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  • Current: Blue Cross Blue Shield of Northeastern New York - Gonadotropin-Releasing Hormone Agonists

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Northeastern New York

Gonadotropin-Releasing Hormone Agonists


Policy: Gonadotropin-Releasing Hormone Agonists
Last Update: 2021-11-01
Next Update: 2022-03
Issued in: New York

Youth Services:

Coverage for Lupron Depot®/Lupron Depot Ped® is provided for treatment of the following conditions:

  • Gender dysphoria
  • The diagnosis of gender dysphoria and the referral for hormone therapy have been made by a mental health professional in accordance with the WPATH criteria AND o The patient must be followed by an endocrinologist AND
  • if used for suppression of puberty, therapy should not be started earlier than Tanner stage 2.

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Updated on Nov 23, 2021

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