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Notification of Drug Policy Revisions Effective April 1, 2025 (Posted February 1, 2024)
| Medical Drug Policy Name | Revised Criteria |
|---|---|
| Botulinum Toxin Injection “Notification” | Added continuation criteria for dystonia indication that the requested agent will not be used for treatment of temporomandibular joint (TMJ) disorders. Policy notification given 2/1/2025 for effective date 4/1/2025. |
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