| BCBS Louisiana | elapegademase-lvlr (Revcovi™) | 2025-07-01 |
| BCBS Louisiana | Select Antipsychotic Drugs | 2025-07-01 |
| BCBS Louisiana | peanut (Arachis hypogaea) allergen powder-dnfp (Palforzia™) | 2025-07-01 |
| BCBS Louisiana | Select Nitrofurantoin Products | 2025-07-01 |
| BCBS Louisiana | Novel Medications for the Treatment of Uterine Fibroids | 2025-07-01 |
| BCBS Louisiana | mannitol (Bronchitol®) | 2025-07-01 |
| BCBS Louisiana | Cromolyn Oral Solution (Gastrocrom®, generics) | 2025-07-01 |
| BCBS Louisiana | Vertebral Body Stapling and Vertebral Body Tethering for the Treatment of Scoliosis | 2025-07-01 |
| BCBS Louisiana | inclisiran (Leqvio®) | 2025-07-01 |
| BCBS Louisiana | Soaanz® (torsemide tablets) | 2025-07-01 |