| BCBS Louisiana | Select Levothyroxine Products | 2025-09-01 |
| BCBS Louisiana | Sunosi™ (solriamfetol) | 2025-09-01 |
| BCBS Louisiana | Lipid Apheresis | 2025-09-01 |
| BCBS Louisiana | bempedoic acid Products (Nexletol™, Nexlizet™) | 2025-09-01 |
| BCBS Louisiana | Fumaric Acids for the Treatment of Multiple Sclerosis | 2025-09-01 |
| BCBS Louisiana | fosdenopterin (Nulibry™) | 2025-09-01 |
| BCBS Louisiana | maralixibat (Livmarli™) | 2025-09-01 |
| BCBS Louisiana | Bioimpedance Devices for Detection and Management of Lymphedema | 2025-09-01 |
| BCBS Louisiana | alpelisib (Vijoice®) | 2025-09-01 |
| BCBS Louisiana | olipudase alfa-rpcp (Xenpozyme®) | 2025-09-01 |