| BCBS Louisiana | Cognitive Rehabilitation | 2025-12-01 |
| BCBS Louisiana | nitisinone (Orfadin®, Nityr™, Harliku™, generics) | 2025-12-01 |
| BCBS Louisiana | brodalumab (Siliq™) | 2025-12-01 |
| BCBS Louisiana | Autonomic Nervous System Testing | 2025-12-01 |
| BCBS Louisiana | Treatment of Hepatitis C with glecaprevir/pibrentasvir (Mavyret™) | 2025-12-01 |
| BCBS Louisiana | Treatment of Hepatitis C with sofosbuvir/velpatasvir/voxilaprevir (Vosevi™) | 2025-12-01 |
| BCBS Louisiana | Lyrica CR®, generics (pregabalin extended release) | 2025-12-01 |
| BCBS Louisiana | Urea Cycle Disorder Pharmacologic Agents (Buphenyl®, Ravicti®, Pheburane®, Olpruva™, generics) | 2025-12-01 |
| BCBS Louisiana | pegvaliase-pqpz (Palynziq™) | 2025-12-01 |
| BCBS Louisiana | Lucemyra™, generics (lofexidine) | 2025-12-01 |