Policy: Testosterone – Topical/Buccal/Nasal/Oral
Policy Number: Testosterone – Topical/Buccal/Nasal/Oral
Last Update: 2021-01-22

Youth Services:

• The requested drug is being prescribed for female-to-male gender reassignment
• The member is 14 years of age or older and able to make an informed, mature decision to engage in therapy