Myobloc (rimabotulinumtoxinB)
Effective Aug 1, 2023
2,954 active EviCore by Evernorth policies in Backwork, grouped by policy type. Each policy page shows the codes the policy lists and links to the payer’s own copy.
Summary of the payer’s published policy. Not a coverage determination — confirm with EviCore by Evernorth before submitting.
Free account. Policy pages stay open to everyone.
1451–1500 of 2,954, by type and title
Effective Aug 1, 2023
Effective Jun 1, 2024
Effective Jun 1, 2025
Effective Jan 1, 2019
Effective May 1, 2020
Effective Jun 1, 2023
Effective Apr 1, 2021
Effective Jan 1, 2019
Effective Mar 1, 2022
Effective Feb 1, 2023
Effective Jul 1, 2019
Effective Jun 1, 2019
Effective Feb 1, 2026
Effective Nov 21, 2025
Effective Mar 1, 2022
Effective Jan 1, 2022
Effective Feb 15, 2023
Effective Feb 14, 2020
Effective Feb 15, 2019
Effective Oct 1, 2022
Effective May 22, 2017
Effective May 17, 2018
Effective Feb 1, 2021
Effective Oct 27, 2025
Effective Nov 15, 2024
Effective Apr 1, 2025
Effective May 21, 2025
Effective May 15, 2024
Effective Nov 24, 2022
Effective Mar 1, 2025
Effective Dec 27, 2023
Effective Feb 15, 2025
Effective Nov 1, 2025
Effective Nov 1, 2024
Effective Nov 1, 2023
Effective Dec 1, 2021
Effective Dec 1, 2022
Effective Jul 1, 2025