Skip to content
The Policy VaultThe Policy Vault

Crinone 8%Highmark

infertility (as part of an ART treatment program)

Preferred products

  • Endometrin

Initial criteria

  • The member is female AND one (1) of the following is met:
  • 1. ALL of the following:
  • a. The member is using the product for infertility.
  • b. The member is using Crinone 8% as part of an ART treatment program.
  • c. The member has the associated ART/IVF benefit.
  • d. If the member does not have the NSF formulary, the member has experienced therapeutic failure or intolerance to Endometrin.
  • OR
  • 2. The member has a diagnosis of secondary amenorrhea.

Approval duration

6 months for infertility (including hypogonadotropic hypogonadism); 1 month for secondary amenorrhea