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Response to Comments: Treatment of Males with Low Testosterone
A55055
Effective: July 12, 2016
Updated: December 31, 2025
Policy Summary
The provided document for Policy A55055 contains only an administrative note about adoption of suggestions from clinical societies and does not include any clinical coverage criteria for treatment of males with low testosterone. No indications, limitations, documentation requirements, or frequency limits can be extracted from the text supplied. Obtain the full policy text (clinical criteria section) for complete extraction and manual review.