Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Somatic Tumor Testing 2025-03-23 updated 2025-10-01

Link to PDF Status: Updated codes 10/01/2025 Effective Date: 03/23/2025 Doc ID: GEN02-0325.1-UC1025 Last Review Date: 01/30/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical...

Pharmacogenetic Testing 2025-11-15

Link to PDF Status: Revised Effective Date: 11/15/2025 Doc ID: GEN09-1125.2 Last Review Date: 07/17/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Pharmacogenomic Testing 2025-07-26

Link to PDF Status: Revised Effective Date: 07/26/2025 Doc ID: GEN09-0725.1 Last Review Date: 10/28/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...