| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Agalsidase Beta | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Age Limit Override for Codeine, Tramadol, Hydrocodone | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Alectinib | 2025-05-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Alemtuzumab | 2025-05-01 |
| Sunshine Health Clinical Policy | Neuromuscular Electrical Stimulation (NMES) | 2025-05-01 |
| Sunshine Health Clinical Policy | Pediatric Liver Transplant | 2025-05-01 |
| BCBS Iowa Medical Policies | Enteral Nutrition Therapy and Oral Formula | 2025-05-01 |
| BCBS Iowa Medical Policies | Transurethral Water Vapor Thermal Therapy (Rezum) and Transurethral Waterjet Ablation (Aquablation) for Benign Prostatic Hypertrophy | 2025-05-01 |
| BCBS Massachusetts | Ambulatory Electrocardiograph (AECG) Monitoring | 2025-05-01 |
| BCBS Massachusetts | Anti-Parkinsonism Drugs | 2025-05-01 |