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Coverage / Medica / Lutrate Depot / Prostate cancer

Lutrate Depot — Medica

Prostate cancer

Initial criteria

Medication is prescribed by or in consultation with an oncologist or urologist.

Approval duration

1 year

Provenance

View official policy PDF

Plan: Medica
Drug: Lutrate Depot
Indication: Prostate cancer
Last seen: 2025-10-06
Hash: 101a3e3488c5…

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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