| BCBS Louisiana | Baroreflex Stimulation Devices | 2026-01-01 |
| BCBS Louisiana | Topical Corticosteroids | 2026-01-01 |
| BCBS Louisiana | Opioid Management/Long Acting Oral Opioid Step Therapy | 2026-01-01 |
| BCBS Louisiana | Topical, Nasal, and Oral Testosterone Products | 2026-01-01 |
| BCBS Louisiana | Topical Retinoids | 2026-01-01 |
| BCBS Louisiana | Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) | 2026-01-01 |
| BCBS Louisiana | Cialis® 5 mg, generics (tadalafil) | 2026-01-01 |
| BCBS Louisiana | Quantitative Electroencephalography as a Diagnostic Aid for Attention-Deficit/Hyperactivity Disorder, Cognitive Impairment, or Autism Spectrum Disorder | 2026-01-01 |
| BCBS Louisiana | Select Muscle Relaxants | 2026-01-01 |
| BCBS Louisiana | Formulary Exception Process/Non-Formulary Drug Review Process Standard Criteria (Closed Formulary) | 2026-01-01 |