| Aetna | Asparaginase Erwinia Chrysanthemi (Recombinant)-rywn (Rylaze) | 2025-12-02 |
| HealthPartners | Automatic external defibrillator – Minnesota Health | 2025-12-02 |
| Medical Mutual | Besponsa™(inotuzumab ozogamicin) (Intravenous) (EOV) | 2025-12-02 |
| Medical Mutual | Besponsa™(inotuzumab ozogamicin) (Intravenous) | 2025-12-02 |
| Medical Mutual | Bevacizumab: Alymsys® (Intravenous) (EOV) | 2025-12-02 |
| Medical Mutual | Blenrep (belantamab mafodotin-blmf) (Intravenous) | 2025-12-02 |
| Medical Mutual | Columvi® (glofitamab-gxbm) (Intravenous) | 2025-12-02 |
| Medical Mutual | Columvi® (glofitamab-gxbm) (Intravenous) (EOV) | 2025-12-02 |
| Medical Mutual | Daxxify® (daxibotulinumtoxinA) (Intramuscular) | 2025-12-02 |
| Medical Mutual | Epkinly® (epcoritamab-bysp) (Subcutaneous) | 2025-12-02 |