- Assisted Reproductive Technology (ART):
Age Requirement: >= 18
Duration: 6 Month(s)
Gender Requirement: Female
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 6 month(s)
- Prior Authorization: Assisted Reproductive Technology (ART):
Documented Diagnosis: Yes
Age Requirement: >= 18
Gender Requirement: Female
Duration: 6 Month(s)
Reauthorization Required: Yes
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