| BCBS Louisiana | Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors | 2025-08-01 |
| BCBS Louisiana | Metformin and Metformin Containing Products | 2025-08-01 |
| BCBS Louisiana | ecallantide (Kalbitor®) | 2025-08-01 |
| BCBS Louisiana | belimumab (Benlysta®) | 2025-08-01 |
| BCBS Louisiana | teduglutide [rDNA origin] (Gattex®) | 2025-08-01 |
| BCBS Louisiana | cysteamine Delayed Release Capsules, Oral Granules (Procysbi®) | 2025-08-01 |
| BCBS Louisiana | metreleptin (Myalept) | 2025-08-01 |
| BCBS Louisiana | droxidopa (Northera®, generics) | 2025-08-01 |
| BCBS Louisiana | Auditory Brainstem Implant | 2025-08-01 |
| BCBS Louisiana | Pyrimethamine (Daraprim®, generic) | 2025-08-01 |