| Medical Mutual | Tivdak® (tisotumab vedotin-tftv) (Intravenous) (EOV) | 2025-10-01 |
| Medical Mutual | Vision Therapy | 2025-10-01 |
| Medical Mutual | Zepzelca® (lurbinectedin) (Intravenous) (EOV) | 2025-10-01 |
| Paramount Healthcare | Enteral and Parenteral Nutrition | 2025-10-01 |
| Paramount Healthcare | Non-Invasive Prenatal Screening
(NIPS)/Cell-Free DNA Screening for
Fetal Aneuploidy | 2025-10-01 |
| Paramount Healthcare | Refractive Surgery | 2025-10-01 |
| Paramount Healthcare | Bone Density Measurements | 2025-10-01 |
| Paramount Healthcare | Pancreatic Islet Cell Transplantation,
Autologous, Allogeneic | 2025-10-01 |
| Paramount Healthcare | Outpatient Psychiatry Diagnostic Evaluation
Coverage and Limitations | 2025-10-01 |
| BCBS Highmark NY and West NY | Margetuximab-cmkb (Margenza) | 2025-10-01 |