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KyzatrexMedica

Gender-dysphoric/gender-incongruent persons undergoing female-to-male (FTM) gender reassignment (endocrinologic masculinization)

Initial criteria

  • Prescribed by or in consultation with an endocrinologist or a physician who specializes in the treatment of transgender patients

Reauthorization criteria

  • Prescribed by or in consultation with an endocrinologist or a physician who specializes in the treatment of transgender patients

Approval duration

1 year