| BCBS Louisiana | delandistrogene moxeparvovec-rokl (Elevidys®) | 2026-04-01 |
| BCBS Louisiana | zuranolone (Zurzuvae™) | 2026-04-01 |
| BCBS Louisiana | pozelimab-bbfg (Veopoz™) | 2026-04-01 |
| BCBS Louisiana | Xphozah® (tenapanor) | 2026-04-01 |
| BCBS Louisiana | aprocitentan (Tryvio™) | 2026-04-01 |
| BCBS Louisiana | palopegteriparatide (Yorvipath®) | 2026-04-01 |
| BCBS Louisiana | paltusotine (Palsonify™) | 2026-04-01 |
| BCBS Louisiana | remibrutinib (Rhapsido®) | 2026-04-01 |
| Ambetter Health Arizona Clinical | Skin and Soft Tissue Substitutes | 2026-04-01 |
| Ambetter Health Indiana Clinical | Skin and Soft Tissue Substitutes | 2026-04-01 |