Sogroya — Medica
growth disorders as defined in the standard Growth Disorders – Sogroya Prior Authorization Policy (Basic Formulary)
Preferred products
- Ngenla
- Skytrofa
Initial criteria
- Patient meets the standard Growth Disorders – Sogroya Prior Authorization Policy criteria
- AND patient meets ONE of the following:
- • has tried ONE of Ngenla or Skytrofa for 6 months; OR
- • has experienced an intolerance with Ngenla or Skytrofa
Approval duration
1 year