| BCBS Louisiana | Bronchial Valves | 2025-11-01 |
| BCBS Louisiana | Cranial Electrotherapy Stimulation and Auricular Electrostimulation | 2025-11-01 |
| BCBS Louisiana | Diabetic Test Strips | 2025-11-01 |
| BCBS Louisiana | icatibant (Firazyr®, generics) | 2025-11-01 |
| BCBS Louisiana | Overactive Bladder Medications (Branded) | 2025-11-01 |
| BCBS Louisiana | modafinil (Provigil®)/armodafinil (Nuvigil®) | 2025-11-01 |
| BCBS Louisiana | Bisphosphonates (Oral) | 2025-11-01 |
| BCBS Louisiana | Pegylated Interferons (Pegasys®, PegIntron®) for Other (Non-Hepatitis C) Uses | 2025-11-01 |
| BCBS Louisiana | mifepristone (Korlym®, generics) | 2025-11-01 |
| BCBS Louisiana | Treatment of Hepatitis C with a sofosbuvir (Sovaldi®) Based Regimen | 2025-11-01 |