| Aetna | Amivantamab-vmjw (Rybrevant) | 2025-08-05 |
| Aetna | Tezepelumab-ekko (Tezspire) | 2025-08-05 |
| Aetna | Tofersen (Qalsody) | 2025-08-05 |
| Aetna | Tarlatamab-dlle (Imdelltra) | 2025-08-05 |
| Medical Mutual | Blincyto® (blinatumomab) (Intravenous) | 2025-08-05 |
| Medical Mutual | Cosela® (trilaciclib) (Intravenous) | 2025-08-05 |
| Medical Mutual | Elrexfio™ (elranatamab-bcmm) (Subcutaneous) | 2025-08-05 |
| Medical Mutual | Levonorgestrel-releasing Intrauterine Systems: Mirena®, Skyla®, Liletta®, Kyleena® (Intrauterine) | 2025-08-05 |
| Medical Mutual | Lynozyfic™ (linvoseltamab-gcpt) (Intravenous) | 2025-08-05 |
| Medical Mutual | Navelbine® (vinorelbine) (Intravenous) | 2025-08-05 |