| Carelon Medical Benefits Management | Genetic Testing for Inherited Conditions 2025-09-20 updated 2026-04-01 | 2025-09-20 |
| Carelon Medical Benefits Management | Prenatal Screening using Cell-free DNA 2025-09-20 | 2025-09-20 |
| HealthPartners | Rhinoplasty and septorhinoplasty | 2025-09-19 |
| BCBS Federal Medical & Drug | 5.01.049 Xofluza (baloxavir marboxil) | 2025-09-19 |
| BCBS Federal Medical & Drug | 5.20.005 Ragwitek (short ragweed pollen allergen extract) | 2025-09-19 |
| BCBS Federal Medical & Drug | 5.20.006 Oralair (mixed pollens allergen extract) | 2025-09-19 |
| BCBS Federal Medical & Drug | 5.20.007 Grastek (timothy grass pollen allergen extract) | 2025-09-19 |
| BCBS Federal Medical & Drug | 5.20.010 Sylvant (siltuximab) | 2025-09-19 |
| BCBS Federal Medical & Drug | 5.20.011 Odactra (house dust mite allergen extract) | 2025-09-19 |
| BCBS Federal Medical & Drug | 5.21.009 Provenge (sipuleucel-T) | 2025-09-19 |