11/20/2023 | This version of the policy will become effective 11/20/2023. The policy has been updated to align with Centers for Medicare and Medicaid Services (CMS) standard for reporting the National Drug Code (NDC) numbers for drugs and biologics.
The following codes have been removed from the policy: 90399, 90749, 95199, A4641, A9150, A9152, A9698, A9699, C2698, C2699, C9399, J1599, J3490, J3530, J3535, J3590, J3591, J7199, J7599, J7699, J7799, J7999, J8498, J8499, J8597, J8999, J9999, Q4082, S5000, S5001
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