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Gonal-FCareFirst (Caremark)

Hypogonadotropic hypogonadism (male)

Initial criteria

  • Follicle Stimulation: Member is undergoing ovulation induction or ART AND meets any of the following: (a) Member has completed three or more previous cycles of clomiphene or letrozole; OR (b) Member has a risk factor for poor ovarian response to clomiphene or letrozole; OR (c) Member has a contraindication or exclusion to clomiphene or letrozole; OR (d) Member is age ≥ 37 years.
  • Hypogonadotropic Hypogonadism: Member has a low pretreatment testosterone level AND low or low-to-normal follicle stimulating hormone (FSH) or luteinizing hormone (LH) levels.

Reauthorization criteria

  • All members (including new members) requesting authorization for continuation of therapy must meet all requirements in the coverage criteria section.

Approval duration

12 months