Original Effective Date:
To view the current medical policy, please click the link below:
To view previous versions of this policy that are now expired, please click on the links below:
|Rev#:||Date:||Nature of Change:|
|1.0||09/30/2015||Added a link to the clean, current policy (which replaced the 90-day notice).|
|1.1||12/15/2015||Added a link to the previous version of the policy.|
|1.2||07/28/2016||Added a link to the new 90-day notice version of this policy, effective 10/01/2016.|
|1.3||07/23/2018||Added a link to the current policy effective 1/1/18. Added a link to the archived policy effective 10/01/15. Link to the 90-day notice was removed. All links to CVScaremark's website was removed.|
|1.4||08/20/2018||Added links to archived policies that were effective 10/01/15 and 4/14/17.|
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