- Growth Hormone Deficiency:
Reauthorization Required: No
Duration of Reauthorization: N/A
Pediatric - GH Stimulation Test: N/A
Pediatric - Pituitary Hormone Deficiency: N/A
Adult - GHD Stimulation Test: N/A
Adult - Pituitary Hormone Deficiency: N/A
Adult - Duration of Initial Authorization: N/A
Adult - Duration of Reauthorization: N/A
Documented Diagnosis of Other Approved Indications: Short Bowel Syndrome (SBS)
Documented Diagnosis: No
Short Bowel Syndrome: Duration: 4 week(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
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