| BCBS Louisiana | Select Substance Abuse Medications | 2026-01-01 |
| BCBS Louisiana | afamitresgene autoleucel (Tecelra®) | 2026-01-01 |
| BCBS Louisiana | Select Calcipotriene Products | 2026-01-01 |
| BCBS Louisiana | Tolsura® (itraconazole) | 2026-01-01 |
| BCBS Louisiana | Firvanq® (vancomycin oral solution) | 2026-01-01 |
| BCBS Louisiana | Zelsuvmi (berdazimer) | 2026-01-01 |
| BCBS Louisiana | delgocitinib (Anzupgo®) | 2026-01-01 |
| BCBS Louisiana | brensocatib (Brinsupri™) | 2026-01-01 |
| BCBS Louisiana | revakinagene taroretcel-lwey (Encelto™) | 2026-01-01 |
| Ambetter Health Florida Clinical | Home Birth | 2026-01-01 |