| BCBS Louisiana | Sensory Integration Therapy and Auditory Integration Therapy | 2025-11-01 |
| BCBS Louisiana | etanercept (Enbrel®) | 2025-11-01 |
| BCBS Louisiana | Teriparatide Products | 2025-11-01 |
| BCBS Louisiana | sipuleucel-T (Provenge®) | 2025-11-01 |
| BCBS Louisiana | C1 Esterase Inhibitor (Berinert®) | 2025-11-01 |
| BCBS Louisiana | Bronchial Valves | 2025-11-01 |
| BCBS Louisiana | Cranial Electrotherapy Stimulation and Auricular Electrostimulation | 2025-11-01 |
| BCBS Louisiana | Diabetic Test Strips | 2025-11-01 |
| BCBS Louisiana | icatibant (Firazyr®, generics) | 2025-11-01 |
| BCBS Louisiana | Overactive Bladder Medications (Branded) | 2025-11-01 |