| BCBS Louisiana | Voquezna® (vonoprazan) | 2025-09-01 |
| BCBS Louisiana | ADAMTS13, recombinant-krhn (Adzynma™) | 2025-09-01 |
| BCBS Louisiana | Select Glipizide Products | 2025-09-01 |
| BCBS Louisiana | Transcatheter Tricuspid Valve Repair or Replacement | 2025-09-01 |
| BCBS Louisiana | lenacapavir (Yeztugo®) | 2025-09-01 |
| BCBS Federal Medical & Drug | 1.01.24 Interferential Current Stimulation | 2025-09-01 |
| BCBS Federal Medical & Drug | 1.01.29 Tumor Treating Fields Therapy | 2025-09-01 |
| BCBS Federal Medical & Drug | 1.01.30 Artificial Pancreas Device Systems | 2025-09-01 |
| BCBS Federal Medical & Drug | 2.01.39 Quantitative Sensory Testing | 2025-09-01 |
| BCBS Federal Medical & Drug | 2.01.40 Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions | 2025-09-01 |