| Health Net |
| Pregnyl (chorionic gonadotropin, human) |
| Hormones : Drugs for Women |
- Assisted Reproductive Technology (ART):
Age Requirement: >= 18
Duration: 30 Day(s)
Specialist Required: Yes
Documented Diagnosis: Yes
Medical Test Required: No
Specialist Type(s): Reproductive Specialist
Reauthorization Required: Yes
Duration of Reauthorization: = 30 day(s)
- Prior Authorization: Assisted Reproductive Technology (ART):
Documented Diagnosis: Yes
Age Requirement: >= 18
Duration: 30 Day(s)
Reauthorization Required: Yes
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