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Notification of Drug Policy Revisions Effective November 1, 2024 (Posted September 2, 2024)

Medical Drug Policy NameRevised Criteria
Botulinum Toxin Injection Notification (PDF)Added criteria under dystonia indication that the requested agent will not be used for treatment of temporomandibular joint (TMJ) disorders. Policy notification given 9/2/2024 for effective date 11/1/2024.