| Aetna | Irinotecan Liposome Injection (Onivyde) | 2025-12-04 |
| Aetna | Durvalumab (Imfinzi) | 2025-12-04 |
| Aetna | Levoleucovorin (Khapzory) | 2025-12-04 |
| HealthPartners | Transcutaneous electrical nerve stimulator (TENS) | 2025-12-04 |
| Aetna | Stereolithographic Models and Implants | 2025-12-03 |
| Aetna | Hematopoietic Cell Transplantation for Testicular Cancer | 2025-12-03 |
| Aetna | Cetuximab (Erbitux) | 2025-12-03 |
| Aetna | Pharmacogenetic and Pharmacodynamic Testing | 2025-12-03 |
| Aetna | Intra-coronary Hyperoxemic Therapy | 2025-12-03 |
| Aetna | Hematopoietic Cell Transplantation for Solid Tumors in Adults | 2025-12-03 |