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Coverage / CareFirst (Caremark) / Sandostatin LAR Depot / Enterocutaneous fistula

Sandostatin LAR Depot — CareFirst (Caremark)

Enterocutaneous fistula

Initial criteria

Management of volume depletion from enterocutaneous fistula

Approval duration

12 months

Provenance

View official policy PDF

Plan: CareFirst (Caremark)
Drug: Sandostatin LAR Depot
Indication: Enterocutaneous fistula
Last seen: 2025-10-15
Hash: 4fc48b7d714b…

Disclaimer: Educational only. Coverage varies by employer group and formulary. Always verify with the plan.

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Disclaimer: Educational use only. Coverage varies by employer group and formulary. Always verify with the plan.

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