| BCBS Louisiana | glatiramer acetate (Copaxone®) | 2025-11-01 |
| BCBS Louisiana | Noncontact Ultrasound Treatment for Wounds | 2025-11-01 |
| BCBS Louisiana | tofersen (Qalsody™) | 2025-11-01 |
| BCBS Louisiana | atidarsagene autotemcel (Lenmeldy™) | 2025-11-01 |
| BCBS Louisiana | mavorixafor (Xolremdi™) | 2025-11-01 |
| BCBS Louisiana | infliximab-dyyb (Zymfentra™) | 2025-11-01 |
| BCBS Louisiana | Periureteral Bulking Agents as a Treatment of Vesicoureteral Reflux | 2025-11-01 |
| BCBS Louisiana | Special Histochemical Stains and Immunohistochemical Stains | 2025-11-01 |
| BCBS Louisiana | nipocalimab-aahu (Imaavy™) | 2025-11-01 |
| Ambetter Health Iowa Clinical | Urinary Incontinence Devices and Treatments | 2025-11-01 |