| Aetna | Belinostat (Beleodaq) | 2025-12-09 |
| Aetna | Nusinersen (Spinraza) | 2025-12-09 |
| Aetna | Edaravone Injection | 2025-12-09 |
| Aetna | Sufentanil Sublingual Tablet (Dsuvia) | 2025-12-09 |
| HealthPartners | Physical and occupational therapy – rehabilitative | 2025-12-09 |
| HealthPartners | Site of service – attended polysomnography for | 2025-12-09 |
| BCBS Premera WA AK Clinical | 5.01.503 Migraine and Cluster Headache Medications | 2025-12-09 |
| BCBS Premera WA AK Clinical | Remote Electrical Neuromodulation for Migraines | 2025-12-09 |
| BCBS Premera WA AK Clinical | Protein Biomarkers for Diagnosis and Risk Assessment of | 2025-12-09 |
| BCBS Premera WA AK Clinical | 5.01.657 Medical Necessity Criteria for the Essentials Formulary | 2025-12-09 |