| BCBS Louisiana | Gonadotropin-releasing Hormone (GnRH) Products | 2025-12-01 |
| BCBS Louisiana | rilpivirine tablet for suspension (Edurant® PED) | 2025-12-01 |
| BCBS Louisiana | deuruxolitinib (Leqselvi™) | 2025-12-01 |
| BCBS Louisiana | eladocagene exuparvovec-tneq (Kebilidi™) | 2025-12-01 |
| UHC Medicaid Medical & Drug | Apheresis – Community Plan Medical Policy | 2025-12-01 |
| UHC Medicaid Medical & Drug | Hospital Services: Observation and Inpatient – Community Plan Medical Policy | 2025-12-01 |
| UHC Medicaid Medical & Drug | Mechanical Stretching Devices – Community Plan Medical Policy | 2025-12-01 |
| UHC Medicaid Medical & Drug | Nerve Graft to Restore Erectile Function During Radical Prostatectomy – Community Plan Medical Policy | 2025-12-01 |
| UHC Medicaid Medical & Drug | Sacral Nerve Stimulation for Urinary and Fecal Indications – Community Plan Medical Policy | 2025-12-01 |
| UHC Medicaid Medical & Drug | Sensory Integration Therapy and Auditory Integration Training – Community Plan Medical Policy | 2025-12-01 |