| Buckeye Health Plan Ohio Medicaid Clinical | Peer Support Services | 2025-07-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Sacroiliac Joint Interventions for Pain Management | 2025-07-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Selective Nerve Root Blocks and Transforaminal | 2025-07-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Trigger Point Injections for Pain Management | 2025-07-01 |
| Buckeye Health Plan Ohio Medicaid Clinical | Physician's Office Lab Testing | 2025-07-01 |
| BCBS Premera WA AK Clinical | Chimeric Antigen Receptor Therapy for Leukemia and | 2025-07-01 |
| Medical Mutual | Firmagon® (degarelix) (Subcutaneous) | 2025-07-01 |
| Medical Mutual | Herceptin Hylecta® (trastuzumab and hyaluronidase-oysk) (Subcutaneous) (EOV) | 2025-07-01 |
| Medical Mutual | Ibandronate: Boniva® (Intravenous) | 2025-07-01 |
| Medical Mutual | Kepivance® (palifermin) (Intravenous) | 2025-07-01 |