Blue Cross Blue Shield Federal Employee Program

Last Update
Youth Services

Off Label Use: GnRH analogues can be used in the treatment of Gender Dysphoria (GD) and should only be started once a diagnosis of GD or transsexualism has been made per the DSM V or ICD-10 criteria (1).

For Gender Dysphoria (GD):

MUST HAVE ALL of the following:

  1. Prescribed by an endocrinologist or transgender specialist
  2. Patient has met the DSM V criteria for GD