| BCBS Louisiana | Minimally Invasive Ablation Procedures for Morton and Other Peripheral Neuromas | 2025-11-01 |
| BCBS Louisiana | sarilumab (Kevzara®) | 2025-11-01 |
| BCBS Louisiana | Select Drug Quantity Management | 2025-11-01 |
| BCBS Louisiana | Ethacrynic Acid Oral Products (Edecrin®, generics) | 2025-11-01 |
| BCBS Louisiana | burosumab-twza (Crysvita®) | 2025-11-01 |
| BCBS Louisiana | Surgical Treatments of Lymphedema | 2025-11-01 |
| BCBS Louisiana | Saturation Biopsy for Diagnosis, Staging, and Management of Prostate Cancer | 2025-11-01 |
| BCBS Louisiana | ravulizumab (Ultomiris™), eculizumab Products | 2025-11-01 |
| BCBS Louisiana | cladribine (Mavenclad®) | 2025-11-01 |
| BCBS Louisiana | Select Fenofibrate Products | 2025-11-01 |