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Coverage / Medical Mutual / Lupron / Prostate Cancer

Lupron — Medical Mutual

Prostate Cancer

Initial criteria

Approve

Reauthorization criteria

Approve

Approval duration

1 year

Provenance

View official policy PDF

Plan: Medical Mutual
Drug: Lupron
Indication: Prostate Cancer
Last seen: 2025-10-10
Hash: 257dcdf430c4…

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

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Structured prior authorization and step-therapy criteria for commercial health plans. Built by pharmacists for healthcare professionals.

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

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