Skip to content
The Policy Vault
Methodology
Why
Contact
Coverage
/
Medical Mutual
/
Lupron Depot
/
Uterine Cancer
← Back
Lupron Depot — Medical Mutual
Uterine Cancer
Initial criteria
Approve Lupron Depot 7.5 mg, 22.5 mg, 30 mg, or 45 mg for 1 year if prescribed by or in consultation with an oncologist
Approval duration
1 year
