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Provider Quick Alert

September 30, 2025
Review all Medical Coverage Policies at QualChoice.com.
Pharmacy Policy Changes - September 2025

Medical Policy Number
Medical Policy Name Effective Date of Change Description of Changes
AR.QC.PMN.214
Continuous Glucose Monitors 12/01/2025 4Q 2025 annual review: per SDC, removed option for management with oral agents for type 2 diabetes; per GA regulation, added options for gestational diabetes and history of problematic hypoglycemia.

For questions about QualChoice Medical Coverage Policies, please contact your Provider Relations Representative at 800.235.7111 or 501.228.7111, Monday through Friday, 8:00 a.m. to 5:00 p.m.

QCA25-AR-H-284