| BCBS Louisiana | Select Muscle Relaxants | 2026-01-01 |
| BCBS Louisiana | Formulary Exception Process/Non-Formulary Drug Review Process Standard Criteria (Closed Formulary) | 2026-01-01 |
| BCBS Louisiana | ocrelizumab (Ocrevus™), ocrelizumab and hyaluronidase-ocsq (Ocrevus Zunovo™) | 2026-01-01 |
| BCBS Louisiana | Select Dexamethasone Packs | 2026-01-01 |
| BCBS Louisiana | Select Topical Rosacea Products | 2026-01-01 |
| BCBS Louisiana | cerliponase alfa (Brineura®) | 2026-01-01 |
| BCBS Louisiana | triamcinolone extended release intra-articular injection (Zilretta™) | 2026-01-01 |
| BCBS Louisiana | tezacaftor/ivacaftor (Symdeko™) | 2026-01-01 |
| BCBS Louisiana | Topical Treatments for Dry Eye Disease | 2026-01-01 |
| BCBS Louisiana | tolvaptan (Jynarque™, generics) | 2026-01-01 |