| BCBS Louisiana | Surgical Treatments of Lymphedema | 2025-11-01 |
| BCBS Louisiana | Saturation Biopsy for Diagnosis, Staging, and Management of Prostate Cancer | 2025-11-01 |
| BCBS Louisiana | ravulizumab (Ultomiris™), eculizumab Products | 2025-11-01 |
| BCBS Louisiana | cladribine (Mavenclad®) | 2025-11-01 |
| BCBS Louisiana | Select Fenofibrate Products | 2025-11-01 |
| BCBS Louisiana | Ablation and Surgical Treatment of Chronic Rhinitis | 2025-11-01 |
| BCBS Louisiana | ofatumumab (Kesimpta®) | 2025-11-01 |
| BCBS Louisiana | Allograft Injection for Degenerative Disc Disease | 2025-11-01 |
| BCBS Louisiana | teriflunomide (Aubagio®, generics) | 2025-11-01 |
| BCBS Louisiana | Beta Interferons for the Treatment of Multiple Sclerosis | 2025-11-01 |