ND Committee Review
Internal Medical Policy Committee 1-22-2020 New Policy
Internal Medical Policy Committee 3-17-2021 Annual Review-no changes
Internal Medical Policy Committee 3-23-2022 Annual Review, no changes in criteria
Internal Medical Policy Committee 3-23-2023 Annual Review, no changes in criteria
Internal Medical Policy Committee 7-26-2023 Annual Review, no changes in criteria
Internal Medical Policy Committee 7-16-2024 Annual Review, no changes in criteria
Internal Medical Policy Committee 6-10-2025 Annual Review, no changes in criteria