Sandostatin LAR Depot — Medica
acromegaly in patients who have had an inadequate response to surgery and/or radiotherapy, or in patients for whom surgery and/or radiotherapy is not an option
Preferred products
- Somatuline Depot
Initial criteria
- Patient meets the respective standard Somatostatin Analogs Prior Authorization Policy criteria
- Patient has tried the Preferred Product (Somatuline Depot)