| BCBS Federal Medical & Drug | 5.45.001 Pulmozyme (dornase alfa) | 2025-06-12 |
| BCBS Federal Medical & Drug | 5.45.003 Kalydeco (ivacaftor) | 2025-06-12 |
| BCBS Federal Medical & Drug | 5.45.006 Orkambi (lumacaftor ivacaftor) | 2025-06-12 |
| BCBS Federal Medical & Drug | 5.45.010 Symdeko (tezacaftor ivacaftor) | 2025-06-12 |
| BCBS Federal Medical & Drug | 5.45.011 Sinus Implants | 2025-06-12 |
| BCBS Federal Medical & Drug | 5.45.012 Trikafta (elexacaftor tezacaftor ivacaftor) | 2025-06-12 |
| BCBS Federal Medical & Drug | 5.45.017 Pulmicort Respules (budesonide) | 2025-06-12 |
| BCBS Federal Medical & Drug | 5.50.001 Proton Pump Inhibitors | 2025-06-12 |
| BCBS Federal Medical & Drug | 5.50.003 Gattex (teduglutide) | 2025-06-12 |
| BCBS Federal Medical & Drug | 5.50.005 NK1 Antagonists | 2025-06-12 |