Sutter Health Plus
Depo-Testosterone (testosterone cypionate)
Hormones : Drugs for Men
  • Prior Authorization: PA_APPLIES
  • Prior Authorization: Migraine:
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Reauthorization Required: Yes

    Migraine Prevention:
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 6 Month(s)

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