Undecatrex — Medical Mutual
Female-to-Male (FTM) Gender Reassignment (Endocrinologic Masculinization, Gender-Dysphoric/Gender-Incongruent Persons)
Initial criteria
- The requested medication is being prescribed by, or in consultation with, an endocrinologist or a physician who specializes in the treatment of transgender patients.
Approval duration
1 year initial, 2 years reauth