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City Auckland / Kalamazoo / Sellersville / Rockland / / Company Pfizer / Upjohn Co / Teva / Pharmacia / / Facility American College of Endocrinology / Pharmacy Services Subject / / IndustryTerm clear device / treatment of growth hormone deficiency and Turner syndrome / click.easy reconstitution device / green device / preferred growth hormone product / growth hormone products / / MedicalCondition use SHOX deficiency / Turner’s syndrome / seizures / chronic renal failure / Ischemic Heart Disease / zinc deficiency / subcutaneous use Noonan Syndrome / chronic renal insufficiency / Noonan Syndrome / short stature homeobox-containing gene deficiency / documented deficiency / Turner syndrome / malnutrition / mg/kg/week Prader-Willi Syndrome / TSH deficiency / subcutaneous use Chronic Kidney Disease / secondary hyperparathyroidism / Cardiovascular Disease / childhood-onset growth hormone deficiency / mg/kg/week Turner Syndrome / Growth hormone deficiency / short bowel syndrome / coronary artery disease / deficiency / / MedicalTreatment parenteral nutrition / hormone therapy / low fat diet / renal transplant / / Organization Growth Hormone Task Force / Agency for Health Care Administration / American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice for Growth Hormone Use / Auckland District Health Board / American Academy of Pediatrics Committee on Drugs / European Society for Paediatric Endocrinology Workshop / Growth Hormone Research Society / American Association of Clinical / the American College / FDA / Committee on Bioethics / Lawson Wilkins Pediatric Endocrine Society / American Academy of Pediatrics / / Person Jan / Van Pareren / / / Position Cao / / Product Humatrope / SC / sodium chloride / Zorbtive / glucagon / ACTH / TPN / Norditropin / sterile water for injection / Nutropin / Tev-tropin / Saizen / Norditropin NordiFlex / Genotropin / Nutropin AQ / Omnitrope / / ProvinceOrState Michigan / Auckland District / Pennsylvania / Massachusetts / / Technology x-ray / transplantation / / URL http / SocialTag 
Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: