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SogroyaBlue Cross Blue Shield of Oklahoma

pediatric growth hormone deficiency (GHD) or growth failure due to inadequate secretion of endogenous growth hormone

Preferred products

  • Humatrope
  • Norditropin FlexPro
  • Nutropin AQ NuSpin
  • Omnitrope
  • Saizen
  • Saizenprep
  • Zomacton

Initial criteria

  • Patient has diagnosis of GHD or growth failure due to inadequate secretion of endogenous GH AND
  • Either extreme short stature (height ≤ -3 SD), normal nutrition, reduced IGF-1 and IGFBP-3 (≤ -2 SD), and delayed bone age OR BOTH of: (A) pretreatment height >2 SD below mean OR height velocity (HV) >2 SD below mean OR HV <10th percentile AND (B) failed at least 2 GH stimulation tests (peak GH<10 mcg/L) OR failed 1 GH stimulation test with CNS pathology OR irradiation history OR other pituitary hormone defects (MPHD) OR genetic defect

Approval duration

not specified