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NovarelPoint32Health

Hypogonadotropic hypogonadism

Initial criteria

  • Documented diagnosis of ONE (1) of the following: hypogonadotropic hypogonadism secondary to pituitary deficiency OR prepubertal cryptorchidism secondary to organic dysfunction
  • Prescribed by or in consultation with an endocrinologist or urologist

Approval duration

6 weeks (prepubertal cryptorchidism); 12 months (hypogonadotropic hypogonadism)