Pharmacogenomics and Companion Diagnostics Form

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Pharmacogenomics and Companion Diagnostics Effective Date: 12/14/2023 Revision Date: 12/14/2023 Review Date: 12/14/2023 Policy Number: HUM-0533-050 Medical Coverage Policy Page: 1 of 43 Change Summary: Updated Description, Coverage Determination, Coverage Limitations, Provider Claims Codes, References Humana's documents are updated regularly online. When printed, the version of this document becomes uncontrolled. Do not rely on printed copies for the most up-to-date version. Refer to Medical and Pharmacy Coverage Policies to verify that this is the current version before utilizing. Disclaimer Description Coverage Determination Background Medical Alternatives