| BCBS Louisiana | Recombinant platelet-derived growth factor (Becaplermin) | 2025-07-01 |
| BCBS Louisiana | Nasal Allergy Medications | 2025-07-01 |
| BCBS Louisiana | pramlintide (Symlin®) | 2025-07-01 |
| BCBS Louisiana | HMG-CoA Reductase Inhibitors and HMG-CoA Reductase Inhibitor Combination Drugs | 2025-07-01 |
| BCBS Louisiana | Oral Non-Sedating Antihistamines and Singulair® Products (Branded) | 2025-07-01 |
| BCBS Louisiana | Transcatheter Aortic Valve Implantation for Aortic Stenosis | 2025-07-01 |
| BCBS Louisiana | Microprocessor-Controlled Prostheses for the Lower Limb | 2025-07-01 |
| BCBS Louisiana | Myoelectric Prosthetic and Orthotic Components for the Upper Limb | 2025-07-01 |
| BCBS Louisiana | Keratoprosthesis | 2025-07-01 |
| BCBS Louisiana | Amniotic Membrane and Amniotic Fluid | 2025-07-01 |