| Medical Mutual | Kimmtrak® (tebentafusp-tebn) (Intravenous) (EOV) | 2025-10-01 |
| Medical Mutual | Mandatory Drug Wastage Program | 2025-10-01 |
| Medical Mutual | Tecartus® (brexucabtagene autoleucel) (Intravenous) (EOV) | 2025-10-01 |
| Medical Mutual | Tivdak® (tisotumab vedotin-tftv) (Intravenous) (EOV) | 2025-10-01 |
| Medical Mutual | Vision Therapy | 2025-10-01 |
| Medical Mutual | Zepzelca® (lurbinectedin) (Intravenous) (EOV) | 2025-10-01 |
| Paramount Healthcare | Cosmetic and Reconstructive Surgery | 2025-10-01 |
| Paramount Healthcare | Enteral and Parenteral Nutrition | 2025-10-01 |
| Paramount Healthcare | Durable Medical Equipment (DME) | 2025-10-01 |
| Paramount Healthcare | Testing & Management of Obstructive
Sleep Apnea | 2025-10-01 |