| BCBS Louisiana | Interferon gamma-1b (Actimmune®) | 2026-01-01 |
| BCBS Louisiana | Repository Corticotropin Injection | 2026-01-01 |
| BCBS Louisiana | ustekinumab Products | 2026-01-01 |
| BCBS Louisiana | Plasma Exchange (PE) | 2026-01-01 |
| BCBS Louisiana | tocilizumab Products | 2026-01-01 |
| BCBS Louisiana | dalfampridine (Ampyra®, generics) | 2026-01-01 |
| BCBS Louisiana | Phenylalanine Hydroxylase Activators | 2026-01-01 |
| BCBS Louisiana | Baroreflex Stimulation Devices | 2026-01-01 |
| BCBS Louisiana | Topical Corticosteroids | 2026-01-01 |
| BCBS Louisiana | Opioid Management/Long Acting Oral Opioid Step Therapy | 2026-01-01 |