| BCBS Louisiana | Transanal Endoscopic Microsurgery | 2026-02-01 |
| BCBS Louisiana | Non-Invasive Positive Airway Pressure (Including Non-Invasive Home Mechanical Ventilation) | 2026-02-01 |
| BCBS Louisiana | Select Hemophilia B Products | 2026-02-01 |
| BCBS Louisiana | beremagene geperpavec-svdt (Vyjuvek™) | 2026-02-01 |
| BCBS Louisiana | rozanolixizumab-noli (Rystiggo®) | 2026-02-01 |
| BCBS Louisiana | ensifentrine (Ohtuvayre™) | 2026-02-01 |
| BCBS Louisiana | prademagene zamikeracel (Zevaskyn™) | 2026-02-01 |
| BCBS Louisiana | rilzabrutinib (Wayrilz™) | 2026-02-01 |
| BCBS Louisiana | sulopenem etzadroxil and probenecid (Orlynvah™) | 2026-02-01 |
| Ambetter Health Florida Clinical | Adopted Clinical Practice and Preventive Health Guidelines | 2026-02-01 |