Gonal-f — Blue Cross Blue Shield of New Mexico
Infertility
Preferred products
- Follistim aq
 - Menopur
 - Ovidrel
 - Ganirelix acetate
 - Cetrotide
 - Crinone
 
Initial criteria
- - Step therapy applies: member must have tried or have contraindication or intolerance to at least one preferred product before use of non-preferred product.