| BCBS Louisiana | tofacitinib (Xeljanz®/Xeljanz® XR) | 2026-02-01 |
| BCBS Louisiana | Treatment of Hepatitis C with Dual Therapy (Ribavirin Plus Pegylated Interferon Alfa) | 2026-02-01 |
| BCBS Louisiana | Home Use of Limb Compression Devices for Venous Thromboembolism Prophylaxis | 2026-02-01 |
| BCBS Louisiana | apremilast (Otezla®/Otezla XR™) | 2026-02-01 |
| BCBS Louisiana | alemtuzumab (Lemtrada®) | 2026-02-01 |
| BCBS Louisiana | tesamorelin (Egrifta SV®, Egrifta WR™) | 2026-02-01 |
| BCBS Louisiana | Branded Bupropion Products | 2026-02-01 |
| BCBS Louisiana | Select Topical Antiherpetic Products | 2026-02-01 |
| BCBS Louisiana | anakinra (Kineret®) | 2026-02-01 |
| BCBS Louisiana | Plugs for Anal Fistula Repair | 2026-02-01 |