| Buckeye Health Plan Ohio Medicaid Clinical | Physician's Office Lab Testing | 2025-07-01 |
| Medical Mutual | Firmagon® (degarelix) (Subcutaneous) | 2025-07-01 |
| Medical Mutual | Herceptin Hylecta® (trastuzumab and hyaluronidase-oysk) (Subcutaneous) (EOV) | 2025-07-01 |
| Medical Mutual | Ibandronate: Boniva® (Intravenous) | 2025-07-01 |
| Medical Mutual | Kepivance® (palifermin) (Intravenous) | 2025-07-01 |
| Medical Mutual | Leadless Cardiac Pacemakers | 2025-07-01 |
| Medical Mutual | Levoleucovorin: Fusilev® (Intravenous) | 2025-07-01 |
| Medical Mutual | Margenza® (margetuximab-cmkb) (Intravenous) (EOV) | 2025-07-01 |
| Medical Mutual | Opdualag™ (nivolumab/relatlimab-rmbw) (Intravenous) (EOV) | 2025-07-01 |
| Medical Mutual | Pedmark® (sodium thiosulfate) (Intravenous) | 2025-07-01 |