Crinone Gel

Covered Uses:	All FDA-approved indications not otherwise excluded from Part D. Plus, secondary amenorrhea, support of an established pregnancy.
Exclusion Criteria:	Use in patients to supplement or replace progesterone in the management of infertility.
Required Medical Information:	N/A
Age Restrictions:	N/A
Prescriber Restrictions:	N/A
Coverage Duration:	Secondary amenorrhea, 12 months.Support of an established pregnancy, 9 months
Other Criteria:	N/A

Last Modified on 11/13/2014