugs Requiring Prior Auth July 2021
ART / Infertility Drugs / Gender Dysphoria
Allergen Extracts Prior Authorization Guidelines
Efficacy, Efficiency and Effectiveness of Gonadotropin Therapy for Infertility Treatment
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
Self-Administered Medications List
Commercial Formulary
Follicle-Stimulating Hormone (FSH) Action on Spermatogenesis: a Focus on Physiological and Therapeutic Roles
(KPIC) Point-Of-Service (POS) Drug Formulary
Influence of Human Chorionic Gonadotrophin During Ovarian Stimulation: an Overview Johan Smitz1 and Peter Platteau2*
Optimising Follicular Development, Pituitary Suppression, Triggering and Luteal Phase Support During Assisted Reproductive Technology: a Delphi Consensus
Clinical Policy: Infertility and Fertility Preservation Reference Number: ERX.SPA.283 Effective Date: 08.21.18 Last Review Date: 11.18 Revision Log
2021 Aetna Five Tier Open Small Group ACA Plan
Medical & Specialty Pharmacy Drugs Requiring Prior Authorization
Human Recombinant FSH and Its Biosimilars: Clinical Efficacy, Safety, and Cost-Effectiveness in Controlled Ovarian Stimulation for in Vitro Fertilization
Specialty Pharmacy Drug List Specialty Medications List
Infertility Injectables (1012)
Specialty Drug List
UHC Value and Balance Exchange Coverage
Self-Injectable Drug List EFFECTIVE JANUARY 1, 2010
Product Monograph