| BCBS Louisiana | difelikefalin (Korsuva™) | 2025-10-01 |
| BCBS Louisiana | cabotegravir intramuscular injection (Apretude®) | 2025-10-01 |
| BCBS Louisiana | sparsentan (Filspari™) | 2025-10-01 |
| BCBS Louisiana | Fecal microbiota, live-jslm (Rebyota™) | 2025-10-01 |
| BCBS Louisiana | omaveloxolone (Skyclarys™) | 2025-10-01 |
| BCBS Louisiana | givinostat (Duvyzat™) | 2025-10-01 |
| BCBS Louisiana | taurolidine and heparin catheter lock solution (Defencath®) | 2025-10-01 |
| BCBS Louisiana | travoprost Implant (iDose® TR) | 2025-10-01 |
| BCBS Louisiana | olezarsen (Tryngolza®) | 2025-10-01 |
| UHC Medicaid Medical & Drug | Brow Ptosis and Eyelid Repair – Community Plan Medical Policy | 2025-10-01 |