| BCBS Louisiana | crovalimab-akkz (PiaSky®) | 2025-12-01 |
| BCBS Louisiana | Alpha1 Proteinase Inhibitors | 2025-12-01 |
| BCBS Louisiana | Select Injectable risperidone Products | 2025-12-01 |
| BCBS Louisiana | Enzyme Replacement Therapy for Fabry Disease | 2025-12-01 |
| BCBS Louisiana | Gonadotropin-releasing Hormone (GnRH) Products | 2025-12-01 |
| BCBS Louisiana | rilpivirine tablet for suspension (Edurant® PED) | 2025-12-01 |
| BCBS Louisiana | deuruxolitinib (Leqselvi™) | 2025-12-01 |
| BCBS Louisiana | eladocagene exuparvovec-tneq (Kebilidi™) | 2025-12-01 |
| UHC Medicaid Medical & Drug | Apheresis – Community Plan Medical Policy | 2025-12-01 |
| UHC Medicaid Medical & Drug | Mechanical Stretching Devices – Community Plan Medical Policy | 2025-12-01 |