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Coverage / Medica / Lupron Depot (leuprolide acetate) / Fallopian Tube Cancer

Lupron Depot (leuprolide acetate) — Medica

Fallopian Tube Cancer

Initial criteria

Prescribed by or in consultation with an oncologist.

Approval duration

1 year

Provenance

View official policy PDF

Plan: Medica
Drug: Lupron Depot (leuprolide acetate)
Indication: Fallopian Tube Cancer
Last seen: 2025-10-06
Hash: b368a6f8e288…

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

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